Evidence map›Paper›PMID 40309672›Full record

ArticleJTCVS open2025

Surveying surgeon practices and perspectives on extent of intraoperative nodal evaluation in non-small cell lung cancer.

Lyndon C Walsh, Alessandro Brunelli, Biniam Kidane, Jazmin Eckhaus, Pierre Olivier Fiset, Jonathan D Spicer, Mara B Antonoff

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Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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4 · The record

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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

7 authors.

Lyndon C WalshDepartment of Cardiovascular and Thoracic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Alessandro BrunelliDepartment of Thoracic Surgery, St James's University Hospital, Leeds, United Kingdom.
Biniam KidaneSection of Thoracic Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Jazmin EckhausDepartment of Cardiothoracic Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
Pierre Olivier FisetDepartment of Pathology, McGill University Health Centre, Montréal, Québec, Canada.
Jonathan D SpicerDepartment of Thoracic Surgery, Montréal General Hospital, Montréal, Québec, Canada.
Mara B AntonoffDepartment of Cardiovascular and Thoracic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The National Comprehensive Cancer Network and Commission on Cancer guidelines encourage surgeons to obtain tissue from 1 or more N1 and 3 N2 nodal stations during resection for non-small cell lung cancer. We aimed to characterize surgeons' familiarity with and adherence to recommended guidelines and to elucidate factors influencing surgical practices globally. Methods: A questionnaire was designed to assess surgeon behaviors regarding intraoperative nodal assessment decisions during lung cancer resection. Survey items included demographics, case-based scenarios, self-perceived behaviors regarding nodal decision-making, and knowledge-based questions regarding nodal assessment guidelines. The survey was distributed to the General Thoracic Surgical Club, European Society of Thoracic Surgeons, Canadian Association of Thoracic Surgeons, and Australian & New Zealand Society of Cardiac & Thoracic Surgeons. Results: Altogether, 236 of 2396 surgeons (9.8%) from 46 countries responded. The majority were men (192/236) and general thoracic surgeons (204/236). Participants were subcategorized into North America (n = 96), Europe (n = 96), and All Other (n = 44). The importance of 4 variables that impact lymph node excision varied by region: length of procedure ( Conclusions: The variables driving intraoperative decision-making for nodal dissection vary by region. Moreover, surgeons tend to overstate their knowledge of existing guidelines. To optimize cancer care around the world, education needs to be provided uniformly to drive positive patient outcomes.

Indexed as

guidelineslung cancerlymph node dissectionlymph node excisionnodal evaluation

Identifiers

PMID40309672
PMCPMC12039416

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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.