Evidence map›Paper›PMID 38115788›Full record

ArticleCancer medicine2024

Prognostic nomogram and epidemiological analysis for lung atypical carcinoid: A SEER database and external validation study.

Xinglin Yi, Yi He, Gangzhen Qian, Caixia Deng, Jiayi Qin, Xiangdong Zhou, Hu Luo

Open access · goldAbstract readValidation Study
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 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

7 authors at 1 institution in 1 country.

Xinglin YiDepartment of Respiratory Medicine, Third Military Medical University Southwest Hospital, Chongqing, China.ORCID 0000-0001-9675-9043
Yi HeDepartment of Cardiovascular Medicine, Third Military Medical University Southwest Hospital, Chongqing, China.
Gangzhen QianDepartment of Cardiovascular Medicine, Third Military Medical University Southwest Hospital, Chongqing, China.
Caixia DengDepartment of Respiratory Medicine, Third Military Medical University Southwest Hospital, Chongqing, China.
Jiayi QinDepartment of Gastroenterological Medicine, Third Military Medical University Southwest Hospital, Chongqing, China.
Xiangdong ZhouDepartment of Respiratory Medicine, Third Military Medical University Southwest Hospital, Chongqing, China.
Hu LuoDepartment of Respiratory Medicine, Third Military Medical University Southwest Hospital, Chongqing, China.
Army Medical University · CN

Funding

Chongqing Health Appropriate Technology Promotion Project 2020jstg016
6 · The paper itself

Abstract

purposeOur study aims to delineate the epidemiological distribution of pulmonary carcinoids, including atypical carcinoid (AC) and typical carcinoid (TC), identify independent prognostic factors, develop an integrative nomogram and examine the effects of various surgical modalities on atypical carcinoid-specific survival (ACSS).

methodsJoinpoint regression model and age-group distribution diagram were applied to determine the epidemiological trend of the pulmonary carcinoids. Univariate and least absolute shrinkage and selection operator (LASSO)-based Cox regression models were used to identify independent factors, and a nomogram and web-based predictor were developed to evaluate prognosis of AC patients individually. We performed Kaplan-Meier survival analyses to compare the scope of various surgical interventions, with and without G-computation adjustment, utilising restricted mean survival time (RMST) to assess survival disparities.

resultsA total of 1132 patients were recruited from the Surveillance, Epidemiology, and End Results database (SEER) and a separate medical centre in China. The mean age of AC patients was 63.4 years and a smoking history was identified in 79.8% of AC patients. Joinpoint analysis shows rising annual rates of new AC and carcinoid cases among lung cancers. Both the proportion of pulmonary TC and AC within the total lung cancer population exhibits an L-shaped trend across successive age groups. The nomogram predicted 1, 3 and 5 years of AC with excellent accuracy and discrimination. Kaplan-Meier survival analyses, conducted both pre- and post-adjustment, demonstrated that sublobar resection's survival outcomes were not inferior to those of lobectomy in patients with stage I-II and stage III disease.

conclusionThis study is the first to reveal epidemiological trends in pulmonary carcinoids over the past decade and across various age cohorts. For patients with early-stage AC, sublobar resection may be a viable surgical recommendation. The established nomogram and web-based calculator demonstrated decent accuracy and practicality.

Indexed as

Carcinoid TumorLung NeoplasmsNomogramsSEER ProgramAdultAgedChinaFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisatypical pulmonary carcinoidsepidemiologynomogramprognostic factorSEER database

Identifiers

PMID38115788
PMCPMC10807636
OpenAlexW4390008969

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.