Evidence map›Paper›PMID 39644388›Full record

ArticleSurgery today2025

Effects of the COVID-19 pandemic on surgical treatment for thoracic malignant tumor cases in Japan: a national clinical database analysis.

Yasushi Shintani, Hiroyuki Yamamoto, Yukio Sato, Masayoshi Inoue, Keisuke Asakura, Hiroyuki Ito, Hidetaka Uramoto, Yoshinori Okada, Toshihiko Sato, Mariko Fukui and 5 more

Abstract read
In one paragraph

Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Yasushi ShintaniDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, 2-2-L5, Yamadaoka, Suita, Osaka, 565-0871, Japan. yshintani@thoracic.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0002-2540-5288
Hiroyuki YamamotoDepartment of Healthcare Quality Assessment, The University of Tokyo, Tokyo, Japan.
Yukio SatoDepartment of Thoracic Surgery, University of Tsukuba, Ibaraki, Japan.
Masayoshi InoueDivision of Thoracic Surgery, Department Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Keisuke AsakuraDivision of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
Hiroyuki ItoDepartment of Thoracic Surgery, Kanagawa Cancer Center, Kanagawa, Japan.
Hidetaka UramotoDepartment of Thoracic Surgery, Kanazawa Medical University, Ishikawa, Japan.
Yoshinori OkadaDepartment of Thoracic Surgery, Tohoku University, Miyagi, Japan.
Toshihiko SatoDepartment of General Thoracic, Breast and Pediatric Surgery, Fukuoka University School of Medicine, Fukuoka, Japan.
Mariko FukuiDepartment of General Thoracic Surgery, Juntendo University, Tokyo, Japan.
Yasushi HoshikawaDepartment of Thoracic Surgery, Fujita Health University School of Medicine, Aichi, Japan.
Toyofumi Fengshi Chen-YoshikawaDepartment of Thoracic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
Masayuki ChidaDepartment of General Thoracic Surgery, Dokkyo Medical University, Tochigi, Japan.
Norihiko IkedaDepartment of Surgery, Tokyo Medical University, Tokyo, Japan.
Ichiro YoshinoDepartment of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.

Funding

MHLW Research Program on Emerging and Reemerging Infectious Diseases JPMH23HA2011MHLW Research Program on Emerging and Reemerging Infectious Diseases JPMH24HA2015
6 · The paper itself

Abstract

objectiveSurgical care has been significantly affected by the COVID-19 pandemic. This study was conducted to evaluate the effects of the pandemic on lung cancer and mediastinal tumor surgery.

methodsChanges in the number of surgical procedures for lung cancer and mediastinal tumors were analyzed using the National Clinical Database of Japan. Patient characteristics, including disease stage and histological type, from 2019 to 2022 were evaluated using annual datasets.

resultsComparisons with 2019 showed that the number of patients who underwent surgery for primary lung cancer or a mediastinal tumor decreased in 2020 and then remained stable. There were no clinically significant changes in the trend over the four-year period regarding the number of patients for each clinical and pathological stage of lung cancer. Regarding mediastinal tumors, there was no significant difference in tumor size between years. There was a slight change in the selection of surgical indication during the second quarter of 2020, although its impact on annual trends in the stage distribution for lung cancer and primary disease for mediastinal tumors was minimal.

conclusionsAnalyses of lung cancer and mediastinal tumor surgery cases in Japan during the COVID-19 pandemic showed no significant disease profile changes related to treatment delay.

Indexed as

COVID-19Lung NeoplasmsMediastinal NeoplasmsPandemicsThoracic Surgical ProceduresAgedDatabases, FactualFemaleHumansJapanMaleMiddle AgedNeoplasm StagingTime FactorsCOVID-19Lung cancerMediastinal tumor

Identifiers

PMID39644388
PMCPMC11757856

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Registered trials

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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.