Evidence map›Paper›PMID 36106507›Full record

ArticleThoracic cancer2022

Efficacy and safety of second-line chemotherapy for patients with advanced non-small cell lung cancer complicated by interstitial lung disease.

Kenji Otsuka, Hiroshi Nokihara, Atsushi Mitsuhashi, Ryohiko Ozaki, Yohei Yabuki, Hiroto Yoneda, Hirokazu Ogino, Yasuhiko Nishioka

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  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

8 authors at 2 institutions in 1 country.

Kenji OtsukaDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Hiroshi NokiharaDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.ORCID 0000-0002-1219-6966
Atsushi MitsuhashiDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Ryohiko OzakiDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Yohei YabukiDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Hiroto YonedaDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Hirokazu OginoDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Yasuhiko NishiokaDepartment of Respiratory Medicine and Rheumatology Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.ORCID 0000-0001-6311-1654
Tokushima University · JPNational Center for Global Health and Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of non-small cell lung cancer (NSCLC) patients with interstitial lung disease (ILD) is limited because of the risk of its acute exacerbation (AE). Furthermore, the efficacy and safety of second-line chemotherapy for these patients is unclear.

methodsTo investigate the efficacy and safety of second-line chemotherapy for NSCLC patients with ILD, we retrospectively reviewed patients who were treated at our institute between April 2010 and December 2018.

resultsThirty-five patients received two or more regimens. Thirty-four patients were male and the median age at the initiation of second-line chemotherapy was 70 years. Almost all patients had a smoking history. Fourteen patients had adenocarcinoma and 15 had squamous cell carcinoma histology. Stages III and IV were observed in 20 and 11 patients, respectively. With respect to the type of ILD, 12 patients had usual interstitial pneumonia (UIP). The overall response rate and disease control rate were 11.4 and 68.6%, respectively. The median progression-free and median overall survival were 4.1 and 6.4 months, respectively. The AE of ILD was observed in eight patients, five of whom died. UIP and low percentage vital capacity were detected as significant risk factors for the AE of ILD.

conclusionSecond-line chemotherapy among patients with NSCLC complicated by ILD showed a certain effectiveness, but some patients experienced the AE of ILD, which may lead to death. The risk of the AE of ILD must be considered especially for patients with UIP and low percentage VC.

Indexed as

Carcinoma, Non-Small-Cell LungLung Diseases, InterstitialLung NeoplasmsAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleRetrospective Studiesacute exacerbationchemotherapyinterstitial lung diseasenon-small cell lung cancerusual interstitial pneumonia pattern

Identifiers

PMID36106507
PMCPMC9626311
OpenAlexW4295900517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.