Evidence map›Paper›PMID 34580031›Full record

ArticleClinical lung cancer2022

Lung Cancer Stage Shift as a Result of COVID-19 Lockdowns in New York City, a Brief Report.

Nathan Mynard, Ashish Saxena, Alexandra Mavracick, Jeffrey Port, Benjamin Lee, Sebron Harrison, Oliver Chow, Jonathan Villena-Vargas, Ronald Scheff, Giuseppe Giaccone and 1 more

Abstract read
In one paragraph

Article in Clinical lung cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Death by a thousand delays.JTCVS open · 2024
    Article
  6. Article
  7. Cancer Screening in the United States During the Second Year of the COVID-19 Pandemic.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
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

11 authors.

Nathan MynardDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.
Ashish SaxenaDepartment of Medicine, Division of Hematology & Medical Oncology, Weill Cornell Medicine, New York, NY.
Alexandra MavracickDepartment of Medicine, Division of Hematology & Medical Oncology, Weill Cornell Medicine, New York, NY.
Jeffrey PortDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.
Benjamin LeeDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.
Sebron HarrisonDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.
Oliver ChowDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.
Jonathan Villena-VargasDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.
Ronald ScheffDepartment of Medicine, Division of Hematology & Medical Oncology, Weill Cornell Medicine, New York, NY.
Giuseppe GiacconeDepartment of Medicine, Division of Hematology & Medical Oncology, Weill Cornell Medicine, New York, NY.
Nasser AltorkiDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY. Electronic address: nkaltork@med.cornell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic reached New York City in early March 2020 resulting in an 11-week lockdown period to mitigate further spread. It has been well documented that cancer care was drastically affected as a result. Given New York City's early involvement, we attempted to identify any stage shift that may have occurred in the diagnoses of non-small cell lung cancer (NSCLC) at our institution as a result of these lockdowns. PATIENTS AND

methodsWe conducted a retrospective review of a prospective database of lung cancer patients at our institution from July 1, 2019 until March 31, 2021. Patients were grouped by calendar year quarter in which they received care. Basic demographics and clinical staging were compared across quarters.

resultsFive hundred and fifty four patients were identified that underwent treatment during the time period of interest. During the lockdown period, there was a 50% reduction in the mean number of patients seen (15 ± 3 vs. 28 ± 7, P = .004). In the quarter following easing of restrictions, there was a significant trend towards earlier stage (cStage I/II) disease. In comparison to quarters preceding the pandemic lockdown, there was a significant increase in the proportion of patients with Stage IV disease in the quarters following phased reopening (P = .026).

conclusionAfter a transient but significant increase in Stage I/II disease with easing of restrictions there was a significant increase in patients with Stage IV disease. Extended longitudinal studies must be conducted to determine whether COVID-19 lockdowns will lead to further increases in the proportion of patients with advanced NSCLC.

Indexed as

Carcinoma, Non-Small-Cell LungCOVID-19Lung NeoplasmsCommunicable Disease ControlHumansNew York CityPandemicsSARS-CoV-2Cancer care delaysNSCLCPandemicSARS-CoV-2Thoracic oncology

Identifiers

PMID34580031
PMCPMC8403338

What OpenQuestion holds

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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.