Evidence map›Paper›PMID 33529496›Full record

ArticleThoracic cancer2021

Stereotactic ablative radiotherapy as single treatment for early stage non-small cell lung cancer: A single institution analysis.

Xiaoli Zheng, Yanan Sun, Ke Ye, Chengcheng Fan, Xiaohui Wang, Yang Yang, Ruidi Jiao, Hong Ge

Abstract read
In one paragraph

Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xiaoli ZhengThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Yanan SunThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Ke YeThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Chengcheng FanThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.ORCID 0000-0001-9189-8239
Xiaohui WangThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Yang YangThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Ruidi JiaoThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Hong GeThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.ORCID 0000-0002-2958-3866

Funding

the Surface Project from National Natural Science Foundation of China 81373230
6 · The paper itself

Abstract

backgroundStereotactic ablative radiotherapy (SABR) is the current standard-of-care in cases of inoperable early stage non-small cell lung cancer (ES-NSCLC). This study aimed to assess the survival outcomes and recurrence patterns after SABR for ES-NSCLC in a hospital setting.

methodsA single-institution retrospective study was performed which included 109 patients who had undergone SABR. The main study endpoints were overall survival (OS), cancer specific survival (CSS), local recurrence-free survival (LRFS), regional recurrence free survival (RRFS) and distant metastasis-free survival (DMFS). Univariate and multivariate analysis were conducted to explore the potential factors which might be related to patient survival.

resultsA total of 109 patients were enrolled into the study. Median follow-up was 44 months (range: 2-93 months). (i) Recurrence results: Among 45 patients with recurrence, 30 patients (28%) had distant metastasis (DM), 17 patients (16%) had local recurrence (LR), 10 patients (9%) had regional recurrence (RR) of lymph nodes and two patients (2%) had second primary lung cancer (SPLC). (ii) Survival results: Median OS, CSS, PFS was 78 months, 78 and 40 months. Two-year OS, CSS, PFS, LRFS, RRFS and DMFS was 84.7%, 87.1%, 69.2%, 86.8%, 92.7% and 78.0%, respectively. Four-year OS, CSS, PFS, LRFS, RRFS and DMFS was 55.6%, 60.7%, 37.3%, 76.3%, 88.4% and 59.4%, respectively. (iii) Univariate and multivariate analyses indicated that age was a prognostic factor of CSS in patients aged <75 years (P = 0.04 HR 2.12 95% confidence interval [CI]: 1.04-4.33).

conclusionsAlthough high survival rates can be achieved in ES-NSCLC patients treated with SABR, using SABR on its own may not be enough. Prolonged surveillance and adjuvant therapy is therefore needed.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingRadiosurgeryRetrospective StudiesTreatment OutcomeES-NSCLCrecurrenceSABR/SBRTsurvival

Identifiers

PMID33529496
PMCPMC7952798

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.