Evidence map›Paper›PMID 39958214›Full record

ArticleTranslational lung cancer research2025

Association of systemic therapy with survival among adults with advanced non-small cell lung cancer.

Nikki M Carroll, Jennifer Eisenstein, Jared M Freml, Andrea N Burnett-Hartman, Robert T Greenlee, Stacey A Honda, Christine M Neslund-Dudas, Katharine A Rendle, Anil Vachani, Debra P Ritzwoller

Abstract read
In one paragraph

Article in Translational lung cancer research, 2025. 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. Article
  2. Article
  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

10 authors.

Nikki M CarrollInstitute for Health Research, Kaiser Permanente Colorado, Central Support Services, Aurora, CO, USA.ORCID https://orcid.org/0000-0003-1905-3287
Jennifer EisensteinColorado Permanente Medical Group, Kaiser Permanente Colorado, Denver, CO, USA.
Jared M FremlInstitute for Health Research, Kaiser Permanente Colorado, Central Support Services, Aurora, CO, USA.
Andrea N Burnett-HartmanInstitute for Health Research, Kaiser Permanente Colorado, Central Support Services, Aurora, CO, USA.
Robert T GreenleeMarshfield Clinic Research Institute, Marshfield, WI, USA.
Stacey A HondaHawaii Permanente Medical Group and Center for Integrated Healthcare Research, Kaiser Permanente Hawaii, Honolulu, HI, USA.
Christine M Neslund-DudasHenry Ford Health and Henry Ford Cancer Institute, Detroit, MI, USA.
Katharine A RendlePerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Anil VachaniPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Debra P RitzwollerInstitute for Health Research, Kaiser Permanente Colorado, Central Support Services, Aurora, CO, USA.

Funding

Center for Research to Optimize Precision Lung Cancer Screening in Diverse PopulationsUM1CA221939 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI RITZWOLLER, DEBRA P, VACHANI, ANIL · 2018 to 2023
$15.3M
Optimizing Lung Cancer Screening Nodule EvaluationR01CA260889 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KONG, CHUNG YIN, SIGEL, KEITH MAGNUS · 2021 to 2025
$3.5M
Natural History of Lung Cancer Diagnosed Within and Across Diverse Health Systems Implementing Lung Cancer ScreeningR50CA251966 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CARROLL, NIKKI · 2020 to 2024
$751k
NCI NIH HHS R01 CA260889NCI NIH HHS R50 CA251966NCI NIH HHS UM1 CA221939
6 · The paper itself

Abstract

Background: Uptake of new systemic therapy treatments among patients with advanced non-small cell lung cancer (NSCLC) occurred rapidly after FDA approval. Few studies have characterized the association of these therapies on survival in community settings. We assessed survival by type of systemic therapy received among patients diagnosed with advanced NSCLC who were treated in community-based settings. Methods: In this retrospective cohort, patients diagnosed with de novo stage IV NSCLC between March 2012 and December 2020 were followed through December 31, 2021. Survival was ascertained with restricted mean survival time from treatment receipt through 12 and 60 months and compared by RMST differences adjusting for demographic and tumor characteristics. Trends in one-year survival probabilities were assessed using joinpoint regression. Results: Of 945 patients receiving systemic therapy, 46% received cytotoxic chemotherapy (Chemo-Only), 15% bevacizumab +/- Chemo, 22% immunotherapy +/- Chemo, and 16% targeted therapies. Median days from diagnosis to treatment ranged from 32 to 42. Compared to those receiving Chemo-Only, patients receiving immunotherapy +/- Chemo survived 1.4 months longer [95% confidence interval (CI): 0.5 to 2.3 months; P=0.002] and 3.2 months longer (95% CI: -1.4 to 7.9 months; P=0.18) through 12 and 60 months follow-up, respectively. Relative to those receiving Chemo-Only, patients receiving targeted therapies survived 1.6 months longer (95% CI: 0.7 to 2.5 months; P<0.001) and 5.5 months longer (95% CI: 0.7 to 10.4 months; P=0.02) through 12 and 60 months follow-up. One-year survival significantly increased from 30% to 59% between 2012 and 2020 (P=0.007). Conclusions: We found patients receiving targeted therapies and immunotherapy +/- Chemo survived longer than those on Chemo-Only. One-year survival probabilities significantly increased between 2012 and 2020. Additional research is needed to better understand the potential benefits and harms, including patient adverse events and financial toxicity.

Indexed as

first-course treatmentimmunotherapyNon-small cell lung cancer (NSCLC)restricted mean survival time (RMST)targeted therapies

Identifiers

PMID39958214
PMCPMC11826284

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.