Evidence map›Paper›PMID 37589650›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2023

Segmentectomy for cancer control in radiologically pure-solid clinical stage IA3 lung cancer.

Atsushi Kamigaichi, Takahiro Mimae, Norifumi Tsubokawa, Yoshihiro Miyata, Hiroyuki Adachi, Yoshihisa Shimada, Hiroyuki Ito, Norihiko Ikeda, Morihito Okada

Open access · diamondAbstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Is segmentectomy potentially adequate for clinical stage IA3 non-small cell lung cancer.Interdisciplinary cardiovascular and thoracic surgery · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Segmentectomy for stage IA3 tumours: just another day in clinic.Interdisciplinary cardiovascular and thoracic surgery · 2023
    Article
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Atsushi KamigaichiDepartment of Surgical Oncology, Hiroshima University, Hiroshima, Japan.ORCID 0000-0002-3321-2443
Takahiro MimaeDepartment of Surgical Oncology, Hiroshima University, Hiroshima, Japan.ORCID 0000-0001-9993-8928
Norifumi TsubokawaDepartment of Surgical Oncology, Hiroshima University, Hiroshima, Japan.ORCID 0000-0003-1966-1709
Yoshihiro MiyataDepartment of Surgical Oncology, Hiroshima University, Hiroshima, Japan.
Hiroyuki AdachiDepartment of Thoracic Surgery, Kanagawa Cancer Center, Yokohama, Japan.ORCID 0000-0002-8928-9394
Yoshihisa ShimadaDepartment of Surgery, Tokyo Medical University, Tokyo, Japan.
Hiroyuki ItoDepartment of Thoracic Surgery, Kanagawa Cancer Center, Yokohama, Japan.ORCID 0000-0003-0983-6093
Norihiko IkedaDepartment of Surgery, Tokyo Medical University, Tokyo, Japan.
Morihito OkadaDepartment of Surgical Oncology, Hiroshima University, Hiroshima, Japan.ORCID 0000-0002-0601-3828
Hiroshima University · JPKanagawa Prefectural Hospital Organization · JPTokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to compare cancer control after segmentectomy and lobectomy in patients with radiologically pure-solid clinical stage IA3 non-small-cell lung cancer (NSCLC).

methodsPatients with radiologically pure-solid clinical stage IA3 NSCLC who underwent lobectomy or segmentectomy at 3 institutions between 2010 and 2019 were identified. We estimated propensity scores to adjust for confounding variables regarding tumour malignancy, including age, sex, smoking history, tumour size, maximum standardized uptake value on 18F-fluorodeoxyglucose positron emission tomography, lymph node dissection, histological type and lymphatic, vascular and pleural invasion. Cumulative incidence of recurrence (CIR) was evaluated as a primary end point.

resultsAmong 412 patients, postoperative recurrence occurred in 7 of 44 patients (15.9%) undergoing segmentectomy, and 71 of 368 patients (19.3%) undergoing lobectomy. CIR was comparable between patients undergoing segmentectomy (5-year rate, 21.9%) and those undergoing lobectomy (5-year rate, 20.8%; P = 0.88). Locoregional recurrence did not differ between patients undergoing segmentectomy (6.8%) and those undergoing lobectomy (9.0%). In multivariable analysis, segmentectomy (versus lobectomy) was not identified as an independent prognostic factor for CIR (hazard ratio, 1.045; 95% confidence interval, 0.475-2.298; P = 0.91). In propensity score matching of 40 pairs, CIR was not significantly different between patients undergoing segmentectomy (5-year rate, 20.7%) and those undergoing lobectomy (5-year rate, 18.4%; P = 0.81).

conclusionsCancer control may be comparable between segmentectomy and lobectomy in patients with radiologically pure-solid clinical stage IA3 NSCLC. Further studies are warranted to clarify the survival benefits of segmentectomy in these patients.

Indexed as

LobectomyNon-small-cell lung cancerPure-solidRecurrenceSegmentectomy

Identifiers

PMID37589650
PMCPMC10533752
OpenAlexW4385898687

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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.