Evidence map›Paper›PMID 36497476›Full record

ArticleCancers2022

Association of Pretreatment Physical and Geriatric Parameters with Treatment Tolerance and Survival in Elderly Patients with Stage I-II Non-Small Cell Lung Cancer: An Evaluation of Usual Care Data.

Melissa J J Voorn, Merle F R Bootsma, Gerben P Bootsma, Vivian E M van Kampen-van den Boogaart, Geerten J A van Riet, Dirk K de Ruysscher, Bart C Bongers, Maryska L G Janssen-Heijnen

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Risk factors and prognostic impact of low physical performance in elderly patients undergoing radical gastrectomy for gastric cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. Article
  4. Article
  5. 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 4 institutions in 2 countries.

Melissa J J VoornDepartment of Clinical Epidemiology, VieCuri Medical Center, 5912 BL Venlo, The Netherlands.ORCID 0000-0003-4564-227X
Merle F R BootsmaDepartment of Pulmonology, Zuyderland Medical Center, 6419 PC Heerlen, The Netherlands.
Gerben P BootsmaDepartment of Pulmonology, Zuyderland Medical Center, 6419 PC Heerlen, The Netherlands.
Vivian E M van Kampen-van den BoogaartDepartment of Pulmonology, VieCuri Medical Center, 5912 BL Venlo, The Netherlands.
Geerten J A van RietDepartment of Geriatrics, Zuyderland Medical Center, 6419 PC Heerlen, The Netherlands.
Dirk K de RuysscherDepartment of Radiation Oncology (MAASTRO Clinic), GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, 6200 MD Maastricht, The Netherlands.
Bart C BongersDepartment of Nutrition and Movement Sciences, Nutrition and Translational Research in Metabolism (NUTRIM), Faculty of Health, Medicine and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0002-1948-9788
Maryska L G Janssen-HeijnenDepartment of Clinical Epidemiology, VieCuri Medical Center, 5912 BL Venlo, The Netherlands.
Maastricht University · NLZuyderland Medisch Centrum · NLUniversity Medical Center · USVieCuri Medisch Centrum · NL

Funding

VieCuri Medisch Centrum E.19.31.018-4
6 · The paper itself

Abstract

In this study, the association of pretreatment physical and geriatric parameters with treatment tolerance and survival in elderly patients with stage I−II NSCLC was evaluated. Retrospective data for patients aged ≥70 years, diagnosed between 2016 and 2020 with stage I−II NSCLC, and who underwent surgery or stereotactic ablative radiotherapy (SABR) in a large Dutch teaching hospital were retrieved from medical records. Associations of pretreatment physical and geriatric parameters with treatment tolerance and survival were analyzed. Of 160 patients, 49 of 104 (47%) patients who underwent surgery and 21 of 56 (38%) patients who received SABR did not tolerate treatment. In univariable analysis, World Health Organization (WHO) performance status ≥ 2, short nutritional assessment questionnaire score > 1, short physical performance battery score ≤ 9, and geriatric-8 score ≤ 14 were significantly associated with postoperative complications. Forced expiratory volume of one second < 80% of predicted was significantly associated with intolerance of SABR. In multivariable analysis, WHO performance status ≥ 2 and diffusing capacity for carbon monoxide < 80% were significantly associated with decreased overall survival. This is the first study that investigated the association between pretreatment physical and geriatric parameters and treatment outcomes in patients with stage I−II NSCLC. Evaluation of physical and geriatric parameters before treatment initiation seems highly recommended to select patients who might benefit from preventive interventions before and/or during treatment.

Indexed as

geriatric assessmentlung cancerphysical performanceprehabilitationpretreatment risk assessmenttreatment tolerance

Identifiers

PMID36497476
PMCPMC9738373
OpenAlexW4311283189

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.