Evidence map›Paper›PMID 36180086›Full record

Observational studyThe European respiratory journal2023

Prognostic factors in nonsmall cell lung cancer: insights from the German CRISP registry.

Martin Metzenmacher, Frank Griesinger, Horst-Dieter Hummel, Corinna Elender, Harald Schäfer, Maike de Wit, Ulrich Kaiser, Jens Kern, Martina Jänicke, Lisa Spring and 13 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The European respiratory journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 14 citations in OpenAlex.

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  5. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 15 institutions in 1 country.

Martin MetzenmacherDepartment of Medical Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany.
Frank GriesingerDepartment of Haematology and Oncology, University Dept Internal Medicine-Oncology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, Germany.
Horst-Dieter HummelInterdisziplinäres Studienzentrum mit ECTU/Translationale Onkologie, Comprehensive Cancer Center, Mainfranken, Universitätsklinikum Würzburg, Würzburg, Germany.
Corinna ElenderPneumologie, Infektiologie, Internistische Intensivmedizin, Klinik Nord im Klinikum Dortmund, Dortmund, Germany.
Harald SchäferPneumologie, Thorakale Onkologie, Palliativmedizin, Infektiologie, SHG Kliniken Völklingen, Völklingen, Germany.
Maike de WitKlinik für Innere Medizin - Hämatologie, Onkologie und Palliativmedizin, Vivantes Klinikum Neukölln, Berlin, Germany.
Ulrich KaiserMedizinische Klinik II, Hämatologie & Internistische Onkologie, St. Bernward Krankenhaus, Hildesheim, Germany.
Jens KernKlinikum Würzburg Mitte - Standort Missioklinik, Med. Klinik mit Schwerpunkt Pneumologie, Würzburg, Germany.
Martina JänickeClinical Epidemiology and Health Economics, iOMEDICO, Freiburg, Germany.
Lisa SpringClinical Epidemiology and Health Economics, iOMEDICO, Freiburg, Germany.
Stefan ZachariasBiostatistics, iOMEDICO, Freiburg, Germany.
Anja Kaiser-OsterhuesMedical Department, iOMEDICO, Freiburg, Germany.
Annika GrothAIO-Studien-gGmbH, Berlin, Germany.
Annette HipperAIO-Studien-gGmbH, Berlin, Germany.
Gregor ZaunDepartment of Medical Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany.
Steffen DörfelOnkozentrum Dresden/Freiberg, Dresden, Germany.
Björn GüldenzophHämatologisch-Onkologische Praxis Altona (HOPA), Hamburg, Germany.
Lothar MüllerOnkologie Unter Ems, Leer, Germany.
Jens UhligPraxis Dr. med. Jens Uhlig, Naunhof, Germany.
Michael ThomasDepartment of Thoracic Oncology, Thoraxklinik, University Hospital Heidelberg and Translational, Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research (DZL), Heidelberg, Germany.
Martin SebastianDepartment of Hematology and Medical Oncology, University Hospital Frankfurt, Frankfurt, Germany.
Wilfried E E EberhardtDepartment of Medical Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany.
CRISP Registry Group
Iomedico (Germany) · DEAIO Studien gGmbH · DEPraxis für Hämatologie und Onkologie · DERuhrlandklinik · DEComprehensive Cancer Center Mainfranken · DEEssen University Hospital · DEGoethe University Frankfurt · DEKlinikum Dortmund · DEKlinikum Würzburg Mitte · DEOnkozentrum Dresden · DEOrthopädische Praxis · DEPius Hospital Oldenburg · DESt. Bernward Krankenhaus · DEUniversity Hospital Heidelberg · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUnderstanding prognosis, especially long-term outcome, in advanced nonsmall cell lung cancer (NSCLC) is crucial to inform patients, guide treatment and plan supportive and palliative care.

methodsPrognostic factors influencing overall survival (OS) and progression-free survival (PFS) in 2082 patients with wild-type (WT)-NSCLC (629 M1a, 249 M1b, 1204 M1c) are reported. Patients were included in the prospective German CRISP registry recruiting in >150 centres. Analysis for pre-therapeutic factors was based on results from Cox proportional hazard models.

resultsCurrent M-descriptors of the Union for International Cancer Control-8 staging system were validated: M1a and M1b patients had significantly longer median time to events compared to M1c (OS/PFS 16.4/7.2 months, 17.8/6.7 months and 10.9/5.4 months, respectively). OS and PFS were influenced by number and location of metastatic organ systems. M1c and four or more metastatic organs involved had shorter OS and PFS than M1c with one to three organs (OS hazard ratio (HR) 1.69, p<0.001; PFS HR 1.81, p<0.001). M1b-liver metastases had shorter OS/PFS than M1b involving other organs (OS HR 2.70, p=0.006; PFS HR 2.48, p=0.007). Based on number of involved organs (orgsys) and liver metastases, two risk groups (low-risk: M1a, M1b-non-liver, M1c-1-3-orgsys-non-liver; high-risk: M1c-liver, M1b-liver, M1c-4+-orgsys) with significantly different prognoses could be amalgamated (median OS/PFS 14.3/6.5 months and 7.7/4.1 months, respectively). Other favourable factors were female gender and Eastern Cooperative Oncology Group stage 0, with age showing no impact. Those with T1- or N0-status were associated with longer OS than T2-4 or N2-3.

conclusionIn this large observational dataset, we further defined factors for outcome in WT-NSCLC, including increased number of involved metastatic organ systems and liver metastases, as those with overall poorer prognosis and reduced survival chance.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsFemaleHumansMaleNeoplasm StagingPrognosisProspective StudiesRetrospective StudiesRisk Factors

Identifiers

PMID36180086
PMCPMC9892864
OpenAlexW4298140412

What OpenQuestion holds

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LicenceCC BY-NC
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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.