Evidence map›Paper›PMID 37219654›Full record

ArticleAnnals of surgical oncology2023

A Multi-institutional Analysis of the Combined Effect of Micropapillary Component and Consolidation-to-Tumor Ratio >0.5 on the Prognosis of Pathological, Stage IA3, Lung Adenocarcinoma.

Shao-Jun Xu, Jia-Hua Tu, Hui Chen, Ren-He Yan, Rui-Qin Chen, Chao Chen, Cheng-Xiong You, Zhi-Fan Zhang, Shao-Bin Yu, Shu-Chen Chen

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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.

Shao-Jun Xu *Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Jia-Hua Tu *Department of Thoracic Surgery, The First Hospital of Putian, Putian, Fujian Province, China.
Hui Chen *Department of Thoracic and Cardiac Surgery, Ningde Municipal Hospital of Ningde Normal University, Ningde, China.
Ren-He YanDepartment of Cardiothoracic Surgery, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.
Rui-Qin ChenDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Chao ChenDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Cheng-Xiong YouDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Zhi-Fan ZhangDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Shao-Bin YuDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Shu-Chen ChenDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China. cscdoctor@163.com.

Funding

the cohort study of the School of Public Health, Fujian Medical University No. 2021HX003the Fujian provincial health technology project No. 2020CXA028the Joint Funds for the innovation of science and Technology, Fujian province No.2020Y9076the Key Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fujian Province University No.0713304the National Nature Science Foundation of China No.82273415the Natural Science Foundation in Fujian Province No.2020J011004
6 · The paper itself

Abstract

introductionThe study investigated the synergistic effect of the micropapillary (MIP) component and consolidation-to-tumor ratio (CTR) on the recurrence and survival of patients with pathologic stage IA3 lung adenocarcinoma.

methodsWe enrolled 419 patients confirmed pathological stage IA3 adenocarcinoma from four institutions. Kaplan-Meier analysis was performed to examine the value of the MIP component and CTR on relapse-free survival (RFS) and overall survival (OS). The cumulative recurrence between different stages was analyzed by using cumulative event curves.

resultsRFS (P < 0.0001) and OS (P = 0.008) in the presence of the MIP group were significantly lower than those in the absence of the MIP group, and CTR > 5 only reduced RFS (P = 0.0004), but not OS (P = 0.063), in the patients. In addition, the prognosis of patients with both the MIP component and CTR > 5 was worse than that of those without the MIP component or CTR ≤ 5. Therefore, we established new subtypes of the stage IA3: IA3a, IA3b, and IA3c. RFS and OS for IA3c staging were significantly lower than those for IA3a and IA3b. For IA3c, the cumulative incidence of local recurrence (P < 0.001) and that of distant metastasis (P = 0.004) were significantly higher than those for IA3a and IA3b.

conclusionsThe MIP component combined with CTR > 0.5 can effectively predict the prognosis of patients with pathological stage IA3 lung adenocarcinoma and may offer more detailed recurrence and survival information according to the established subtype stage of IA3.

Indexed as

Adenocarcinoma of LungLung NeoplasmsHumansNeoplasm Recurrence, LocalNeoplasm StagingPrognosisRetrospective Studies

Identifiers

PMID37219654

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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.