Evidence map›Paper›PMID 41029573›Full record

SynthesisBMC cancer2025

The efficacy analysis of neoadjuvant chemoimmunotherapy followed by surgery in stage III locally advanced non-small cell lung cancer: a systematic review and meta-analysis.

Xiaojie Yang, Yingqiu He, Tianxing Guo, Jiabin Fang, Sufang Chen, Qiongyao Zhang, Ying Lin, Nengluan Xu, Xiaojie Pan, Hongru Li

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 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. Article
  2. Observational
  3. Article
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

10 authors.

Xiaojie Yang *Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Yingqiu He *Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Tianxing Guo *Department of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Jiabin FangShengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Sufang ChenShengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Qiongyao ZhangFujian Provincial Key Laboratory of Medical Big Data Engineering, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Ying LinDepartment of Pathology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Nengluan XuDepartment of Infectious Diseases, Shengli Clinical Medical College of Fujian Medical University, Fujian Provicial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China.
Xiaojie PanDepartment of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China. pxj1028@hotmail.com.
Hongru LiDepartment of Infectious Diseases, Shengli Clinical Medical College of Fujian Medical University, Fujian Provicial Hospital, Fuzhou University Affiliated Provincial Hospital, Fujian, 350001, China. muzi131122@163.com.

Funding

Fujian Provincial Medical Science and Technology Innovation Joint Fund Project 2020Y9023Research on intelligent recommendation decision model of geriatrics based on big data 2021CXA001Research on the development and prevention and control strategies of key viral infectious diseases in the post-COVID-19 era 00902409the National Natural Science Foundation of China 82002457the Natural Science Foundation of Fujian Province 2023J01117the Young and Middle-aged Backbone Research Fund of Fujian Provincial Health Care Commission 2019-ZQNB-1
6 · The paper itself

Abstract

backgroundLocally advanced non-small cell lung cancer (NSCLC) has the potential for surgical cure after neoadjuvant immunotherapy in the era of immunotherapy. In this study, we conducted a meta-analysis of published data to systematically assess the efficacy and safety of neoadjuvant chemoimmunotherapy for stage III NSCLC.

methodsA comprehensive search was conducted on the Cochrane Library, PubMed, Web of Science, and Embase databases from January, 2000 to September, 2024 to identify studies concentrated on neoadjuvant chemoimmunotherapy followed by surgery for treating stage III NSCLC. The effectiveness and safety data were collected for meta-analysis. Study endpoints included resection rate, major pathological response (MPR), pathological complete response (pCR), objective response rate (ORR), treatment-related adverse events (TRAEs), severe adverse events (SAEs). Data analysis was conducted using R 4.1.3 software, and P < 0.05 was considered statistically significant.

resultsA total of 1043 patients from 22 studies were included in this meta-analysis, of whom 892 cases underwent surgery. The pooled MPR rate, pCR rate, and ORR rate were 65%, 38%, and 73%, respectively. The pooled incidence of TRAEs was 84% and the pooled incidence of SAEs was 13%. The results of the subgroup analysis showed that nivolumab- and pembrolizumab-based neoadjuvant chemoimmunotherapy showed a higher MPR rate (nivolumab 69%, pembrolizumab 68%) and pCR rate (nivolumab 51%, pembrolizumab 38%) than other immune checkpoint inhibitors (ICIs).

conclusionNeoadjuvant chemoimmunotherapy demonstrates clinical benefits for patients with stage III NSCLC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsNeoadjuvant TherapyHumansImmune Checkpoint InhibitorsImmunotherapyNeoplasm StagingPneumonectomyTreatment OutcomeImmune Checkpoint InhibitorsChemoimmunotherapyEfficacy and safetyMeta-analysisNeoadjuvant therapyStage III non-small cell lung cancerSurgery

Identifiers

PMID41029573
PMCPMC12481879

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.