Evidence map›Paper›PMID 35301675›Full record

ArticleEndocrine2022

Prognostic significance of laterality in lung neuroendocrine tumors.

Anna La Salvia, Irene Persano, Alessandra Siciliani, Monica Verrico, Massimiliano Bassi, Roberta Modica, Alessandro Audisio, Isabella Zanata, Beatrice Trabalza Marinucci, Elena Trevisi and 23 more

Open access · hybridAbstract read
In one paragraph

Article in Endocrine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 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

33 authors at 12 institutions in 2 countries.

Anna La SalviaDepartment of Oncology, 12 de Octubre University Hospital, Madrid, Spain.ORCID 0000-0002-5020-8657
Irene PersanoDepartment of Oncology, San Luigi Gonzaga Hospital, Orbassano, Italy.
Alessandra SicilianiDepartment of Thoracic Surgery, Sant'Andrea University Hospital, Rome, Italy.
Monica VerricoDepartment of Radiological, Oncological, and Pathological Sciences, Sapienza University of Rome, Rome, Italy.
Massimiliano BassiDepartment of Thoracic Surgery, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
Roberta ModicaDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Alessandro AudisioDepartment of Oncology, San Luigi Gonzaga Hospital, Orbassano, Italy.
Isabella ZanataDepartment of Medical Sciences, Section of Endocrinology and Internal Medicine, University of Ferrara, Ferrara, Italy.
Beatrice Trabalza MarinucciDepartment of Thoracic Surgery, Sant'Andrea University Hospital, Rome, Italy.
Elena TrevisiDepartment of Oncology, San Luigi Gonzaga Hospital, Orbassano, Italy.
Giulia PulianiOncological Endocrinology Unit, Regina Elena National Cancer Institute, Rome, Italy.
Maria RinzivilloDigestive Disease Unit, ENETS Center of Excellence, Sant'Andrea University Hospital, Rome, Italy.
Elena ParlagrecoDepartment of Oncology, San Luigi Gonzaga Hospital, Orbassano, Italy.
Roberto BaldelliEndocrinology Unit, Department of Oncology and Medical Specialities, A.O. San Camillo-Forlanini, Rome, Italy.
Tiziana FeolaDepartment of Experimental Medicine, "Sapienza" University of Roma, Rome, Italy.
Franz SestiDepartment of Experimental Medicine, "Sapienza" University of Roma, Rome, Italy.
Paola RazzoreEndocrinology Unit, Mauriziano Hospital, Turin, Italy.
Rossella MazzilliEndocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, ENETS Center of Excellence, Rome, Italy.
Massimiliano ManciniDivision of Morphologic and Molecular, S. Andrea Hospital, Rome, Italy.
Francesco PanzutoDigestive Disease Unit, ENETS Center of Excellence, Sant'Andrea University Hospital, Rome, Italy.
Marco VolanteDepartment of Oncology, Pathology Unit of San Luigi Hospital, University of Turin, Orbassano, Turin, Italy.
Elisa GiannettaDepartment of Experimental Medicine, "Sapienza" University of Roma, Rome, Italy.
Carmen RomeroScientific Support, 12 de Octubre University Hospital, Madrid, Spain.
Marialuisa AppetecchiaOncological Endocrinology Unit, Regina Elena National Cancer Institute, Rome, Italy.
Andrea IsidoriDepartment of Experimental Medicine, "Sapienza" University of Roma, Rome, Italy.
Federico VenutaDepartment of Thoracic Surgery, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
Maria Rosaria AmbrosioDepartment of Medical Sciences, Section of Endocrinology and Internal Medicine, University of Ferrara, Ferrara, Italy.
Maria Chiara ZatelliDepartment of Medical Sciences, Section of Endocrinology and Internal Medicine, University of Ferrara, Ferrara, Italy.
Mohsen IbrahimDepartment of Thoracic Surgery, Sant'Andrea University Hospital, Rome, Italy.
Annamaria ColaoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Maria Pia BrizziDepartment of Oncology, San Luigi Gonzaga Hospital, Orbassano, Italy.
Rocío García-CarboneroDepartment of Oncology, 12 de Octubre University Hospital, Madrid, Spain.
Antongiulio FaggianoEndocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, ENETS Center of Excellence, Rome, Italy. antongiulio.faggiano@uniroma1.it.
Ospedale San Luigi Gonzaga · ITSapienza University of Rome · ITAzienda Ospedaliera Sant'Andrea · ITResearch Institute Hospital 12 de Octubre · ESUniversity of Ferrara · ITPoliclinico Umberto I · ITUniversity of Naples Federico II · ITA. O. Ordine Mauriziano di Torino · ITAzienda Ospedaliera San Camillo-Forlanini · ITCTO Andrea Alesini · ITIstituto Neurologico Mediterraneo · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWell-differentiated lung neuroendocrine tumors (Lu-NET) are classified as typical (TC) and atypical (AC) carcinoids, based on mitotic counts and necrosis. However, prognostic factors, other than tumor node metastasis (TNM) stage and the histopathological diagnosis, are still lacking. The current study is aimed to identify potential prognostic factors to better stratify lung NET, thus, improving patients' treatment strategy and follow-up.

methodsA multicentric retrospective study, including 300 Lung NET, all surgically removed, from Italian and Spanish Institutions.

resultsMedian age 61 years (13-86), 37.7% were males, 25.0% were AC, 42.0% were located in the lung left parenchyma, 80.3% presented a TNM stage I-II. Mitotic count was ≥2 per 10 high-power field (HPF) in 24.7%, necrosis in 13.0%. Median overall survival (OS) was 46.1 months (0.6-323), median progression-free survival (PFS) was 36.0 months (0.3-323). Female sex correlated with a more indolent disease (T1; N0; lower Ki67; lower mitotic count and the absence of necrosis). Left-sided primary tumors were associated with higher mitotic count and necrosis. At Cox-multivariate regression model, age, left-sided tumors, nodal (N) positive status and the diagnosis of AC resulted independent negative prognostic factors for PFS and OS.

conclusionsThis study highlights that laterality is an independent prognostic factors in Lu-NETs, with left tumors being less frequent but showing a worse prognosis than right ones. A wider spectrum of clinical and pathological prognostic factors, including TNM stage, age and laterality is suggested. These parameters could help clinicians to personalize the management of Lu-NET.

Indexed as

Carcinoid TumorCarcinoma, NeuroendocrineLung NeoplasmsNeuroendocrine TumorsFemaleHumansLungMaleMiddle AgedNecrosisPrognosisRetrospective StudiesKi67 indexLung neuroendocrine tumorsMitotic countNecrosisPrognostic factors.Tumor location

Identifiers

PMID35301675
PMCPMC9156515
OpenAlexW4221031623

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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.