Evidence map›Paper›PMID 39865594›Full record

SynthesisCancer control : journal of the Moffitt Cancer Center

Effectiveness of Adjuvant Chemo- and Radiotherapy in Thymic Carcinoma Stage II: A Systematic Review and Meta-Analysis.

Ahmad Nazzal, Josef Yayan, Christian Biancosino, Seyed Vahid Tabatabaei, Khosro Hekmat

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Ahmad NazzalDepartment of Internal Medicine, Division of Pulmonary, Allergy and Sleep Medicine, HELIOS Clinic Wuppertal, Witten/Herdecke University, Witten, Germany.
Josef YayanDepartment of Internal Medicine, Division of Pulmonary, Allergy and Sleep Medicine, HELIOS Clinic Wuppertal, Witten/Herdecke University, Witten, Germany.ORCID 0000-0002-8363-621X
Christian BiancosinoDepartment of Thoracic Surgery, HELIOS Clinic Wuppertal, Witten/Herdecke University, Witten, Germany.
Seyed Vahid TabatabaeiDepartment of Internal Medicine, Division of Pulmonary, Rein-Maas Klinikum, Academic Teaching Hospital of the RWTH Aachen University, Würselen, Germany.
Khosro HekmatDepartment of Cardiothoracic Surgery, University Clinic of Cologne, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThymic carcinoma is a rare tumor arising from the epithelial thymic tissue, yet among mediastinal tumors, it is the most common malignant entity. Thymic carcinoma often causes no symptoms and is incidentally discovered. Adjuvant radiotherapy is recommended, particularly in cases of incomplete resection and for stages III and IV, based on current guidelines and existing literature. In stage II (Masaoka-Koga system), the role of chemotherapy remains controversial, particularly in cases of incomplete resection. Therefore, this study aims to assess the effectiveness of adjuvant chemotherapy compared to adjuvant radiotherapy in the treatment of stage II (Masaoka-Koga system) thymic carcinoma after surgery.

methodsA comprehensive literature search was conducted in the Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and MEDLINE/PubMed databases for relevant studies published through April 30

resultsThe review identified a total of 101 studies in the Embase, Cochrane Library, and MEDLINE/PubMed databases. Of these, only eight retrospective studies met the inclusion criteria and were included in the meta-analysis. These eight studies encompassed a total of 323 patients with stage II (Masaoka-Koga system) thymic carcinoma, with an average patient age of 53.8 ± 5.0 years. There was no significant difference in the number of R0 resections between patients receiving adjuvant chemotherapy and those receiving adjuvant radiotherapy (

conclusionsAlthough the results were not statistically significant, the findings suggest that adjuvant chemotherapy might be associated with a more favorable outcome for patients with stage II (Masaoka-Koga system) thymic carcinoma compared to adjuvant radiotherapy.

Indexed as

Chemoradiotherapy, AdjuvantThymomaThymus NeoplasmsChemotherapy, AdjuvantHumansNeoplasm StagingRadiotherapy, Adjuvantadjuvant therapychemotherapyradiotherapysurvival ratethymic carcinomathymoma

Identifiers

PMID39865594
PMCPMC11503756

What OpenQuestion holds

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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.