Evidence map›Paper›PMID 41517830›Full record

SynthesisThoracic cancer2026

Microwave Ablation Combined With Chemotherapy Versus Chemotherapy Alone in Patients With Advanced Non-Small Cell Lung Cancer-Systematic Review and Meta-Analysis.

Paul C Onyeji, Amrinder Kaur, Leo Consoli, Shivank Dani, Sonise Momplaisir-Onyeji, Felipe S Passos, Torsten Doenst, Hristo Kirov, Tulio Caldonazo

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Thoracic cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Paul C OnyejiAll Saints University School of Medicine, Roseau, Commonwealth of Dominica.
Amrinder KaurUniversity of Chicago, Chicago, Illinois, USA.
Leo ConsoliFederal University of Bahia, Salvador, Brazil.
Shivank DaniGMERS, Medical College and Hospital, Sola, Ahmedabad, India.
Sonise Momplaisir-OnyejiSchool of Medicine Faculty of Medicine, American University of Barbados, Bridgetown, Barbados.
Felipe S PassosDepartment of Thoracic Surgery, MaterDei Hospital, Salvador, Brazil.ORCID https://orcid.org/0009-0001-7381-2806
Torsten DoenstDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.ORCID https://orcid.org/0000-0002-6411-909X
Hristo KirovDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Tulio CaldonazoDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.

Funding

Deutsche Forschungsgemeinschaft 413668513Deutsche Herzstiftung S/03/23Interdisciplinary Center of Clinical Research of the Medical Faculty Jena
6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) remains the leading cause of cancer-related mortality worldwide. Although chemotherapy remains a cornerstone in the treatment of advanced NSCLC, local ablative strategies such as microwave ablation (MWA) have emerged as promising adjunctive therapies. However, the survival benefits of combining MWA with chemotherapy remain uncertain. This meta-analysis aims to evaluate the efficacy and safety of microwave ablation combined with chemotherapy compared to chemotherapy alone in patients with advanced NSCLC. A comprehensive search was conducted in MEDLINE, EMBASE, and Cochrane Library through January 2025. Eligible studies included randomized controlled trials or observational studies comparing MWA associated with chemotherapy versus chemotherapy alone in patients with advanced NSCLC. The primary outcome was progression-free survival (PFS); secondary outcomes included partial remission (PR) rate and adverse events (AE). Hazard ratios (HR) and risk ratios (RR) with 95% confidence intervals (CI) were pooled using random-effects models. Individual patient data (IPD) were reconstructed from Kaplan-Meier curves to perform a one-stage survival meta-analysis. Four studies comprising 483 patients were included. MWA associated with chemotherapy significantly improved PFS (HR 0.408; 95% CI 0.24-0.49; p < 0.001; I

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsMicrowavesCombined Modality TherapyHumanschemotherapymicrowave ablationnon‐small cell lung cancer

Identifiers

PMID41517830
PMCPMC12789646

What OpenQuestion holds

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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.