Evidence map›Paper›PMID 38987373›Full record

SynthesisAnnals of surgical oncology2024

Women are Underrepresented in Non-small Cell Lung Cancer Clinical Trials: A Systematic Review.

Savan K Shah, Vaishnavi Krishnan, Arsalan A Khan, Lucas Fass, Talib Chaudhry, Christopher W Seder, Nicole M Geissen, Michael J Liptay, Gillian C Alex

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Treatment of Lung Cancer in Women.Surgical oncology clinics of North America · 2025
    Review
  5. Review
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

9 authors.

Savan K ShahDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.
Vaishnavi KrishnanDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.
Arsalan A KhanDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.
Lucas FassDepartment of Medicine, University of Wisconsin, Madison, WI, USA.
Talib ChaudhryDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.
Christopher W SederDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.
Nicole M GeissenDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.
Michael J LiptayDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA.
Gillian C AlexDepartment of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, USA. gillian_c_alex@rush.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo perform a systematic review of clinical trials examining non-small cell lung cancer (NSCLC) to better understand the equity afforded to women in the study of lung cancer.

methodsAn electronic search was conducted for all NSCLC clinical trials published between 2010 and 2020 with included words "carcinoma, non-small cell, lung" and "non-small cell lung cancer." Studies from PubMed, Cochrane, and SCOPUS were included and were uploaded into Covidence to assist with systematic review. All articles were screened by two separate individuals and reviewed for location, study type, cancer stage, field of study of the research team, and percentage of females included. Student's t-test was used to compare the means of males and females.

resultsAcross the 269 studies that met inclusion criteria, fewer females than males were enrolled (38.7% vs. 61.1%; p < 0.0001). Compared with studies from 2010 to 2015, those from 2016 to 2020 had greater representation of females (36.7% vs. 41.4%, p = 0.0091, respectively). Both nonsurgical and surgical studies enrolled fewer female than male patients (38.1% vs. 61.7%, p < 0.0001; 43.1% vs. 57.2%, p = 0.0002, respectively). Clinical trials from the USA had the least difference between sexes with an average of 46.7% females enrolled. Less females compared with males were enrolled in early-stage NSCLC (37.6% female vs. 62.6% male, p < 0.0001) and late-stage NSCLC trials (37.6% female vs. 62.0% male, p < 0.0001).

conclusionsDespite recent improvement, there continues to be significant underrepresentation of females compared with males in NSCLC clinical trials.

Indexed as

Carcinoma, Non-Small-Cell LungClinical Trials as TopicLung NeoplasmsFemaleHumansMalePatient SelectionPrognosisSex FactorsEquityFemalesLung cancerNSCLCRepresentationWomen

Identifiers

What OpenQuestion holds

Textmetadata
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.