Evidence map›Paper›PMID 40419636›Full record

ArticleScientific reports2025

Clinical outcomes of conversion surgery following neoadjuvant chemoimmunotherapy in potentially resectable stage IIIA/IIIB non-small cell lung.

Yana Qi, Yulan Sun, Yanran Hu, Hui Zhu, Hongbo Guo

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. 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

5 authors.

Yana QiDepartment of Radiation OncologyShandong Cancer Hospital and InstituteShandong Academy of Medical Sciences, Shandong First Medical University, 440 Jiyan Road, Jinan, 250117, Shandong Province, China.
Yulan SunDepartment of Medical OncologyShandong Cancer Hospital and InstituteShandong Academy of Medical Sciences, Shandong First Medical University, 440 Jiyan Road, Jinan, 250117, Shandong Province, China.
Yanran HuDepartment of PathologyShandong Cancer Hospital and InstituteShandong Academy of Medical Sciences, Shandong First Medical University, 440 Jiyan Road, Jinan, 250117, Shandong Province, China.
Hui ZhuDepartment of Radiation OncologyShandong Cancer Hospital and InstituteShandong Academy of Medical Sciences, Shandong First Medical University, 440 Jiyan Road, Jinan, 250117, Shandong Province, China.
Hongbo GuoDepartment of Surgical OncologyShandong Cancer Hospital and InstituteShandong Academy of Medical Sciences, Shandong First Medical University, 440 Jiyan Road, Jinan, 250117, Shandong Province, China. guomutong@126.com.

Funding

Natural Science Foundation of Shandong Province ZR2022MH049Natural Science Foundation of Shandong Province ZR2023QH388
6 · The paper itself

Abstract

Neoadjuvant chemoimmunotherapy has been successfully used in patients with resectable non-small-cell lung cancer (NSCLC). However, its application to potentially resectable IIIA/IIIB NSCLC remains controversial. This retrospective study aims to evaluate the efficacy and safety of neoadjuvant chemoimmunotherapy followed by conversion surgery in patients with potentially resectable stage III NSCLC, focusing on conversion rate and survival benefits. Patients with 'potentially resectable' stage IIIA/IIIB NSCLC who were deemed unsuitable for complete (R0) resection at initial diagnosis were retrospectively identified. After 2-4 cycles of treatment, all patients were reevaluated for surgical resectability. Data on patient characteristics, radiological and pathological responses, and survival outcomes were collected. In total, 148 patients were included in the final analysis. Upon the completion of neoadjuvant therapy, 105 patients were considered suitable for conversion surgery. Three patients refused surgery, and 102 patients ultimately underwent surgery, yielding a conversion rate of 70.9% and a resection rate of 68.9%. The rate of complete (R0) resection was 100%, with a major pathological response (MPR) of 64.7% and a pathologic complete response (pCR) of 41.2%. Postoperative complications were observed in nine patients (8.8%), and there was no surgery-related mortality within 30 days. The median progression-free survival (PFS) was 19.1 months in the non-surgery group, and the overall survival (OS) was not reached. In the 102 patients who underwent conversion surgery, both the median PFS and OS were not reached, accompanied by 2-year OS and PFS rates of 87.3% and 78.4%, respectively. Our findings showed that neoadjuvant chemoimmunotherapy expanded the opportunities for conversion surgery in potentially resectable cases. Subsequent conversion surgery is safe and has the potential for significant survival benefits.

Indexed as

Carcinoma, Non-Small-Cell LungImmunotherapyLung NeoplasmsNeoadjuvant TherapyAdultAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesTreatment OutcomeConversion surgeryNeoadjuvant chemoimmunotherapyNon-small-cell lung cancerPotentially resectable

Identifiers

PMID40419636
PMCPMC12106633

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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.