Evidence map›Paper›PMID 41463144›Full record

ArticleCancers2025

Refining Risk Stratification and Surveillance Strategies in Pleuropulmonary Solitary Fibrous Tumors-An International, Retrospective, Multicenter Analysis.

Rahel S Decker, Daniel Baum, Stephan Richter, Mohamed Zaatar, Stefan Welter, Waldemar Schreiner, Merve Deniz, Aris Koryllos, Mohammed Fakhro, René Horsleben Petersen and 5 more

Abstract read
In one paragraph

Article in Cancers, 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

15 authors.

Rahel S DeckerDepartment of Thoracic Surgery, Lung Center Coswig, 01640 Coswig, Germany.ORCID 0009-0000-9040-0005
Daniel BaumDepartment of Thoracic Surgery, Lung Center Coswig, 01640 Coswig, Germany.ORCID 0000-0002-5483-2748
Stephan RichterDepartment of Oncology, University Hospital Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany.
Mohamed ZaatarDepartment of Thoracic Surgery, Helios Klinikum Berlin-Buch, 13125 Berlin, Germany.ORCID 0009-0005-5573-4145
Stefan WelterDepartment of Thoracic Surgery, Lungenklinik Hemer, 58675 Hemer, Germany.ORCID 0000-0002-4194-8215
Waldemar SchreinerDepartment for General, Visceral, Transplantation and Thoracic Surgery, University Hospital Goethe University Frankfurt, 60590 Frankfurt am Main, Germany.ORCID 0000-0002-5866-7161
Merve DenizDepartment of Thoracic Surgery, Nightingale Hospital, 40489 Düsseldorf, Germany.
Aris KoryllosDepartment of Thoracic Surgery, Nightingale Hospital, 40489 Düsseldorf, Germany.ORCID 0000-0003-0609-3634
Mohammed FakhroDepartment of Cardiothoracic Surgery, University Hospital, Rigshospitalet, 2100 Copenhagen, Denmark.ORCID 0000-0002-3831-0990
René Horsleben PetersenDepartment of Cardiothoracic Surgery, University Hospital, Rigshospitalet, 2100 Copenhagen, Denmark.ORCID 0000-0002-3586-1869
Nina FruhmannDepartment of Thoracic Surgery, Comprehensive Center for Chest Diseases, Medical University of Vienna, 1090 Vienna, Austria.
Clemens AignerDepartment of Thoracic Surgery, Comprehensive Center for Chest Diseases, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-7787-991X
Eleonora MinervaDepartment of Thoracic Surgery, University Hospital of Zurich, 8091 Zürich, Switzerland.ORCID 0000-0002-2192-1840
Isabelle OpitzDepartment of Thoracic Surgery, University Hospital of Zurich, 8091 Zürich, Switzerland.ORCID 0000-0001-5900-9040
Till PlönesDepartment of Thoracic Surgery, Lung Center Coswig, 01640 Coswig, Germany.ORCID 0000-0003-4839-2130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSolitary fibrous tumor of the pleura are rare neoplasms, and follow-up protocol is lacking. Various risk stratification systems have been proposed to predict recurrence. The aim of this study is to evaluate common risk scores and risk factors leading to a recommendation for follow-up frequency.

methodsWe pooled data as part of a multicenter international study with the participation of eight centers in Germany, Switzerland, Denmark, and Austria. Kaplan-Meier survival-curves were used comparing several risk stratification system(s). A Log-rank test was performed to analyze prognostic clinical and pathological factors affecting overall and recurrence-free survival.

resultsWe included 155 patients from 2004 to 2024: 52.3% were male, median age was 64 years (range 32 to 89). Recurrence rate was 17.4% with median recurrence-free survival of 131 months. Mean time to recurrence was 64.4 (range 9-151) months. Analysis showed that age, tumor morphology, necrosis, and increased mitotic activity were independent prognostic factors for RFS.

conclusionsThe WHO risk stratification system demonstrated the highest discriminatory power for recurrence-free survival in the Kaplan-Meier analyses, indicating that the WHO classification remains the most accurate predictor to date. We modified the commonly used risk systems to achieve improved stratification into low-, intermediate- and high-risk groups. The occurrence of late recurrences underscores the need for long-term follow-up.

Indexed as

benignpleurasarcomasolitary fibrous tumor

Identifiers

PMID41463144
PMCPMC12730344

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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.