Evidence map›Paper›PMID 41708120›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2026

Present and future of cytoreductive surgery and hyperthermic intrathoracic chemotherapy for pleural metastases: a narrative review.

Amro Hajja, Miral Atout, Rasoul Turko, Haadi Syed, Paula Duarte D'Ambrosio, Ricardo Mingarini Terra, Amal Abdulhaq, Marco Nardini, Marcello Carlo Ambrogi, Marco Lucchi and 4 more

Abstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2026. 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

14 authors.

Amro HajjaCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Miral AtoutCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Rasoul TurkoCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Haadi SyedCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Paula Duarte D'AmbrosioInstituto do Coração, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Ricardo Mingarini TerraInstituto do Coração, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Amal AbdulhaqThoracic Surgery and Lung Transplant, Lung Health Centre, Organ Transplant Center of Excellence (OTCoE), King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Marco NardiniDepartment of Thoracic Surgery, St. James's University Hospital, Leeds, UK.
Marcello Carlo AmbrogiDepartment for Surgical, Medical, Molecular Pathology and Critical Care, University of Pisa, Pisa, Italy.
Marco LucchiDepartment for Surgical, Medical, Molecular Pathology and Critical Care, University of Pisa, Pisa, Italy.
Hassan RobaidiCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Waleed SalehCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Khaled AlKattanCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Marcello MiglioreCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia mmiglior@hotmail.com.ORCID https://orcid.org/0000-0002-6272-8983

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPleural malignancies pose a significant clinical challenge due to their poor prognosis and limited treatment options. Hyperthermic intrathoracic chemotherapy (HITHOC) is an emerging modality that has shown promise in treating primary pleural cancers when used with cytoreductive surgery (CRS), but its efficacy in treating pleural malignancies other than mesothelioma remains underexplored. This review aims to evaluate recent advancements in HITHOC use for nonmesothelioma pleural cancers and provide insights into its potential clinical applications.

methodsA comprehensive Boolean search was conducted using PubMed/Medline and Google Scholar to identify relevant studies on the use of HITHOC for nonmesothelioma pleural cancers. Studies exclusively focused on pleural mesothelioma were excluded. Findings were summarised to address key questions regarding HITHOC's effectiveness, integration with other therapies and obstacles to its broader use.

resultsHITHOC, when combined with CRS, could prolong overall and progression-free survival and reduce complication and mortality rates in patients with advanced pleural cancers. Advances in chemo-immunotherapy, the evolution of minimally invasive techniques and the emergence of precision surgery hold significant promise in the treatment of pleural malignancies.

conclusionGiven the challenges associated with HITHOC, including protocol variability and technical complexity, future research using larger, multinational datasets is essential to support its broader application and to identify patient-specific characteristics that enhance its efficacy in treating pleural cancers.

Indexed as

Cytoreduction Surgical ProceduresHyperthermia, InducedPleural NeoplasmsHumansProgression-Free SurvivalRisk FactorsTreatment Outcome

Identifiers

PMID41708120
PMCPMC12914381

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.