Evidence map›Paper›PMID 34741494›Full record

ArticleThoracic cancer2021

Intrapleural treatment in patients with non-small cell lung cancer with malignant pleural effusions in the real world.

Pengfei Pan, Fengjuan Wu, Zhiyun Xu, Xiang Ji, Qian Qi, Xiaomin Huang, Ruyue Zhao, Mingtao Liu, Peng Jiang, Yu Li and 1 more

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 5 institutions in 1 country.

Pengfei PanDepartment of Pulmonary and Critical Care Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.ORCID 0000-0002-5983-2288
Fengjuan WuDepartment of Pulmonary and Critical Care Medicine, Heze Municipal Hospital, Heze, China.
Zhiyun XuDepartment of Pulmonary and Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, China.
Xiang JiDepartment of Pulmonary and Critical Care Medicine, Qianfoshan Hospital of Shandong First Medical University, Jinan, China.
Qian QiDepartment of Pulmonary and Critical Care Medicine, Qianfoshan Hospital of Shandong First Medical University, Jinan, China.
Xiaomin HuangDepartment of Pulmonary and Critical Care Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Ruyue ZhaoDepartment of Pulmonary and Critical Care Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Mingtao LiuDepartment of Pulmonary and Critical Care Medicine, Binzhou People's Hospital, Binzhou, China.
Peng JiangDepartment of Pulmonary and Critical Care Medicine, Weihai Municipal Hospital, Weihai, China.
Yu LiDepartment of Pulmonary and Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, China.ORCID 0000-0003-4798-1638
Lisheng XuDepartment of Pulmonary and Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, China.
Qilu Hospital of Shandong University · CNShandong Provincial QianFoShan Hospital · CNBinzhou People's Hospital · CNHeze Municipal Hospital · CNWeihai Municipal Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the study was to assess the efficacy and side-effects of intrapleural treatment in non-small cell lung cancer (NSCLC) patients with malignant pleural effusions (MPEs).

methodsThe medical records of NSCLC patients with MPEs diagnosed in four Chinese hospitals from October 2014 to December 2019 were searched. The Kaplan-Meier method is used to calculate median overall survival (MOS) and subgroup analyses are done.

resultsA total of 285 patients were evaluated; 81.1% of patients received intrapleural treatment, and no patients received talc pleurodesis. MOS of the whole cohort was 21 months. Patients were divided into three groups: erythromycin group (EG; intrapleural treatment with drugs and erythromycin); intrathoracic treatment group (ITG; intrapleural treatment with drugs); control group (CG; no drug treatment in the pleural cavity). The MOS of patients in the EG, ITG and CG was 20, 22, and 19 months, respectively. Among patients who received only chemotherapy as systemic therapy, the MOS of intrathoracic administration group (IAG; i.e., EG and ITG) was longer than that of CG (12 vs. 6 months; p = 0.034), and the MOS of patients with a ratio of carcinoembryonic antigen in pleural effusion (PE-CEA): CEA in blood (B-CEA) ≤1 is worse than that of patients with a ratio >1 (4 vs. 12 months, p = 0.021) and that of CG (4 vs. 6 months, p = 0.442).

conclusionsIntrapleural treatment can prolong the survival of NSCLC patients with MPE who do not receive targeted treatment or who only receive chemotherapy. The PE-CEA: B-CEA ratio can be used to predict the efficacy if intrapleural treatment is indicated.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungDisease-Free SurvivalFemaleHumansImmunotherapyLung NeoplasmsMaleMiddle AgedPleural Effusion, MalignantRadiofrequency AblationRadiotherapycarcinoembryonic antigen ratiointrapleural therapylung canceroverall survivalreal world study

Identifiers

PMID34741494
PMCPMC8671907
OpenAlexW3209519378

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.