Evidence map›Paper›PMID 36900175›Full record

ArticleCancers2023

Association of Computed Tomography Measures of Muscle and Adipose Tissue and Progressive Changes throughout Treatment with Clinical Endpoints in Patients with Advanced Lung Cancer Treated with Immune Checkpoint Inhibitors.

Azim Khan, Christopher J Welman, Afaf Abed, Susan O'Hanlon, Andrew Redfern, Sara Azim, Pedro Lopez, Favil Singh, Adnan Khattak

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In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
  5. Article
  6. Body composition alterations in patients with lung cancer.American journal of physiology. Cell physiology · 2025
    Review
  7. Review
  8. Article
  9. 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

9 authors.

Azim KhanNortham Regional Hospital, Northam, WA 6401, Australia.
Christopher J WelmanDepartment of Medical Imaging, Fiona Stanley Hospital, Perth, WA 6150, Australia.ORCID 0000-0003-1030-940X
Afaf AbedPeel Health Campus, Mandurah, WA 6210, Australia.ORCID 0000-0001-7506-3362
Susan O'HanlonDepartment of Medical Imaging, Fiona Stanley Hospital, Perth, WA 6150, Australia.
Andrew RedfernDepartment of Medical Oncology, Fiona Stanley Hospital, Murdoch, WA 6150, Australia.
Sara AzimFiona Stanley Hospital, Murdoch, WA 6150, Australia.
Pedro LopezExercise Medicine Research Institute, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0002-3897-667X
Favil SinghExercise Medicine Research Institute, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0002-4876-2990
Adnan KhattakFiona Stanley Hospital, Murdoch, WA 6150, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the association between skeletal muscle mass and adiposity measures with disease-free progression (DFS) and overall survival (OS) in patients with advanced lung cancer receiving immunotherapy, we retrospectively analysed 97 patients (age: 67.5 ± 10.2 years) with lung cancer who were treated with immunotherapy between March 2014 and June 2019. From computed tomography scans, we assessed the radiological measures of skeletal muscle mass, and intramuscular, subcutaneous and visceral adipose tissue at the third lumbar vertebra. Patients were divided into two groups based on specific or median values at baseline and changes throughout treatment. A total number of 96 patients (99.0%) had disease progression (median of 11.3 months) and died (median of 15.4 months) during follow-up. Increases of 10% in intramuscular adipose tissue were significantly associated with DFS (HR: 0.60, 95% CI: 0.38 to 0.95) and OS (HR: 0.60, 95% CI: 0.37 to 0.95), while increases of 10% in subcutaneous adipose tissue were associated with DFS (HR: 0.59, 95% CI: 0.36 to 0.95). These results indicate that, although muscle mass and visceral adipose tissue were not associated with DFS or OS, changes in intramuscular and subcutaneous adipose tissue can predict immunotherapy clinical outcomes in patients with advanced lung cancer.

Indexed as

cancerfat massimmunotherapymuscle massoverall survival

Identifiers

PMID36900175
PMCPMC10000131

What Socratic holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read46
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 Socratic graph.