Evidence map›Paper›PMID 41174777›Full record

ArticleWorld journal of surgical oncology2025

Primary tumor resection: a new hope or an old illusion for patients with metastatic non-small cell lung neuroendocrine tumors?

Hongquan Xing, Weichang Yang, Shanshan Cai, Linmin Xiong, Guofeng Zhu, Xinyi Zhang, Xiaoqun Ye

Abstract read
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Article in World journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hongquan XingDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Weichang YangDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Shanshan CaiDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Linmin XiongDepartment of Thoracic Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Guofeng ZhuDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Xinyi ZhangDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China. zhangxinyi80@163.com.
Xiaoqun YeDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China. xiaoqunye@ndefy.ntesmail.com.

Funding

Jiangxi Province Key Laboratory of Molecular Medicine 2024SSY06231Jiangxi Province Key Research and Development Project 20243BBI91024
6 · The paper itself

Abstract

objectivesThis study aimed to investigate the impact of primary tumor resection (PTR) on survival outcomes for patients with metastatic non-small cell neuroendocrine tumors (mNSCLC-NETs), develop a predictive model to identify which patients may benefit from surgery in terms of survival.

methodsWe extracted information on mNSCLC-NET patients from the SEER database. Propensity score matching was used to eliminate bias between surgery and non-surgery groups. The effect of PTR on prognosis was assessed via Kaplan‒Meier analysis with the log-rank test and the Cox proportional hazards model. Feature selection was performed via the Boruta algorithm. Model building utilized fivefold cross-validation and applied five machine learning algorithms. The optimal model was selected and used to construct a visual network nomogram.

resultsAmong the 1,776 eligible patients, 12.61% underwent surgery. After PSM, the surgery group showed significantly longer median overall survival (mOS) (26 months vs. 11 months) compared to the non-surgery group. Among the five machine learning models, logistic regression had the highest AUC of 0.760 on the validation set. Therefore, we used a logistic regression model to construct a nomogram. This tool identified beneficiary and non-beneficiary groups, with the former having a longer mOS (30 months vs. 10 months).

conclusionsOverall, PTR in mNSCLC-NETs could prolong patients survival, and the web-based nomogram can predict patients who may benefit from surgery. This tool may aid clinicians in patient counseling and personalized decision-making.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsNeuroendocrine TumorsNomogramsPneumonectomyAgedFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMachine LearningMaleMiddle AgedPrognosisPropensity ScoreRetrospective StudiesMachine learningMetastatic non-small cell neuroendocrine tumorNomogramPrimary tumor resectionSEER

Identifiers

PMID41174777
PMCPMC12577287

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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.