Evidence map›Paper›PMID 34463034›Full record

ArticleThoracic cancer2021

Surgical perspective in neoadjuvant chemoimmunotherapy for stage II-III non-small cell lung cancer.

Tao Hong, Teng Sun, Miao Zhang, Xinlong Liu, Yanliang Yuan, Ponnie Robertlee Dolo, Bi Chen, Hao Zhang

Open access · goldAbstract 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 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% of its field
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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Tao HongDepartment of Thoracic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Teng SunDepartment of Thoracic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Miao ZhangDepartment of Thoracic Surgery, Xuzhou Central Hospital, Xuzhou, China.
Xinlong LiuDepartment of Thoracic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Yanliang YuanDepartment of Thoracic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Ponnie Robertlee DoloDepartment of Gastrointestinal Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Bi ChenDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Hao ZhangDepartment of Thoracic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.ORCID 0000-0002-2926-737X
Xuzhou Medical College · CNXuzhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are many studies on neoadjuvant immunotherapy for locally advanced non-small cell lung cancer (NSCLC) patients. Expert consensus recommends neoadjuvant immunotherapy for patients with resectable stage IB-IIIA NSCLC. However, there are few clinical studies or cases to verify this.

methodsData were collected from all NSCLC patients who underwent surgical resection after neoadjuvant chemoimmunotherapy admitted to the Affiliated Hospital of Xuzhou Medical University and Xuzhou Central Hospital between September 2020 and April 2021. Data collected included patient information, relevant examination results, intraoperative parameters, postoperative complications, pathological changes, and 90-day mortality.

resultsIn total, 25 patients achieved R0 resection. Eleven (44%) patients completed surgery by thoracotomy, and three (12%) procedures were changed from minimally invasive procedures due to dense adhesions of hilar lymph nodes, which rendered it difficult to dissect the blood vessels. Thirteen (52%) patients achieved a major pathological response (MPR) with eight (32%) of these patients having a pathological complete response (pCR). Twenty-two (88%) patients showed radiological regression, and three (12%) patients had stable disease. The median drainage time was 8.50 (3-27) days. Thirteen (52%) postoperative complications were observed, but none were above grade 3.

conclusionsIn this study, neoadjuvant chemoimmunotherapy was found to reduce tumor volume, cause pathological downstaging, and raise the surgical resection rate of patients with locally advanced NSCLC, and achieve a 100% R0 resection rate. There was an acceptable rate of postoperative complications. Thus, neoadjuvant chemoimmunotherapy is safe and practical.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungCombined Modality TherapyFemaleHumansImmunotherapyLung NeoplasmsMaleMiddle AgedNeoadjuvant TherapyNeoplasm StagingPostoperative Complicationsneoadjuvant chemoimmunotherapyneoadjuvant treatmentnon-small cell lung cancersurgical resection

Identifiers

PMID34463034
PMCPMC8520798
OpenAlexW3196320681

What OpenQuestion holds

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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.