Evidence map›Paper›PMID 39970848›Full record

ArticleCancer epidemiology2025

Patterns of recurrence among adults diagnosed with screen-detected lung cancer.

Nikki M Carroll, Jennifer Eisenstein, Kris F Wain, Jared M Freml, Robert T Greenlee, Stacey A Honda, Christine Neslund-Dudas, Katharine A Rendle, Anil Vachani, Debra P Ritzwoller

Abstract read
In one paragraph

Article in Cancer epidemiology, 2025. 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. 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, 16601 E Centretech Pkwy, Aurora, CO, USA. Electronic address: nikki.m.carroll@kp.org.
Jennifer EisensteinColorado Permanente Medical Group, Kaiser Permanente Colorado, 280 Exempla Cir, Lafayette, CO, USA.
Kris F WainInstitute for Health Research, Kaiser Permanente Colorado, 16601 E Centretech Pkwy, Aurora, CO, USA.
Jared M FremlInstitute for Health Research, Kaiser Permanente Colorado, 16601 E Centretech Pkwy, Aurora, CO, USA.
Robert T GreenleeMarshfield Clinic Research Institute, 1000 North Oak Avenue ML2, Marshfield, WI, USA.
Stacey A HondaHawaii Permanente Medical Group, Kaiser Permanente Hawaii, 3288 Moanalua Road, Honolulu, HI, USA; Center for Integrated Healthcare Research, Kaiser Permanente Hawaii, 501 Alakawa Street, Suite 201, Honolulu, HI, USA.
Christine Neslund-DudasHenry Ford Health and Henry Ford Cancer Institute, 1 Ford Place, Suite 3E, Detroit, MI, USA.
Katharine A RendlePerelman School of Medicine, University of Pennsylvania, 3600 Civic Center Blvd, Philadelphia, PA, USA.
Anil VachaniPerelman School of Medicine, University of Pennsylvania, 3600 Civic Center Blvd, Philadelphia, PA, USA.
Debra P RitzwollerInstitute for Health Research, Kaiser Permanente Colorado, 16601 E Centretech Pkwy, 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
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
Estimating Overdiagnosis After Implementation of Lung Cancer Screening in Community-Based Healthcare SystemsR03CA292991 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CARROLL, NIKKI · 2024 to 2024
$158k
NCI NIH HHS R03 CA292991NCI NIH HHS R50 CA251966NCI NIH HHS UM1 CA221939
6 · The paper itself

Abstract

backgroundWith the recent shift in lung cancer staging towards early-stage disease coinciding with the introduction of lung cancer screening (LCS), little is known if LCS has affected the rate of recurrence and survival in community settings. Our objective was to evaluate variation in the detection and outcomes of recurrent lung cancer stratified by receipt of LCS.

methodsPatients aged 55-80 years old diagnosed with stage I-IIIA non-small cell lung cancer (NSCLC) between 1/1/2014 and 12/31/2020 who completed definitive therapy and were considered disease-free were identified. Rates of recurrence were calculated in discrete 12-month intervals and by cumulative incidence. Survival was evaluated by multivariable adjusted Restricted Mean Survival Time (aRMST). Factors associated with recurrence were evaluated by Poisson models.

resultsAmong 916 patients meeting study criteria, 708 (77 %) were non-screen-detected and 208 (23 %) were considered screen-detected. The proportion of recurrence between non-screen-detected (22 %) and screen-detected (17 %) was similar (P = 0.11). Recurrence rates during the first and second years after definitive therapy were 10.1 and 4.1 per 100 person-years for the non-screen-detected and 6.0 and 4.5 per 100 person-years for screen-detected, respectively. Two-year cumulative incidence of recurrence was 16.5 % (95 % CI, 13.9 %-19.4 %) for non-screen-detected patients and 13.8 % (95 % CI, 9.3 %-19.0 %) in the screen-detected group. Recurrence-free survival and survival after recurrence were similar between the two groups. Screening status was not associated with the likelihood of recurrence (RR=0.94, 95 % CI, 0.59-1.50).

conclusionThese findings provide evidence of recurrence being a part of the intrinsic nature of disease progression despite mode of detection. Our findings emphasize the need for all patients to receive surveillance and survivorship care after treatment for early-stage NSCLC regardless of mode of detection. Further study with longer follow-up is warranted.

Indexed as

Early Detection of CancerLung NeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingRecurrenceTomography, X-Ray ComputedLung cancerLung cancer screeningRecurrence

Identifiers

PMID39970848
PMCPMC11890938

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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.