Evidence map›Paper›PMID 41158353›Full record

ArticleJournal of thoracic disease2025

Survival of patients with node-negative lung cancer and chest wall invasion.

Anupama Singh, Ashley L Deeb, Camille Mathey-Andrews, Miles McAllister, Alexandra L Potter, Emanuele Mazzola, Yue Xie, Chi-Fu Jeffrey Yang, Paula Ugalde Figueroa

Abstract read
In one paragraph

Article in Journal of thoracic disease, 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.

Anupama SinghDivision of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Ashley L DeebDivision of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Camille Mathey-AndrewsDivision of Thoracic Surgery, Massachusetts General Hospital, Boston, MA, USA.
Miles McAllisterDivision of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Alexandra L PotterDivision of Thoracic Surgery, Massachusetts General Hospital, Boston, MA, USA.
Emanuele MazzolaDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, USA.
Yue XieDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, USA.
Chi-Fu Jeffrey YangDivision of Thoracic Surgery, Massachusetts General Hospital, Boston, MA, USA.
Paula Ugalde FigueroaDivision of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with T3 non-small cell lung cancer (NSCLC) with chest wall invasion (CWI) have poorer survival than patients with T3 NSCLC defined by other T3 descriptors, but their survival has not been compared with patients with T4 NSCLC. Our objective was to compare the survival of patients with NSCLC with CWI, currently a T3 descriptor, with that of patients with T4 NSCLC. Methods: A retrospective analysis was conducted of the National Cancer Database (NCDB) comparing patients diagnosed with node-negative NSCLC <7 cm with CWI to those diagnosed with cT4N0M0 NSCLC from 2010-2015. A 1:1 propensity match was performed. Demographics, comorbidities, and tumor characteristics were compared utilizing chi-squared and Wilcoxon rank-sum tests. Kaplan-Meier analysis was used to estimate 5-year overall survival (OS). Results: In total, 1,734 matched patients were studied (867 T3 with CWI, 867 T4). There were no significant differences in baseline demographics, tumor characteristics, treatment, or surgical approach used (all P>0.05). There were no significant differences in 30-day (P=0.27) or 90-day (P=0.33) mortality between the two groups. Five-year OS was also similar between the two groups [44.0% T3 with CWI, 95% confidence interval (CI): 41-47% Conclusions: CWI might serve better as a T4 descriptor in future iterations of the Tumor, Node, Metastasis (TNM) classifications. This would allow providers to better stage and treat patients, which would subsequently affect survival.

Indexed as

neoplasm invasivenessneoplasm stagingNon-small cell lung cancer (NSCLC)prognosisthoracic wall

Identifiers

PMID41158353
PMCPMC12557622

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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.