Evidence map›Paper›PMID 37958421›Full record

ArticleCancers2023

Tailoring Therapeutic Strategies in Non-Small-Cell Lung Cancer: The Role of Genetic Mutations and Programmed Death Ligand-1 Expression in Survival Outcomes.

Nobuaki Kobayashi, Kenji Miura, Ayami Kaneko, Hiromi Matsumoto, Kohei Somekawa, Tomofumi Hirose, Yukihito Kajita, Anna Tanaka, Shuhei Teranishi, Yu Sairenji and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

18 authors at 7 institutions in 1 country.

Nobuaki KobayashiDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.ORCID 0000-0002-7064-320X
Kenji MiuraDepartment of Respiratory Medicine, Yokohama Sakae Kyosai Hospital, Yokohama 247-8581, Japan.
Ayami KanekoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.
Hiromi MatsumotoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.ORCID 0000-0002-4819-1454
Kohei SomekawaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.
Tomofumi HiroseDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama 232-0024, Japan.
Yukihito KajitaDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama 232-0024, Japan.
Anna TanakaDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama 232-0024, Japan.
Shuhei TeranishiDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama 232-0024, Japan.ORCID 0000-0003-2365-144X
Yu SairenjiDepartment of Respiratory Medicine, Yokohama Sakae Kyosai Hospital, Yokohama 247-8581, Japan.
Hidetoshi KawashimaDepartment of Respiratory Medicine, Kanto Rosai Hospital, Kawasaki 211-8510, Japan.
Kentaro YumotoDepartment of Respiratory Medicine, Yokohama Minami Kyosai Hospital, Yokohama 236-0037, Japan.ORCID 0000-0003-1344-5052
Toshinori TsukaharaDepartment of Respiratory Medicine, Chigasaki Municipal Hospital, Chigasaki 253-0042, Japan.
Nobuhiko FukudaDepartment of Respiratory Medicine, Fujisawa Municipal Hospital, Fujisawa 251-8550, Japan.
Ryuichi NishihiraDepartment of Respiratory Medicine, Kanto Rosai Hospital, Kawasaki 211-8510, Japan.
Makoto KudoDepartment of Pulmonology, Yokohama City University Medical Center, Yokohama 232-0024, Japan.
Naoki MiyazawaDepartment of Respiratory Medicine, Yokohama Nanbu Hospital, Yokohama 234-0054, Japan.
Takeshi KanekoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.
Yokohama City University · JPYokohama City University Medical Center · JPKansai Rosai Hospital · JPYokohama Sakae Kyosai Hospital · JPFujisawa City Hospital · JPOgaki Municipal Hospital · JPYokohama Minami Kyosai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to assess the real-world impact of advancements in first-line systemic therapies for non-small-cell lung cancer (NSCLC), focusing on the role of driver gene mutations and programmed death-ligand 1 (PD-L1) expression levels.

methodsConducted across eight medical facilities in Japan, this multicenter, retrospective observational research included 863 patients diagnosed with NSCLC and treated between January 2015 and December 2022. The patients were categorized based on the type of systemic therapy received: cytotoxic agents, molecular targeting agents, immune checkpoint inhibitors, and combination therapies. Comprehensive molecular and immunohistochemical analyses were conducted, and statistical evaluations were performed.

resultsThe median overall survival (OS) shows significant variations among treatment groups, with targeted therapies demonstrating the longest OS. This study also revealed that high PD-L1 expression was common in the group treated with immune checkpoint inhibitors. Multivariate analysis was used to identify the type of anticancer drug and the expression of PD-L1 at diagnosis as the impactful variables affecting 5-year OS.

conclusionsThis study underscores the efficacy of targeted therapies and the critical role of comprehensive molecular diagnostics and PD-L1 expression in affecting OS in NSCLC patients, advocating for their integration into routine clinical practice.

Indexed as

driver oncogeneimmune checkpoint inhibitorsmolecular targeting agentsnon-small-cell lung canceroverall survivalPD-L1 expressionpersonalized medicinereal-world evidence

Identifiers

PMID37958421
PMCPMC10648983
OpenAlexW4388084431

What OpenQuestion holds

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LicenceCC BY
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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.