Evidence map›Paper›PMID 35430080›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2022

Long-term patient-reported outcomes after non-small cell lung cancer resection.

Brendan T Heiden, Melanie P Subramanian, Jingxia Liu, Angela Keith, Kathryn E Engelhardt, Bryan F Meyers, Varun Puri, Benjamin D Kozower

Abstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Brendan T HeidenDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo; Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St Louis, Mo.
Melanie P SubramanianDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo.
Jingxia LiuDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St Louis, Mo.
Angela KeithDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo.
Kathryn E EngelhardtDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo.
Bryan F MeyersDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo.
Varun PuriDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo.
Benjamin D KozowerDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo. Electronic address: kozower@wustl.edu.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
BASIC SCIENCE RESEARCH TRAINING: CARDIOPULMONARY SURGERYT32HL007776 · NHLBI · WASHINGTON UNIVERSITY · PI DAMIANO, RALPH J · 1994 to 2020
$4.6M
HSRD VA I01 HX002475NCI NIH HHS P30 CA091842NHLBI NIH HHS T32 HL007776
6 · The paper itself

Abstract

objectivesPatient-reported outcomes (PROs) are critical tools for evaluating patients before and after lung cancer resection. In this study, we assessed patient-reported pain, dyspnea, and functional status up to 1 year postoperatively.

methodsThis study included patients who underwent surgery for non-small cell lung cancer at a single institution (2017-2020). We collected PROs using the National Institutes of Health Patient Reported Outcome Measurement Information System (PROMIS). Data were prospectively collected and merged with our institutional Society of Thoracic Surgeons data. Using multivariable linear mixed effect models, we compared PROMIS scores for preoperative and several postoperative visits.

resultsFrom 2017 until 2020, 334 patients underwent lung cancer resection with completed PROMIS assessments. Pain interference, physical function, and dyspnea severity scores were worse 1 month after surgery (P < .001). Pain interference and physical function scores returned to baseline by 6 months after surgery. However, dyspnea severity scores remained persistently worse up to 1 year after surgery (1-month difference, 8.8 ± 1.9; 6-month difference, 3.6 ± 2.2; 1-year difference, 4.9 ± 2.8; P < .001). Patients who received a thoracotomy had worse physical function and pain interference scores 1 month after surgery compared with patients who received a minimally invasive operation; however, there were no differences in PROs by 6 months after surgery.

conclusionsPROs are important metrics for assessing patients before and after lung cancer resection. Patients may report persistent dyspnea up to 1 year after resection. Additionally, patients undergoing thoracotomy initially report worse pain and physical function but these impairments improve by 6 months after surgery.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsDyspneaHumansPainPatient Reported Outcome Measuresdyspnealung cancerpainpatient-reported outcomesthoracic surgery

Identifiers

PMID35430080
PMCPMC12810212

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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.