Evidence map›Paper›PMID 40265009›Full record

SynthesisFrontiers in oncology2025

Adjuvant immunotherapy improves survival in completely resected stage IB-III NSCLC: a systematic review and meta-analysis.

Hong Huang, Pengchen Bao, Hongyu Jin, Wenyang Li, Hui Shen, Zhen Qin, Ying Pan, Xinming Su, Delei Kong

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 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

9 authors.

Hong HuangDepartment of Pulmonary and Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.
Pengchen BaoChina Medical University, Shenyang, China.
Hongyu JinDepartment of Pulmonary and Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.
Wenyang LiDepartment of Pulmonary and Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.
Hui ShenDepartment of Pulmonary and Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.
Zhen QinDepartment of Pulmonary and Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.
Ying PanDepartment of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China.
Xinming SuDepartment of Pulmonary and Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.
Delei KongDepartment of Pulmonary and Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The clinical benefits of postoperative chemotherapy for non-small cell lung cancer (NSCLC) have plateaued, thus highlighting the need for novel strategies. This meta-analysis evaluated the efficacy and safety of adjuvant immunotherapy in patients with completely resected NSCLC and wild-type epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK). Methods: PubMed, Web of Science, Embase, and the Cochrane Library were searched up to February 12, 2025, for studies assessing adjuvant immunotherapy in NSCLC. Primary endpoints included disease-free survival (DFS), overall survival (OS), correlation between subgroup characteristics and efficacy, and safety outcomes, including treatment-related adverse events (TRAEs), severe adverse events (SAEs), and treatment discontinuation. Results: Twelve articles involving 4048 patients were included. Adjuvant immunotherapy significantly improved DFS in patients with resected stage IB-III NSCLC than supportive care or placebo (hazard ratio [HR]: 0.82, 95% confidence interval [CI]: 0.72-0.93, Conclusions: Adjuvant immunotherapy improved DFS in patients with completely resected NSCLC, particularly those who were EGFR-negative, had PD-L1 levels of 1-49%, had non-squamous cell carcinoma, or never smoked. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO, identifier CRD42024547752.

Indexed as

adjuvant immunotherapyICIsimmune checkpoint inhibitorsnon-small cell lung cancerNSCLC

Identifiers

PMID40265009
PMCPMC12011596

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.