Evidence map›Paper›PMID 40025361›Full record

ReviewAnnals of surgical oncology2025

The Landmark Series: Advances in Preoperative Mediastinal Lymph Node Staging for Non-small Cell Lung Cancer (NSCLC).

Alison S Baskin, Katemanee Burapachaisri, Shreya Guha, Jeffrey B Velotta

Abstract readReview
In one paragraph

Review in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

4 authors.

Alison S BaskinDepartment of Surgery, University of California-San Francisco, San Francisco, CA, USA.
Katemanee BurapachaisriUniversity of California-San Francisco School of Medicine, San Francisco, CA, USA.
Shreya GuhaCalifornia Northstate University College of Medicine, Elk Grove, CA, USA.
Jeffrey B VelottaUniversity of California-San Francisco School of Medicine, San Francisco, CA, USA. Jeffrey.b.velotta@kp.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate mediastinal staging is essential for determining the extent of lung cancer, predicting prognosis, and guiding treatment strategies. Current clinical guidelines recommend preoperative invasive mediastinal staging for most patients with potentially resectable lung cancer, as imaging modalities alone often lack sensitivity and specificity. Invasive mediastinal staging techniques are categorized into surgical (e.g., cervical mediastinoscopy, video-assisted thoracic surgery) and nonsurgical (i.e., minimally invasive) approaches. Although cervical mediastinoscopy has historically been the gold standard, minimally invasive techniques have gained prominence in recent decades. These approaches, including endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), and combined EBUS/EUS, provide improved accuracy and reduced morbidity compared with traditional surgical methods. EBUS-TBNA facilitates access to a broad range of lymph node stations with real-time ultrasound guidance, while EUS-FNA complements EBUS by enabling transesophageal lymph node sampling. Together, these techniques enable a more comprehensive mediastinal staging. This review examines five key trials that explore the expanding role of endobronchial and endoscopic techniques in mediastinal staging for non-small cell lung cancer, demonstrating how these advancements have transformed the diagnostic landscape.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsLymph NodesMediastinumEndoscopic Ultrasound-Guided Fine Needle AspirationEndosonographyHumansLymphatic MetastasisMediastinoscopyNeoplasm StagingPreoperative CarePrognosis

Identifiers

PMID40025361
PMCPMC11976788

What OpenQuestion holds

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LicenceCC BY
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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.