Evidence map›Paper›PMID 38851874›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2024

Impact of smoking on resected lung cancer depends on epidermal growth factor receptor mutation.

Keigo Sekihara, Akikazu Kawase, Yuta Matsubayashi, Tomoya Tajiri, Motohisa Shibata, Takamitsu Hayakawa, Norihiko Shiiya, Kazuhito Funai

Abstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. The impact of smoking on lung cancer patients.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  3. 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

8 authors.

Keigo SekiharaFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Akikazu KawaseFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Yuta MatsubayashiFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Tomoya TajiriFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Motohisa ShibataFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Takamitsu HayakawaFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Norihiko ShiiyaFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.ORCID 0000-0003-1488-716X
Kazuhito FunaiFirst Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.

Funding

Smoking Research Foundation 108
6 · The paper itself

Abstract

objectivesSmokers comprise the majority of surgical patients with primary lung cancer. Epidermal growth factor receptor (EGFR) mutation-negative status impacts the treatment of recurrence. However, the prognostic impact of cigarette smoking stratified by EGFR mutation status has not been reported. Therefore, we assessed its impact on patients with resected lung cancer.

methodsWe retrospectively analysed 362 consecutive patients who underwent complete resection for stage 1 primary lung cancer at our institution between 2012 and 2021. The EGFR mutation status was evaluated using the real-time polymerase chain reaction. We compared the overall survival (OS) and disease-free survival (DFS) between patients with and without a history of smoking.

resultsThe EGFR mutation-negative group included 194 patients, of whom 160 (83%) had a history of smoking. Male sex (P < 0.01), forced expiratory volume in 1 s (P < 0.01) and adenocarcinoma (P < 0.01) showed significant differences between the groups. In the EGFR mutation-positive group, the 5-year OS and DFS were similar regardless of smoking status (OS: 86% vs 75%; DFS: 73% vs 73%). In the EGFR mutation-negative group, the 5-year OS and DFS were significantly poorer in the smoking group (OS: 87% vs 65%, P = 0.05; DFS: 84% vs 54%, P = 0.01). Deaths from other diseases were relatively high (n = 19, 53%).

conclusionsCigarette smoking may be associated with a poor prognosis in EGFR mutation-negative lung cancer but had no impact on the prognosis of the EGFR mutation-positive group. This finding underscores the potential influence of smoking on the treatment of lung cancer recurrence but also highlights its significance in contributing to death from other diseases.

Indexed as

Cigarette smokingEpidermal growth factor receptorNon-small cell lung cancerPrognosisSurgical resection

Identifiers

PMID38851874
PMCPMC11222299

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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.