Evidence map›Paper›PMID 34613537›Full record

SynthesisAnnals of surgical oncology2022

Comparison Between Wedge Resection and Lobectomy/Segmentectomy for Early-Stage Non-small Cell Lung Cancer: A Bayesian Meta-analysis and Systematic Review.

Yucong Shi, Sizhi Wu, Shengsuo Ma, Yiwen Lyu, Huachong Xu, Li Deng, Xiaoyin Chen

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06115239 (Evaluation of Changes in Quality of Life in Patients With Non-small Cell Lung Carcinoma Undergoing Lung Resection Before and After Receiving Adjuvant Treatment Using the EORTC-LC29 Questionnaire), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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.

NCT06115239 unknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluation of Changes in Quality of Life in Patients With Non-small Cell Lung Carcinoma Undergoing Lung Resection Before and After Receiving Adjuvant Treatment Using the EORTC-LC29 Questionnaire

TypeobservationalSponsorUniversity of SalamancaRan2024 to 2026Enrolled200ConditionsCarcinoma, Non-Small-Cell Lung, Quality of LifeArmsQuestionnaires
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. A novel nomogram incorporating LASSO and Cox regression analyses for predicting survival in early-stage non-small cell lung cancer patients following sublobectomy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

7 authors at 2 institutions in 1 country.

Yucong Shi *School of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China.
Sizhi Wu *School of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China.
Shengsuo MaSchool of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China.
Yiwen LyuSchool of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China.
Huachong XuSchool of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China.
Li DengSchool of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China. dengli@jnu.edu.cn.
Xiaoyin ChenSchool of Traditional Chinese Medicine, Jinan University, Guangzhou, Guangdong, China. tchenxiaoyin@jnu.edu.cn.
Jinan University · CNGuangzhou Medical University · CN

Funding

Guangdong Basic and Applied Basic Research Foundation, China 2020A1515010756Guangdong Basic and Applied Basic Research Foundation, China 2021A1515011215Key-Area Research and Development Program of Guangdong Province 2020B1111100010National Natural Science Foundation of China 81774164National Natural Science Foundation of China 81830114National Natural Science Foundation of China 82004232Project of Administration of Traditional Chinese Medicine of Guangdong Province 20201074
6 · The paper itself

Abstract

backgroundSurgery has become an accepted method for the treatment of early-stage non-small cell lung cancer (NSCLC). The purpose of this Bayesian meta-analysis was to compare the overall survival (OS), disease-free survival (DFS), and relapse-free survival (RFS) between wedge resection and lobectomy/segmentectomy for treatment of early-stage NSCLC.

methodsEligible studies were retrieved from Web of Science, PubMed, MEDLINE, Cochrane Library, EMBASE, CNKI, and WanFang up to July 2021 and screened based on established selection criteria. The Bayesian meta-analysis was performed with the combination of the reported survival outcomes of the individual studies using a random-effect model. The OS, DFS, and RFS of the wedge resection group was compared with the lobectomy/segmentectomy group. The hazard ratio (HR) and standard error were extracted or calculated for each study using the Kaplan-Meier method.

resultsThis study was registered with PROSPERO (INPLASY202080090).The pooled OS hazard ratio between segmentectomy and lobectomy was 1.1 [95% confidence interval (CI) 0.92-1.4], the pooled HR between lobectomy and wedge resection was 0.71 [95% CI 0.52-0.96], and the pooled HR between segmentectomy and wedge was 0.80 [95% CI 0.56-1.10]. The pooled HR of DFS or RFS was not statistically significant among the three surgical approaches.

conclusionsPatients with early-stage NSCLC received lobectomy had the lowest hazard ratio of OS than patients received wedge resection, indicating that the overall survival of patients received lobectomy was higher than patients received wedge resection. However, regarding DFS and RFS, the three surgical approaches showed no significant difference.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsBayes TheoremHumansNeoplasm Recurrence, LocalNeoplasm StagingPneumonectomyMeta analysisNon-small cell lung cancerSurgery method

Identifiers

PMID34613537
PMCPMC8493945
OpenAlexW3202419041

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.