Evidence map›Paper›PMID 39085317›Full record

ArticleScientific reports2024

Missed Follow-up is associated with worse survival in stage I lung cancer: results from a large multi-site academic hospital system.

Ethan M Steele, Heather N Burney, Samantha L Freije, Richard C Zellars, Tim Lautenschlaeger, Jordan A Holmes

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Predictors of loss to follow-up after radiotherapy in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. 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

6 authors.

Ethan M SteeleDepartment of Radiation Oncology, Indiana University School of Medicine, 535 Barnhill Dr, RT 041, Indianapolis, IN, 46202, USA.
Heather N BurneyDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Samantha L FreijeDepartment of Radiation Oncology, Indiana University School of Medicine, 535 Barnhill Dr, RT 041, Indianapolis, IN, 46202, USA.
Richard C ZellarsDepartment of Radiation Oncology, Indiana University School of Medicine, 535 Barnhill Dr, RT 041, Indianapolis, IN, 46202, USA.
Tim LautenschlaegerDepartment of Radiation Oncology, Indiana University School of Medicine, 535 Barnhill Dr, RT 041, Indianapolis, IN, 46202, USA.
Jordan A HolmesDepartment of Radiation Oncology, Indiana University School of Medicine, 535 Barnhill Dr, RT 041, Indianapolis, IN, 46202, USA. jorholme@iu.edu.

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
NCATS NIH HHS UL1 TR002529NIH HHS UL1TR002529 (A. Shekhar, PI)
6 · The paper itself

Abstract

The purpose of this study is to examine the effect of early incomplete follow-up on overall survival among stage I lung cancer patients. Patients with clinical stage I lung cancer at our institution between 2007 and 2016 were identified (N = 1111). Exclusions included < 18 years of age (N = 2), missing stage or demographics (N = 56), incomplete appointment data or had only one scheduled appointment (N = 351), or did not survive for at least 1 year after diagnosis (N = 120). Missed appointments were defined as unattended follow-up appointments within the first year of diagnosis without an attended appointment in the subsequent 60 days. The primary outcome was the hazard ratio (HR) for death associated per 10% increase in missed oncology follow-up appointments. Univariable and descriptive statistics were performed, and a multivariable landmark Cox regression model was created to examine the effect of missed oncology follow-up on survival. A total of 582 patients were analyzed with median follow-up of 3.2 years and median age of 69 years. On multivariable analysis controlling for age, sex, race, insurance status, and definitive treatment type the HR for death was 1.44 (95% CI 1.05-1.97) for every 10% increase in missed appointments. Incomplete oncologic follow-up may negatively impact overall survival among survivors of early-stage lung cancer.

Indexed as

Lung NeoplasmsNeoplasm StagingAcademic Medical CentersAgedAged, 80 and overFemaleFollow-Up StudiesHumansLost to Follow-UpMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesFollow upLung cancerSurveillanceSurvivalSurvivorship

Identifiers

PMID39085317
PMCPMC11291848

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.