ArticleTherapeutic advances in medical oncology2026
Real-world analysis of perioperative strategies for driver gene-positive resectable non-small cell lung cancer.
Article in Therapeutic advances in medical oncology, 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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15 authors.
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Abstract
Background: The optimal perioperative treatment strategy for driver gene-positive non-small cell lung cancer (NSCLC) remains unclear. Objectives: To compare the prognostic outcomes of different perioperative strategies for patients with resectable driver gene-positive NSCLC. Design: Multicenter retrospective observational cohort study. Methods: We retrospectively evaluated patients with resectable AJCC 8th clinical stage II-IIIB driver gene-positive NSCLC who underwent neoadjuvant therapy or upfront surgery with adjuvant targeted therapy (US + ATT) at two institutions between 2021 and 2023. Treatment was classified as neoadjuvant targeted therapy (NTT), neoadjuvant chemoimmunotherapy (NCIT), neoadjuvant chemotherapy (NCT), or US + ATT. The primary endpoints were event-free survival (EFS) and overall survival (OS). Survival was estimated using the Kaplan-Meier method and compared with the log-rank test. Results: In total, 290 patients were included; the median follow-up was 31.2 months. Compared with NCT, NCIT was associated with longer EFS ( Conclusion: NCIT was associated with improved EFS in resectable driver gene-positive NSCLC, although a corresponding OS improvement was not observed. NTT + chemotherapy may offer better prognosis than NCT alone in EGFR‑mutant NSCLC.
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