Evidence map›Paper›PMID 41158382›Full record

ArticleJournal of thoracic disease2025

Neoadjuvant chemoimmunotherapy versus chemoradiotherapy for non-small cell lung cancer: a comparative analysis of clinical outcomes and pathologic response.

Ji Hyeon Park, Ki-Chang Lee, Sangjun Lee, Taeyoung Yun, Seung Hwan Yoon, Bubse Na, Samina Park, Hyun Joo Lee, In Kyu Park, Chang Hyun Kang and 3 more

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

13 authors.

Ji Hyeon Park *Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Ki-Chang Lee *Department of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Sangjun LeeDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Taeyoung YunDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Seung Hwan YoonDepartment of Thoracic and Cardiovascular Surgery, Samsung Kangbuk Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Bubse NaDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Samina ParkDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Hyun Joo LeeDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
In Kyu ParkDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Chang Hyun KangDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Young Tae KimDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Jaemoon KohDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Kwon Joong NaDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-4158-9790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While neoadjuvant chemoimmunotherapy (neoCIT) has been increasingly adopted for locally advanced non-small cell lung cancer (NSCLC), there is a lack of direct comparison with neoadjuvant concurrent chemoradiotherapy (neoCCRT), which has long been used to enhance local tumor control. This gap presents a clinical dilemma, as both approaches are associated with distinct mechanisms and potential trade-offs in efficacy and safety. In this study, we aimed to compare the clinical outcomes and pathological responses to neoCIT and neoCCRT in patients with locally advanced NSCLC. Methods: We retrospectively analyzed 71 patients with locally advanced NSCLC who received either neoCCRT (n=38) or neoCIT (n=33), followed by surgical resection between January 2010 and April 2024. Pathological response was assessed using the International Association for the Study of Lung Cancer criteria, and clinical outcomes, including postoperative complications, recurrence, and survival, were compared. Results: Baseline characteristics were balanced except for histology. Squamous carcinoma was predominant in the neoCIT group, whereas non-squamous histology was more common in the neoCCRT group. The neoCCRT group achieved significantly higher major pathological response (MPR) rates (55.3% Conclusions: neoCCRT and neoCIT demonstrate comparable safety and survival outcomes in patients with locally advanced NSCLC. While neoCCRT led to higher MPR rates, this did not correspond to improved survival. Treatment selection should be individualized based on tumor burden, histologic subtype, and risk of distant metastasis.

Indexed as

chemoradiotherapyimmunotherapyneoadjuvant treatmentNon-small cell lung cancer (NSCLC)surgical outcome

Identifiers

PMID41158382
PMCPMC12557645

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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.