Evidence map›Paper›PMID 40337607›Full record

ArticleOncology letters2025

Stereotactic body radiotherapy for early‑stage non‑small cell lung cancer: Comprehensive analysis of outcomes and recurrence from a single‑center experience.

Sangjoon Park, Jong Won Park, Eun Hye Lee, Young Joo Suh, Chang Young Lee, Byung Jo Park, Chang Geol Lee, Hong In Yoon, Sang Hoon Lee, Ronglan Cui and 2 more

Abstract read
In one paragraph

Article in Oncology letters, 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

12 authors.

Sangjoon ParkDepartment of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Jong Won ParkDepartment of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Eun Hye LeeDepartment of Internal Medicine, Division of Pulmonology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Gyeonggi 16995, Republic of Korea.
Young Joo SuhDepartment of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Chang Young LeeDepartment of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Byung Jo ParkDepartment of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Chang Geol LeeDepartment of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Hong In YoonDepartment of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Sang Hoon LeeDepartment of Internal Medicine, Division of Pulmonology, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Ronglan CuiDepartment of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Eun Young KimDepartment of Internal Medicine, Division of Pulmonology, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Jaeho ChoDepartment of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to analyze prognostic factors in patients with early-stage non-small cell lung cancer (NSCLC) treated with stereotactic body radiotherapy (SBRT), focusing on symptomatic radiation pneumonitis (RP) and treatment failure patterns. This retrospective cohort study included 271 patients with early-stage NSCLC (276 lesions) treated with SBRT from May 2012 to January 2022. SBRT was administered according to standardized protocols with doses ranging from 28.5 to 80 Gy in 1 to 10 fractions. Tumor recurrence, RP, and failure patterns were assessed through imaging and clinical evaluations. Prognostic factors for overall survival (OS) and local control (LC) were identified using Kaplan-Meier survival analysis, Cox models, and logistic regression for RP risk. With a median follow-up of 30.8 months, the 1-, 2- and 3-year OS rates were 96.1, 91.8, and 86.5%, respectively, and LC rates were 98.8, 96.5, and 92.9%, respectively. The Eastern Cooperative Oncology Group performance status (P=0.002) and higher fractional dose (P=0.041) were significant predictors of OS. Larger tumor size (P<0.001) and higher solid-to-total tumor ratio (P=0.028) were associated with increased local recurrence risk. Symptomatic RP (7.2% of lesions) was associated with solid tumor size (P=0.050). Larger tumors with a higher solid component had more in-field recurrences, while marginal recurrences were often attributable to air space spread and pleural involvement. Higher fractional doses in SBRT benefit patients with early-stage NSCLC, especially those with larger tumors or significant solid components, suggesting that dose escalation or more biologically effective therapies could enhance outcomes and optimize SBRT protocols.

Indexed as

local controlnon-small cell lung cancerprognostic factorsradiation pneumonitisstereotactic body radiotherapysurvival analysis

Identifiers

PMID40337607
PMCPMC12056538

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.