Evidence map›Paper›PMID 36727556›Full record

ArticleThoracic cancer2023

Outcomes and pulmonary function after sleeve lobectomy compared with pneumonectomy in patients with non-small cell lung cancer.

Tsubasa Matsuo, Kazuhiro Imai, Shinogu Takashima, Nobuyasu Kurihara, Shoji Kuriyama, Hidenobu Iwai, Kasumi Tozawa, Hajime Saito, Kyoko Nomura, Yoshihiro Minamiya

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

10 authors at 2 institutions in 1 country.

Tsubasa MatsuoDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.ORCID 0000-0002-4945-4607
Kazuhiro ImaiDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.ORCID 0000-0003-4490-7862
Shinogu TakashimaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Nobuyasu KuriharaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Shoji KuriyamaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Hidenobu IwaiDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Kasumi TozawaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Hajime SaitoDepartment of Thoracic Surgery, Iwate Medical University, Yahaba-cho, Japan.ORCID 0000-0003-0912-1637
Kyoko NomuraDepartment of Health Environmental Science and Public Health, Akita University Graduate School of Medicine, Akita, Japan.
Yoshihiro MinamiyaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Akita University · JPIwate Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleeve lobectomy is recommended to avoid pneumonectomy and preserve pulmonary function in patients with central lung cancer. However, the relationship between postoperative pulmonary functional loss and resected lung parenchyma volume has not been fully characterized. The aim of this study was to evaluate the relationship between pulmonary function and lung volume in patients undergoing sleeve lobectomy or pneumonectomy.

methodsA total of 61 lung cancer patients who had undergone pneumonectomy or sleeve lobectomy were analyzed retrospectively. Among them, 20 patients performed pulmonary function tests, including vital capacity (VC) and forced expiratory volume in 1 s (FEV1) tests, preoperatively and then about 6 months after surgery. VC and FEV1 ratios were calculated (measured postoperative respiratory function/predicted postoperative respiratory function) as the standardized pulmonary functional loss ratio.

resultsThirty-day operation-related mortality was significantly lower after sleeve lobectomy (3.2%) than pneumonectomy (9.6%). The 5-year relapse-free survival rate was 46.67% versus 29.03%, and the 5-year overall survival rate was 63.33% versus 38.71% in patients receiving sleeve lobectomy versus pneumonectomy. The VC ratio in the pneumonectomy group was better than in the sleeve lobectomy group (1.003 ± 0.117 vs. 0.779 ± 0.12; p = 0.0008), as was the FEV1 ratio (1.132 ± 0.226 vs. 0.851 ± 0.063; p = 0.0038).

conclusionsBoth short-term and long-term outcomes were better with sleeve lobectomy than pneumonectomy. However, actual postoperative pulmonary function after pneumonectomy may be better than clinicians expect, and pneumonectomy should still be considered a treatment option for patients with sufficient pulmonary reserve and in whom sleeve lobectomy is less likely to be curative.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsHumansLungNeoplasm Recurrence, LocalPneumonectomyRetrospective Studiesnon-small cell lung cancerpneumonectomypulmonary functionsleeve lobectomy

Identifiers

PMID36727556
PMCPMC10040283
OpenAlexW4318916038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.