Evidence map›Paper›PMID 41376936›Full record

ReviewJournal of thoracic disease2025

A narrative review of the early diagnosis and treatment of idiopathic pulmonary fibrosis with lung cancer.

Haoxiang Qi, Xinhua Chai, Feng Zhou, Yuli Jiang, Yongxia Bao

Abstract readReview
In one paragraph

Review 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Haoxiang QiThe Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID https://orcid.org/0009-0002-8417-3832
Xinhua ChaiThe Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Feng ZhouThe Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Yuli JiangThe Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Yongxia BaoThe Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID https://orcid.org/0009-0003-1743-9589

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Idiopathic pulmonary fibrosis (IPF), a chronic progressive interstitial lung disease of unknown etiology, is characterized by alveolar architecture destruction and progressive pulmonary parenchymal scarring, with an extremely poor prognosis. While antifibrotic therapies have been shown to slow disease progression in clinical practice, IPF patients continue to experience irreversible declines in pulmonary function. Notably, lung cancer (LC) represents a severe complication of IPF. IPF patients exhibit a 2.7-48% lifetime risk of LC development, with patients diagnosed with IPF with LC (IPF-LC) exhibiting significantly poorer prognoses than those with IPF alone. Furthermore, the rising prevalence of IPF-LC has rendered it a critical challenge in clinical management. The objective of this review is to provide a comprehensive analysis of the epidemiological characteristics, early diagnostic approaches, and therapeutic innovations in IPF-LC, with particular emphasis on emerging biomarkers and their clinical applications. Methods: A literature search was conducted using PubMed, focusing on articles published in English from 2006 to August 2025. Studies focusing on IPF-LC diagnostic and therapeutic advancements were selected for in-depth analysis and incorporated into this review. Key Content and Findings: This review highlights the high incidence and poor prognosis of IPF progressing to IPF-LC, driven by common risk factors and molecular pathways. Early diagnosis relies on multidisciplinary evaluation, annual high-resolution computed tomography (HRCT), and biomarkers. Antifibrotic agents delay fibrosis, reduce cancer risk and may act synergistically with immuno- and chemotherapies, whereas surgery/radiotherapy needs to be chosen carefully due to the risk of acute exacerbation. Conclusions: Combining imaging with biomarkers will effectively increase the probability and reliability of early diagnosis of IPF-LC. Antifibrotic drugs not only slow IPF progression, but may also reduce LC risk by inhibiting the pro-fibrotic-cancerous common pathway and enhance the efficacy of chemotherapy and immunotherapy. Future studies could focus on validating biomarkers, optimizing combinations of antifibrotic and immunotherapies, and integrating artificial intelligence-driven diagnostics to improve outcomes.

Indexed as

biomarkersearly diagnosisIdiopathic pulmonary fibrosis (IPF)lung cancer (LC)treatment

Identifiers

PMID41376936
PMCPMC12688524

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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.