Evidence map›Paper›PMID 40394532›Full record

Observational studyBMC pulmonary medicine2025

Postoperative symptom network analysis in non-small cell lung cancer patients: a cross-sectional study.

Sha Zhang, Yao Deng, Xiaorun Xiang, Qianfeng Xu, Lixin Hu, Mei Xia, Lei Liu

Abstract readObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Quality of life during electronic patient-reported outcome (ePRO) monitoring in thoracic surgery patients: a pilot randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Trial
  2. Article
  3. Article
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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

7 authors.

Sha Zhang *Department of Thoracic Surgery, The First Affiliated Hospital of the Army Medical University, Chongqing, China.
Yao Deng *Department of Rheumatology and Immunology, The First Affiliated Hospital of the Army Medical University, Chongqing, China.
Xiaorun XiangDepartment of Cardiac Surgery, The First Affiliated Hospital of the Army Medical University, Chongqing, China.
Qianfeng XuDepartment of Thoracic Surgery, The First Affiliated Hospital of the Army Medical University, Chongqing, China.
Lixin HuDepartment of Thoracic Surgery, The First Affiliated Hospital of the Army Medical University, Chongqing, China.
Mei XiaDepartment of Thoracic Surgery, The First Affiliated Hospital of the Army Medical University, Chongqing, China. xiamei@Tmmu.edu.cn.
Lei LiuDepartment of Nursing, The First Affiliated Hospital of the Army Medical University, Chongqing, China. liulei@Tmmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the incidence and severity of symptoms in postoperative non-small-cell lung cancer patients undergoing thoracoscopic surgery, construct a symptom network, and analyze centrality indicators of the network to identify core symptoms and provide a basis for precise symptom management.

methodsA convenience sampling method was used to select postoperative NSCLC patients from the Department of Thoracic Surgery at the First Affiliated Hospital of Army Medical University between September 2024 and December 2024. The Chinese version of the Anderson Symptom Inventory Core Symptom Module and the revised Lung Cancer-Specific Symptom Module were used to survey the incidence and severity of symptoms. A symptom network was constructed with R software with the EBICgloss function and Spearman correlation analysis, and the centrality indicators were then calculated.

resultsIn total, 404 questionnaires were distributed, and 367 valid questionnaires were returned (effective response rate, 90.8%). The top three symptoms in terms of incidence and severity during the postoperative hospitalization of NSCLC patients were pain (100%), fatigue (99%), and shortness of breath (98%). The results of the centrality indicators of the symptom network revealed that the top three symptoms in terms of strength centrality were shortness of breath (rs = 5.44), fatigue (rs = 5.43), and pain (rs = 5.34).

conclusionPostoperative NSCLC patients experience various symptoms, with shortness of breath being the core symptom. Targeted intervention strategies are needed to improve the efficiency and accuracy of symptom management, reduce the symptom burden on patients, and increase their quality of life. CLINICAL

trial registrationChinese Clinical Trial Registry (NO. ChiCTR2500096720), registered on 5 February 2025, retrospectively registered.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsPostoperative ComplicationsAdultAgedChinaCross-Sectional StudiesDyspneaFatigueFemaleHumansIncidenceMaleMiddle AgedPostoperative PeriodSeverity of Illness IndexNetwork analysisNon-small cell lung cancerPainShortness of breathSymptom network

Identifiers

PMID40394532
PMCPMC12090591

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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.