Evidence map›Paper›PMID 40876959›Full record

ArticleBMJ open respiratory research2025

Prognostic impacts of interstitial lung abnormalities on outcomes following resection for lung cancer.

Charles-Antoine Guay, Pierre-Emile Charest, Frederic-Thomas Caron, Louis Laflamme, Laurie Perreault, Anne-Sophie Laliberté, Elisabeth Albert, Genevieve Dion, Steeve Provencher

Abstract read
In one paragraph

Article in BMJ open respiratory research, 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. Review
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

9 authors.

Charles-Antoine GuayCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Pierre-Emile CharestCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada pierre-emile.charest.1@ulaval.ca.ORCID http://orcid.org/0009-0007-2162-3732
Frederic-Thomas CaronCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Louis LaflammeCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Laurie PerreaultCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Anne-Sophie LalibertéCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Elisabeth AlbertCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Genevieve DionCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.
Steeve ProvencherCentre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Quebec City, Quebec, Canada.ORCID http://orcid.org/0000-0001-7535-9972

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe clinical significance of interstitial lung abnormalities in patients with lung cancer undergoing curative resection remains largely unstudied. This study aimed to evaluate the prevalence of these findings among patients with lung cancer undergoing resection and assess their impact on postoperative complications and long-term survival.

methodsThis single-centre retrospective study included patients who underwent resection from 2008 to 2020. Patients with a history of lung cancer, previous lung resection or clinically evident interstitial lung disease before cancer detection were excluded. Preoperative chest scans were reviewed for interstitial lung abnormalities according to established criteria. Associations between these abnormalities and postoperative outcomes, as well as long-term survival, were analysed using multivariate models.

resultsAmong 1802 patients with available preoperative scans, 114 (6.3%) had interstitial lung abnormalities, including 17 (0.9%) with a usual interstitial pneumonia-like pattern. Interstitial lung abnormalities were associated with older age, female sex and smoking history. Although their presence did not significantly increase the risk of postoperative complications or 30-day mortality, interstitial lung abnormalities were linked to higher long-term mortality (92 vs 61 deaths/1000 person-years, HR 1.47; 95% CI 1.05 to 2.05). The usual interstitial pneumonia-like patterns were significantly associated with increased long-term mortality (HR 2.84; 95% CI 1.36 to 5.91), whereas other patterns were not (HR 0.98; 95% CI 0.63 to 1.54).

conclusionsInterstitial lung abnormalities are common in patients with lung cancer undergoing curative surgery and are linked to demographic and smoking-related factors. While they do not significantly impact short-term surgical outcomes, usual interstitial pneumonia-like pattern is associated with worse long-term survival.

Indexed as

Lung Diseases, InterstitialLung NeoplasmsPneumonectomyPostoperative ComplicationsAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsInterstitial FibrosisLung CancerThoracic Surgery

Identifiers

PMID40876959
PMCPMC12410612

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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.