Evidence map›Paper›PMID 36636405›Full record

ArticleTranslational lung cancer research2022

Adjuvant chemotherapy for completely resected IIA-IIIA non-small cell lung cancer: compliance to guidelines, safety and efficacy in real-life practice.

Anne-Laure Désage, Claire Tissot, Sophie Bayle-Bleuez, Thierry Muron, Nadine Deygas, Valérie Grangeon-Vincent, Brigitte Monange, Fatah Torche, Paul Vercherin, David Kaczmarek and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Translational lung cancer research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Anne-Laure DésageDepartment of Pulmonology and Thoracic Oncology, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Claire TissotOncology Department, Private Loire Hospital (HPL), Saint-Etienne, France.
Sophie Bayle-BleuezDepartment of Pulmonology and Thoracic Oncology, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Thierry MuronOncology Department, Private Loire Hospital (HPL), Saint-Etienne, France.
Nadine DeygasDepartment of Pulmonology, Gier Hospital, Saint-Chamond, France.
Valérie Grangeon-VincentDepartment of Pulmonology, Roanne Hospital, Roanne, France.
Brigitte MonangeDepartment of Medical Oncology, Emile Roux Hospital, Le Puy-en-Velay, France.
Fatah TorcheDepartment of Medical Oncology, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Paul VercherinPublic Health and Medical Informatics Department, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
David KaczmarekThoracic and Digestive Surgery Department, Private Loire Hospital (HPL), Saint-Etienne, France.
Olivier TiffetDepartment of Thoracic Surgery, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Fabien ForestPathology Department, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Jean-Michel VergnonDepartment of Pulmonology and Thoracic Oncology, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Wafa BouleftourDepartment of Medical Oncology, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Pierre FournelDepartment of Medical Oncology, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Centre Hospitalier Universitaire de Saint-Étienne · FRCentre hospitalier Emile Roux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Since randomised clinical trials demonstrated a survival benefit of adjuvant chemotherapy (AC) following curative-intent lung surgery, AC has been implemented as a standard therapeutic strategy for patients with a completely resected IIA-IIIA non-small cell lung cancer (NSCLC). Regarding the moderate benefit of AC and the lack of literature on AC use in real-life practice, we aimed to evaluate compliance to guidelines, AC safety and efficacy in a less selected population. Methods: Between January 2009 and December 2014, we retrospectively analysed 210 patients with theoretical indication of AC following curative-intent lung surgery for a completely resected IIA-IIIA NSCLC. The primary objective of this retrospective study was to evaluate compliance to AC guidelines. Secondary objectives included safety and efficacy of AC in real-life practice. Results: Among 210 patients with a theoretical indication of AC, chemotherapy administration was validated in multidisciplinary team (MDT) for 62.4% of them and 117 patients (55.7%) finally received AC. Patient's clinical conditions were the main reasons advanced in MDT for no respect to AC guidelines. Most of the patients received cisplatin-vinorelbine (86.3%) and AC was initiated within 8 weeks following lung surgery for 73.5% of patients. One-half of patients who received AC experienced side effects leading to either dose-intensity modification or treatment interruption. In real-life practice, AC was found to provide a survival benefit over surgery alone. Factors related to daily-life practice such as delayed AC initiation or incomplete AC planned dose received were not associated with an inferior survival. Conclusions: Although AC use might differ from guidelines in real-life practice, this retrospective study highlights that AC can be used safely and remains efficient among a less selected population. In the context of immunotherapy and targeted therapies development in peri-operative treatment strategies, the place of AC has to be precised in the future.

Indexed as

Adjuvant chemotherapy (AC)non-small cell lung cancer (NSCLC)real-life practice

Identifiers

PMID36636405
PMCPMC9830267
OpenAlexW4313416329

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.