Evidence map›Paper›PMID 41465119›Full record

ArticleGenes2025

Bridging East and West: Real-World Clinicogenomic Landscape of Metastatic NSCLC in Türkiye.

Kübra Canaslan, Emre Eken, Mehmet Bilici, Fahriye Merve Balcıoğlu, Banu Öztürk, Mehmet Çakmak, Öznur Bal, Görkem Turhan, Feyyaz Özdemir, Hayati Arvas and 4 more

Abstract read
In one paragraph

Article in Genes, 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. 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

14 authors.

Kübra CanaslanDepartment of Medical Oncology, Dokuz Eylul University, Izmir 35330, Türkiye.ORCID 0000-0001-7705-3926
Emre EkenDepartment of Medical Oncology, Atatürk University, Erzurum 25240, Türkiye.
Mehmet BiliciDepartment of Medical Oncology, Atatürk University, Erzurum 25240, Türkiye.
Fahriye Merve BalcıoğluDepartment of Medical Oncology, Antalya Research and Training Hospital, Antalya 07100, Türkiye.ORCID 0000-0003-4124-3992
Banu ÖztürkDepartment of Medical Oncology, Antalya Research and Training Hospital, Antalya 07100, Türkiye.ORCID 0000-0003-0290-8787
Mehmet ÇakmakDepartment of Medical Oncology, Bilkent City Hospital, Ankara 06800, Türkiye.
Öznur BalDepartment of Medical Oncology, Bilkent City Hospital, Ankara 06800, Türkiye.ORCID 0000-0002-6901-2646
Görkem TurhanDepartment of Medical Oncology, Karadeniz Technical University, Trabzon 61080, Türkiye.ORCID 0000-0002-0572-4927
Feyyaz ÖzdemirDepartment of Medical Oncology, Karadeniz Technical University, Trabzon 61080, Türkiye.
Hayati ArvasDepartment of Medical Oncology, Dicle University, Diyarbakır 21280, Türkiye.ORCID 0000-0003-2215-5567
Zuhat UrakçıDepartment of Medical Oncology, Dicle University, Diyarbakır 21280, Türkiye.
Ebru ÇiçekDepartment of Medical Oncology, İstanbul University Cerrahpaşa, Istanbul 34320, Türkiye.
Zeynep Hande TurnaDepartment of Medical Oncology, İstanbul University Cerrahpaşa, Istanbul 34320, Türkiye.
Aziz KaraoğluDepartment of Medical Oncology, Dokuz Eylul University, Izmir 35330, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesGenomic profiling guides treatment in metastatic non-small-cell lung cancer (mNSCLC), yet country-level data from Türkiye remain limited.

methodsWe retrospectively analyzed consecutive patients with mNSCLC diagnosed between January 2018 and March 2025 across tertiary centers in all seven regions. Variables included demographics, smoking, histology, testing modality (single-gene vs. next-generation sequencing [NGS]), targetable genomic alterations (TGAs) and co-mutations, and programmed death-ligand 1 (PD-L1) tumor proportion score.

resultsAmong 1023 patients (mean age 64 years; 76.4% male), tobacco exposure was frequent (mean 42.1 pack-years); 16.9% were never-smokers. NGS use increased over time, exceeding 90% by 2025. TGAs were detected in 28.3% (EGFR 16.0%, ALK 5.0%, KRAS G12C 2.6%, BRAF V600E 3.2%; ROS1, MET exon 14, HER2, NTRK ≤ 2.5%; no RET). EGFR alterations occurred in 19% of non-squamous carcinomas and 6% of squamous cell carcinomas (SCCs), suggesting an intermediate East-West pattern. Among NGS-tested samples, TP53 was the most frequent co-mutation (33.1%), followed by alterations in CDKN2A, PIK3CA, FGFR, STK11, and KEAP1.

conclusionsIn this large, multicenter Turkish real-world cohort, the TGA spectrum broadly mirrors global patterns while revealing local nuances; EGFR mutations were more frequent than expected in SCC, and nationwide NGS adoption is accelerating. Limitations include retrospective design, non-centralized PD-L1 testing, and missing data. Prospective, standardized studies integrating outcomes and resistance mechanisms are warranted to refine regional precision oncology.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAdultAgedAged, 80 and overB7-H1 AntigenBiomarkers, TumorFemaleHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedMutationNeoplasm MetastasisRetrospective StudiesB7-H1 AntigenBiomarkers, TumorCD274 protein, humanGenomicsNext-generation sequencingnon-small cell lung cancer

Identifiers

PMID41465119
PMCPMC12733280

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.