Evidence map›Paper›PMID 42306711›Full record

ArticleJournal of thoracic disease2026

Perioperative fatigue after lung resection for pulmonary nodules and early-stage lung cancer: a systematic review and meta-analysis.

Shangqing Xu, Yan Sun, Kexin Ma, Xiaoyan Han, Yu Gu, Hongying Jin, Xiaoli Ma, Diego Gonzalez-Rivas, Minjie Ma

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Shangqing XuDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0009-0003-9797-3270
Yan SunDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0009-0003-9797-3270
Kexin MaThe First Clinical Medical College of Lanzhou University, Lanzhou, China.
Xiaoyan HanDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0009-0007-6727-0100
Yu GuThe First Clinical Medical College of Lanzhou University, Lanzhou, China.
Hongying JinDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0009-0001-2573-4452
Xiaoli MaDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0009-0003-8414-0413
Diego Gonzalez-RivasDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, China.
Minjie MaDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0000-0002-5570-1360

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fatigue is among the most common and function-limiting symptoms after lung resection, yet reported rates differ substantially because studies apply different instruments, thresholds, and assessment time points. This study aimed to synthesize the prevalence, time course, and correlations of postoperative fatigue following lung resection for pulmonary nodules/early-stage lung cancer. Methods: We searched PubMed/PubMed Central (PMC) and screened reference lists of relevant reviews and included studies from inception to January 15, 2026 and screened reference lists. Observational studies and trials reporting postoperative fatigue after lung resection were eligible. The primary quantitative outcome was the prevalence of clinically significant (moderate-to-severe) fatigue defined by validated cutoffs on 0-10 symptom scales [typically ≥4/10, a widely accepted threshold for moderate-to-severe symptoms in oncology; Patient Subjective Assessment-Lung (PSA-Lung) fatigue >3]. We performed random-effects meta-analysis on the logit scale and conducted prespecified subgroup analyses by time window (perioperative ≤1 month Results: Eleven studies (n=2,618 participants) met inclusion criteria; five studies provided extractable dichotomous data for clinically significant fatigue for meta-analysis. The pooled prevalence of clinically significant fatigue was 19.6% [95% confidence interval (CI): 11.6-31.3%; I Conclusions: Available evidence suggests that approximately one in five patients may experience clinically significant fatigue after lung resection, and persistence beyond 1 year is common. Standardized measurement (instrument and cutoff), consistent assessment windows, and fatigue-specific perioperative pathways are needed. Interpretation is limited by the small number of studies with extractable dichotomous data and by heterogeneity.

Indexed as

early-stage lung cancerlung resectionmeta-analysisPerioperative fatiguethoracic surgery

Identifiers

PMID42306711
PMCPMC13266890

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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.