Evidence map›Paper›PMID 40650339›Full record

SynthesisThe clinical respiratory journal2025

Comprehensive Analysis of Lung Cancer Metastasis: Sites, Rates, Survival, and Risk Factors-A Systematic Review and Meta-Analysis.

Shilin Wang, Wen Tang, Fu Jin, Huanli Luo, Han Yang, Ying Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The clinical respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

6 authors.

Shilin WangDepartment of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
Wen TangDepartment of Rehabilitation, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Fu JinDepartment of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.ORCID https://orcid.org/0000-0002-8883-9411
Huanli LuoDepartment of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.ORCID https://orcid.org/0000-0002-3392-0351
Han YangDepartment of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
Ying WangDepartment of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.

Funding

Chongqing Medical Scientific Research Project 2022DBXM005Chongqing Talents Program - Contracted Management System Project cstc2021ycjh-bgzxm0023National Natural Science Foundation of China 11575038
6 · The paper itself

Abstract

objectivesLung cancer metastasis constitutes a critical aspect of disease progression and patient outcomes. It is imperative to illuminate the complex landscape of lung cancer metastasis, offering a thorough evaluation of sites, rates, risk factors, and survival implications.

methodsStudies on the prevalence of lung cancer metastasis, the risk factors, the overall survival (OS) after metastasis, or the risk factors for OS were included. Two independent reviewers used a standardized data extraction and quality assessment form. Hazard ratios and confidence intervals were calculated using random-effects or fixed-effects models.

resultsThis systematic meta-analysis included 115 clinical trials. Prevalent metastatic sites in non-small cell lung carcinoma (NSCLC) encompassed brain (29%), bone (25%), adrenal gland (15%), liver (13%), and skin (3%). However, small cell lung carcinoma (SCLC) primarily metastasized to liver (33%), brain (30%), bone (27%), adrenal gland (10%), and pericardium (3%). The risk factors for brain metastases in NSCLC included lung adenocarcinoma, EGFR mutations, and prophylactic cranial irradiation (PCI); in SCLC brain metastasis, age and PCI were influential. The median OS after brain metastasis in NSCLC and SCLC was 21.3 and 10.5 months, respectively, while liver or bone metastases were notably linked to poorer survival. The factors influencing OS in NSCLC brain metastasis included age, EGFR mutations, and stereotactic radiosurgery. For SCLC brain metastasis, OS was notably impacted by gender, smoking status, the number of brain metastases, and radiotherapy.

conclusionThis study provided insights into lung cancer metastasis. The results revealed the metastatic rates, risk factors, and OS to assist clinical decision-making.

Indexed as

Brain NeoplasmsCarcinoma, Non-Small-Cell LungLung NeoplasmsSmall Cell Lung CarcinomaAdrenal Gland NeoplasmsBone NeoplasmsHumansLiver NeoplasmsNeoplasm MetastasisRisk FactorsSurvival Ratelung cancermeta‐analysismetastasisoverall survivalrisk factors

Identifiers

PMID40650339
PMCPMC12254191

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.