Evidence map›Paper›PMID 34589935›Full record

ArticleJTO clinical and research reports2020

Numbers and Stations: Impact of Examined Lymph Node on Precise Staging and Survival of Radiologically Pure-Solid NSCLC: A Multi-Institutional Study.

Donglai Chen, Yiming Mao, Junmiao Wen, Jian Shu, Fei Ye, Yunlang She, Qifeng Ding, Li Shi, Tao Xue, Min Fan and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 1 country.

Donglai ChenDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, People's Republic of China.
Yiming MaoDepartment of Thoracic Surgery, Suzhou Kowloon Hospital Shanghai Jiaotong University School of Medicine, Suzhou, People's Republic of China.
Junmiao WenDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Jian ShuDepartment of Thoracic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Fei YeDepartment of Thoracic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Yunlang SheDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, People's Republic of China.
Qifeng DingDepartment of Thoracic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Li ShiDepartment of Thoracic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Tao XueDepartment of Cardiothoracic Surgery, Zhongda Hospital, Southeast University School of Medicine, Nanjing, People's Republic of China.
Min FanDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Yongbing ChenDepartment of Thoracic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Chang ChenDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, People's Republic of China.
Second Affiliated Hospital of Soochow University · CNTongji University · CNAffiliated Hospital of Nantong University · CNFudan University Shanghai Cancer Center · CNShanghai Medical College of Fudan University · CNShanghai Pulmonary Hospital · CNSoochow University · CNSuzhou Kowloon Hospital · CNTaizhou First People's Hospital · CNZhongda Hospital Southeast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the optimal number of examined lymph nodes (ELNs) and examined node stations (ENSs) in patients with radiologically pure-solid NSCLC and to investigate the impact of ELNs and ENSs on accurate staging and long-term survival.

methodsData from six institutions in the People's Republic of China on resected c-stage Ⅰ to Ⅱ NSCLCs presenting as pure-solid tumors were analyzed for the impact of ELNs and ENSs on nodal upstaging, stage migration, recurrence-free survival, and overall survival by using multivariate models. The correlations between different end points and ELNs or ENSs were fitted with a smoother (using Locally Weighted Scatterplot Smoothing tool), and the structural break points were determined by the Chow test.

resultsBoth ELNs and ENSs were identified as prognostic factors for overall survival (ENS: hazard ratio [HR], 0.697; 95% confidence interval [CI]: 0.590-0.824;

conclusionsBoth ELNs and ENSs are associated with more accurate node staging and better long-term survival. We recommend 16 LNs and five stations as the cut point for evaluating the quality of LN examination for c-stage Ⅰ to Ⅱ patients with radiologically pure-solid NSCLCs.

Indexed as

Lymph node dissectionNodal stagingOptimal numberPrognosis

Identifiers

PMID34589935
PMCPMC8474422
OpenAlexW3013734607

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.