Evidence map›Paper›PMID 36004217›Full record

ArticleJTCVS open2022

Select octogenarians with stage IIIa non-small cell lung cancer can benefit from trimodality therapy.

Andrew Tang, Andrew Feczko, Sudish C Murthy, Siva Raja, Alejandro Bribriesco, Dean Schraufnagel, Usman Ahmad, Daniel P Raymond, Monisha Sudarshan

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 1 institution in 1 country.

Andrew TangDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Andrew FeczkoDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Sudish C MurthyDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Siva RajaDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Alejandro BribriescoDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Dean SchraufnagelDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Usman AhmadDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Daniel P RaymondDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Monisha SudarshanDepartment of Cardiothoracic Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Currently, more than 36% of patients diagnosed with lung cancer are 75 years of age or older. Management of stage IIIA cancer is variable, especially for octogenarians who might not be offered surgery because of questionable benefit. In this study we investigated the outcomes of definitive chemoradiotherapy (CR) and trimodality therapy (TM) management (CR and surgery) for clinical stage IIIA non-small cell lung cancer (NSCLC) in patients 80 years of age or older. Methods: The National Cancer Data Base was queried for stage IIIA NSCLC in patients 80 years of age or older between 2004 and 2015. Patients were divided according to treatment type: definitive CR and TM. Patient demographic characteristics, facility type, Charlson-Deyo score, final tumor pathology, and survival data were extracted. Univariate analysis was performed, followed by 3:1 propensity matching to analyze overall survival differences. Unadjusted and adjusted Kaplan-Meier survival analyses were performed. Results: From the database, 6048 CR and 190 TM octogenarians were identified. Patients in the TM group were younger (82 years old [TM] vs 83 years old [CR]; Conclusions: Selected elderly patients with stage IIIa NSCLC can benefit from an aggressive TM approach.

Indexed as

CR, chemoradiotherapyNCDB, National Cancer DatabaseNSCLCNSCLC, non–small cell lung canceroctogenarianstage IIIaTM, trimodality therapytrimodality therapy

Identifiers

PMID36004217
PMCPMC9390188
OpenAlexW4213018266

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.