Evidence map›Paper›PMID 40883820›Full record

ArticleChinese medicine2025

Impact of Traditional Chinese Medicine therapy focused on strengthening the body on postoperative recurrence and metastasis prevention in stage IIIA non-small cell lung cancer: a real-world retrospective cohort study.

Ruoyan Qin, Yi Jiang, Liping Shen, Jie Qian, Yanlan Kang, Rui Fan, Lingshuang Liu

Abstract read
In one paragraph

Article in Chinese medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

7 authors.

Ruoyan QinDepartment of Oncology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China. 2362419852@qq.com.
Yi JiangDepartment of Oncology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Liping ShenDepartment of Oncology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Jie QianDepartment of Emergency and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
Yanlan KangAcademy for Engineering and Technology, Fudan University, Shanghai, 200433, China.
Rui FanDepartment of Integrated Traditional Chinese and Western Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China.
Lingshuang LiuDepartment of Oncology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China. liuls107@163.com.

Funding

National Administration of Traditional Chinese Medicine ZYYZDXK-2023063National Natural Science Foundation of China 82374533Scientific and Technological Innovation Project, Longhua Hospital CX202508Shanghai Municipal Health Commission 20214Y0375
6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the impact of Traditional Chinese Medicine (TCM) therapy focused on strengthening the body on postoperative recurrence and metastasis prevention in patients with stage IIIA non-small cell lung cancer (NSCLC).

methodsThis retrospective cohort study analyzed real-world data from patients with stage IIIA NSCLC who underwent radical surgery between January 2016 and January 2022 at Longhua Hospital, Shanghai University of Traditional Chinese Medicine. Patients were classified into an exposed group, receiving adjuvant chemotherapy or radiotherapy combined with TCM therapy, and a non-exposed group, receiving only adjuvant chemotherapy or radiotherapy. The primary outcome was disease-free survival (DFS), while secondary endpoints included 1-year, 2-year, and 3-year DFS rates (DFSR).

resultsA total of 700 patients were included, with 340 in the exposed group and 360 in the non-exposed group. After propensity score matching, the exposed group demonstrated a significantly longer median DFS compared to the non-exposed group (32.0 months [95% CI 24.0-38.0] vs. 17.0 months [95% CI 15.0-20.0], p < 0.001) and higher 1-year, 2-year, and 3-year DFS rates (78% vs. 63%, 56% vs. 38%, and 44% vs. 24%, respectively; p < 0.001). TCM therapy was associated with reduced recurrence and metastasis (HR = 0.58, 95% CI 0.48-0.70, p < 0.001). Subgroup analysis showed greater DFS benefits following TCM therapy in patients with N2 involvement and those over 65 years (both p < 0.05).

conclusionsTCM therapy focused on strengthening the body may prolong DFS and improve DFSR in postoperative stage IIIA NSCLC patients. However, further large-scale prospective studies are needed to validate these findings.

Indexed as

ChemotherapyCohort studyDisease-free survivalNeoplasm metastasisNon-small cell lung cancerTraditional Chinese Medicine

Identifiers

PMID40883820
PMCPMC12395714

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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.