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Recommendations for Standardization of Tobacco Use Treatment Data 烟草使用处理数据标准化建议。
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.09.1756
Kimberly A. Shoenbill MD, PhD , Jamie S. Ostroff PhD , Kathryn L. Taylor PhD , Ana Jafarinia MPH , Mara Minion MA , Lou-Anne Chichester MPH , Brandon Omernik MS , Marcia McCall PhD, MBA , Sophia Yeung MHA , Kara Wiseman PhD, MPH , Li-Shiun Chen MD, ScD, MPH , Ramzi G. Salloum PhD, MA, MBA , Graham Warren MD, PhD

Introduction

Although there is widespread acceptance of the importance of assessing and treating tobacco use in cancer care settings, there is much variation in the documentation and reporting of metrics relevant to tobacco treatment. The Cancer Center Cessation Initiative (C3I), as part of the National Cancer Institute’s Cancer Moonshot, convened a Metrics Standardization Workgroup to develop a data dictionary and make recommendations for standardized quality measurement, program evaluation, and tobacco treatment program development.

Methods

A multidisciplinary workgroup of 12 subject matter experts was convened to deliberate and standardize definitions for tobacco assessment and treatment utilization metrics. Decisions on which data elements to include were informed by clinical guidelines, literature reviews, and workgroup members’ expertise. Consensus was reached when all members agreed that the proposed metric was clear, clinically relevant, and could be abstracted and reported.

Results

The group considered metrics in the following categories: (1) patient identification, screening, and referral; (2) tobacco treatment process metrics; and (3) treatment outcomes. Furthermore, the group developed a tobacco screening, referral and engagement workflow, and a data library for the following terms: patient population, screening rate, tobacco use prevalence, referral rate, reach, unsuccessful reach attempts, enrollment, treatment engagement, and counseling dose. Outcome metrics (i.e., varied “quit rate” terms) were collated and defined.

Conclusions

The proposed standardized data definitions can be used to improve communication and measure effectiveness for tobacco use treatment, research, operational performance, policy, quality improvement, and guideline development.
导言:尽管人们普遍接受在癌症护理环境中评估和治疗烟草使用的重要性,但在烟草治疗相关指标的文件和报告方面存在很大差异。作为NCI癌症登月计划的一部分,癌症中心戒烟倡议(C3I)召集了一个计量标准标准化工作组,以开发一个数据字典,并为标准化质量测量、项目评估和烟草治疗项目开发提出建议。方法:召集了一个由12名主题专家组成的多学科工作组,审议和标准化烟草评估和治疗利用指标的定义。根据临床指南、文献综述和工作组成员的专业知识,决定纳入哪些数据元素。当所有成员都同意所提议的度量标准清晰、临床相关,并且可以摘要和报告时,就达成了共识。结果:该小组考虑了以下几类指标:(1)患者识别、筛查和转诊;(2)烟草治疗过程指标;(3)治疗结果。我们开发了一个烟草筛查、转诊和参与工作流程,以及以下术语的数据库:患者人数、筛查率、烟草使用流行率、转诊率、覆盖范围、不成功的覆盖尝试、登记、治疗参与和咨询剂量。结果指标(即不同的“戒烟率”术语)被整理和定义。讨论:提出的标准化数据定义可用于改善沟通和衡量烟草使用治疗、研究、业务绩效、政策、质量改进和指南制定的有效性。
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引用次数: 0
Meeting Announcements 会议公告
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/S1556-0864(25)03028-X
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引用次数: 0
Lung Cancer in Iraq 伊拉克的肺癌
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.10.017
Ahmed S.K. Al-Khafaji PhD , Fawaz Al-Alloosh MSc, MD , Haydar H. Alabedi MD , Khitam M.A. Al-Obaidi HDip Medicine , Alia H. Al-Khafaji MSc , Sima I. Ghaddar BSc , Mahmood J. Khalsan PhD , Ali S. Baay MBChB, FIBMS Medicine, FIBMS (Pulmonology) , Waleed M. Hussen MBChB, FIBMS (Th.C.V.S) , Faris H. Lami MBChB, PhD, FFPH , Mahdi Sheikh MD, PhD
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引用次数: 0
Recalibrating Immunochemoradiotherapy in NSCLC Brain Metastases: Beyond Survival to Precision and Neuroprotection 重新校准非小细胞肺癌脑转移的免疫放化疗:从生存到精确和神经保护
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.08.002
Parth Aphale PhD, Shashank Dokania BHMS, Himanshu Shekhar BHMS
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引用次数: 0
Tobacco News Update—From the IASLC Tobacco Control Committee 烟草新闻更新-来自IASLC烟草控制委员会
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.12.103
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引用次数: 0
Osimertinib Plus Savolitinib in Patients With EGFR-Mutated Advanced NSCLC With MET Alterations After First-Line Osimertinib: Clinical Outcomes, Safety, and Biomarker Analysis: A Brief Report 奥西替尼联合沙伐替尼治疗egfr突变的晚期NSCLC患者,一线奥西替尼治疗后MET改变:临床结果、安全性和生物标志物分析:简要报告
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.10.009
Xiuning Le MD , Christina Baik MD , Byoung Chul Cho MD , Jonathan W. Riess MD , Zofia Piotrowska MD, MHS , Adrianus Johannes de Langen MD , Sarah B. Goldberg MD , Jonathan W. Goldman MD , Noemi Reguart MD , Yoshimasa Shiraishi MD , Helen Ambrose PhD , Paula G. Fraenkel MD , Brayan Merchan Ruiz MD , Paul E. Smith MSc , Kwan Ho Tang PhD , Helena A. Yu MD

Introduction

The ORCHARD (NCT03944772) study was conducted to characterize resistance mechanisms and identify optimal treatments after progressive disease (PD) on first-line osimertinib. We report results from the osimertinib plus savolitinib module.

Methods

Patients with EGFR-mutated NSCLC with PD on first-line osimertinib with MET gene amplification (≥4 copies of MET over tumor ploidy) per next-generation sequencing of a post-progression biopsy received osimertinib plus savolitinib. Primary end point was investigator-assessed objective response rate (ORR). Secondary end points included progression-free survival, duration of response, overall survival, and safety. Correlation of ORR with baseline molecular alterations was an exploratory analysis.

Results

A total of 32 patients were enrolled; all had tumors with MET amplification. At primary analysis cutoff (January 2023), confirmed ORR was 47% (80% confidence interval [CI]: 34–60). Median duration of response was 14.5 months (95% CI: 5.6–18.7). Median progression-free survival was 7.6 months (95% CI: 3.2–15.9). There was a trend toward increased ORR in patients with high MET gene copy number (≥10 versus <10). Furthermore, 14 patients (44%) had grade 3 or higher treatment-emergent adverse events; most often pneumonia (n = 3; 9%). At final database lock (May 2024), 20 patients (63%) had died; median overall survival was 20.7 months (95% CI: 9.9–34.8).

Conclusions

Osimertinib plus savolitinib demonstrated encouraging clinical benefit in patients with EGFR-mutated advanced NSCLC and MET amplification after PD on first-line osimertinib. Safety was consistent with profiles of the individual drugs.
ORCHARD (NCT03944772)研究旨在表征进展性疾病(PD)后一线奥西替尼的耐药机制并确定最佳治疗方案。我们报告了奥希替尼加萨沃替尼模块的结果。方法:表皮生长因子受体(EGFR)突变的非小细胞肺癌(NSCLC)伴PD患者接受一线奥西替尼治疗,MET基因扩增(≥4拷贝肿瘤倍体),每一代进展后活检测序接受奥西替尼加萨伐利替尼治疗。主要终点是研究者评估的客观缓解率(ORR)。次要终点包括无进展生存期(PFS)、反应持续时间(DoR)和总生存期(OS)以及安全性。ORR与基线分子改变的相关性是一种探索性分析。结果:32例患者入组;都有MET扩增的肿瘤。在初步分析截止日期(2023年1月),确认的ORR为47%(80%置信区间[CI]: 35-60)。中位DoR为14.5个月(95% CI: 5.6-18.7)。中位PFS为7.6个月(95% CI: 3.2-15.9)。高MET基因拷贝数(≥10)患者的ORR有增加的趋势。结论:对于egfr突变的晚期NSCLC患者和一线奥西替尼PD后MET扩增的患者,奥西替尼加沙伐替尼显示出令人鼓舞的临床益处。安全性与单个药物的概况一致。
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引用次数: 0
A Game-Changing 20 Years: Progress and Future Directions in Lung Cancer Screening 改变游戏规则的20年:肺癌筛查的进展和未来方向
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.11.017
Stephen Lam MD, FRCPC , David R. Baldwin MD, FRCP , Anand Devaraj MD , John Field PhD, FRCPath. , Claudia I. Henschke MD, PhD , Marjolein A. Heuvelmans MD, PhD , Rudolf M. Huber MD, PhD , Catherine Jones M.B.B.S., FRCR , Andrea Borondy-Kitts MS, MPH , Molly Siu Ching Li M.B.B.S., FHKAM , Renelle Myers MD, FRCPC , Raymond U. Osarogiagbon M.B.B.S., FACP , Hilary A. Robbins PhD , Martin C. Tammemägi DVM, MSc, PhD , Kathryn L. Taylor PhD , Natthaya Triphuridet MD, PhD , Randi M. Williams PhD, MPH , David Yankelevitz MD
In the past two decades, lung cancer screening (LCS) with low-dose computed tomography (LDCT) has emerged as one of the most effective strategies for reducing lung cancer mortality. Landmark trials, including NLST and NELSON, demonstrated mortality reductions exceeding 20%, establishing LDCT as the standard of care for early detection in high-risk populations. Currently, 13 countries have implemented national or regional LCS programs, with additional nations preparing for rollout. Advances in risk-prediction models, volumetric nodule assessment, and structured management protocols have improved precision and efficiency. Integration of artificial intelligence is enhancing nodule detection, prediction of malignancy risk, individualized screening intervals, and workflow optimization. Real-world evidence confirms improved stage distribution and suggests reduction in lung cancer mortality. Initiatives such as promoting community engagement, equitable access through geospatial mapping, and mobile screening will improve screening uptake and retention. Embedding tobacco dependence treatment within LCS further augments life-years gained. Complementary incidental pulmonary-nodule programs and expanding studies in people who have never smoked are extending the reach of early detection, whereas biomarker research is progressing toward integration with imaging-based screening. The potential to use LDCT scans to detect coronary heart disease and chronic obstructive pulmonary disease may have a major impact on future health care benefits. Ongoing efforts to harmonize data collection standards, establish quality indicators, and strengthen workforce training are essential to sustain high-quality implementation. As LCS evolves into a cornerstone of lung cancer control, continued innovation in risk stratification, imaging technologies, and biomarker integration will be key to maximizing global benefit and equity.
在过去的二十年中,使用低剂量计算机断层扫描(LDCT)进行肺癌筛查(LCS)已成为降低肺癌死亡率的最有效策略之一。包括NLST和NELSON在内的具有里程碑意义的试验表明,死亡率降低了20%以上,使LDCT成为高危人群早期发现的护理标准。目前,已有13个国家实施了国家或地区LCS计划,还有一些国家正在准备推出。风险预测模型、体积结节评估和结构化管理协议的进步提高了精度和效率。人工智能的集成正在增强结节检测、恶性肿瘤风险预测、个性化筛查间隔和工作流程优化。实际证据证实了分期分布的改善,并表明肺癌死亡率降低。促进社区参与、通过地理空间测绘公平获取和移动筛查等举措将改善筛查的吸收和保留。将烟草依赖治疗纳入LCS可进一步延长获得的生命年。辅助性偶发肺结节项目和扩大对从未吸烟人群的研究正在扩大早期检测的范围,而生物标志物研究正朝着与基于成像的筛查相结合的方向发展。使用LDCT扫描检测冠心病和慢性阻塞性肺疾病的潜力可能对未来的医疗保健效益产生重大影响。协调数据收集标准、建立质量指标和加强劳动力培训的持续努力对于保持高质量的实施至关重要。随着LCS发展成为肺癌控制的基石,风险分层、成像技术和生物标志物整合方面的持续创新将是最大化全球利益和公平的关键。
{"title":"A Game-Changing 20 Years: Progress and Future Directions in Lung Cancer Screening","authors":"Stephen Lam MD, FRCPC ,&nbsp;David R. Baldwin MD, FRCP ,&nbsp;Anand Devaraj MD ,&nbsp;John Field PhD, FRCPath. ,&nbsp;Claudia I. Henschke MD, PhD ,&nbsp;Marjolein A. Heuvelmans MD, PhD ,&nbsp;Rudolf M. Huber MD, PhD ,&nbsp;Catherine Jones M.B.B.S., FRCR ,&nbsp;Andrea Borondy-Kitts MS, MPH ,&nbsp;Molly Siu Ching Li M.B.B.S., FHKAM ,&nbsp;Renelle Myers MD, FRCPC ,&nbsp;Raymond U. Osarogiagbon M.B.B.S., FACP ,&nbsp;Hilary A. Robbins PhD ,&nbsp;Martin C. Tammemägi DVM, MSc, PhD ,&nbsp;Kathryn L. Taylor PhD ,&nbsp;Natthaya Triphuridet MD, PhD ,&nbsp;Randi M. Williams PhD, MPH ,&nbsp;David Yankelevitz MD","doi":"10.1016/j.jtho.2025.11.017","DOIUrl":"10.1016/j.jtho.2025.11.017","url":null,"abstract":"<div><div>In the past two decades, lung cancer screening (LCS) with low-dose computed tomography (LDCT) has emerged as one of the most effective strategies for reducing lung cancer mortality. Landmark trials, including NLST and NELSON, demonstrated mortality reductions exceeding 20%, establishing LDCT as the standard of care for early detection in high-risk populations. Currently, 13 countries have implemented national or regional LCS programs, with additional nations preparing for rollout. Advances in risk-prediction models, volumetric nodule assessment, and structured management protocols have improved precision and efficiency. Integration of artificial intelligence is enhancing nodule detection, prediction of malignancy risk, individualized screening intervals, and workflow optimization. Real-world evidence confirms improved stage distribution and suggests reduction in lung cancer mortality. Initiatives such as promoting community engagement, equitable access through geospatial mapping, and mobile screening will improve screening uptake and retention. Embedding tobacco dependence treatment within LCS further augments life-years gained. Complementary incidental pulmonary-nodule programs and expanding studies in people who have never smoked are extending the reach of early detection, whereas biomarker research is progressing toward integration with imaging-based screening. The potential to use LDCT scans to detect coronary heart disease and chronic obstructive pulmonary disease may have a major impact on future health care benefits. Ongoing efforts to harmonize data collection standards, establish quality indicators, and strengthen workforce training are essential to sustain high-quality implementation. As LCS evolves into a cornerstone of lung cancer control, continued innovation in risk stratification, imaging technologies, and biomarker integration will be key to maximizing global benefit and equity.</div></div>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":"21 2","pages":"Pages 235-252"},"PeriodicalIF":20.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146102871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resolving the Staging Dilemma in Multiple Lung Cancers: A Prevalence-Weighted Bioinformatic Approach to the 2024 IASLC Recommendations 解决多种肺癌的分期困境:2024年IASLC建议的流行加权生物信息学方法
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.11.015
Wei-Chin Chang MD, PhD , Teh-Ying Chou MD, PhD
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引用次数: 0
Screening-Detected Versus Interval Lung Cancer in the Biennial Korean National Lung Cancer Screening Program: Proportion, Characteristics, and Mortality 在两年一次的韩国国家肺癌筛查项目中,筛查检测到的肺癌与间隔期肺癌:比例、特征和死亡率。
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.08.024
Hyungjin Kim MD, PhD , Eunseo Jo BA , Jinseob Kim MD , Seung Hun Jang MD, PhD , Joo Sung Sun MD , Gong Yong Jin MD, PhD , Hyae Young Kim MD, PhD , Yeol Kim MD, PhD , Jin Mo Goo MD, PhD

Introduction

Interval lung cancers (ILCs) are key indicators of lung cancer screening (LCS) performance. However, data on the proportion, characteristics, and mortality of ILCs under biennial screening in Asian populations remain limited.

Methods

We analyzed participants from the baseline biennial Korean national LCS program between 2019 and 2020. Screening-detected lung cancers (SLCs) were defined as those diagnosed within 1 year of a positive screening result. ILCs were defined as cancers diagnosed more than 1 year after a negative screening result but within 2 years or before the next screening. Risk factors for ILC were assessed using multivariable logistic regression among participants with a negative screening result. All-cause mortality was compared between SLCs and ILCs using multivariable Cox regression analysis.

Results

Among 124,595 participants, SLCs and ILCs occurred in 0.56% and 0.17%, respectively. ILCs accounted for 18.5% of all lung cancers within 2 years; 65.4% were in Lung-RADS category 1. Risk factors for ILC included older age (adjusted odds ratio [OR], 1.14; 95% confidence interval [CI]: 1.11–1.17; p < 0.001), greater smoking exposure (adjusted OR, 1.010; 95% CI: 1.004–1.016; p = 0.002), a history of malignancy (adjusted OR, 2.22; 95% CI: 1.41–3.51; p < 0.001), emphysema (adjusted OR, 2.88; 95% CI: 2.15–3.85; p < 0.001), and interstitial lung abnormalities (adjusted OR, 4.16; 95% CI: 2.88–6.01; p < 0.001). ILCs had higher all-cause mortality than SLCs (adjusted hazard ratio, 1.43; 95% CI: 1.13–1.80; p = 0.002).

Conclusions

ILCs are common under biennial LCS, making them potentially suboptimal for Asian heavy smokers.
间隔期肺癌(ILCs)是肺癌筛查(LCS)绩效的关键指标。然而,在亚洲人群中,两年一次筛查的ILCs的比例、特征和死亡率数据仍然有限。方法:我们分析了2019年至2020年两年一次的基线韩国国家LCS计划的参与者。筛查检测到的肺癌(SLCs)定义为筛查结果阳性后1年内确诊的肺癌。ILCs被定义为在筛查结果阴性后1年以上但在2年内或下次筛查前诊断出的癌症。在筛查结果为阴性的参与者中,使用多变量逻辑回归评估ILC的危险因素。采用多变量Cox回归分析比较SLCs和ILCs的全因死亡率。结果:124,595名参与者中,SLCs和ILCs的发生率分别为0.56%和0.17%。2年内ILCs占所有肺癌的18.5%;65.4%为肺- rads 1类。ILC的危险因素包括年龄较大(调整后的优势比[OR], 1.14; 95% CI: 1.11-1.17);结论:ILC在两年一次的LCS中很常见,这使得它可能不适合亚洲的重度吸烟者。
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引用次数: 0
Corrigendum to ‘Impact of concurrent genomic alterations on clinical outcomes in patients with ALK-rearranged non-small cell lung cancer’ [Journal of Thoracic Oncology, Volume 19 Issue 1 (2024) 119-129] “并发基因组改变对alk重排非小细胞肺癌患者临床结果的影响”的更正[Journal of Thoracic Oncology, vol . 19 Issue 1(2024) 119-129]。
IF 20.8 1区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 DOI: 10.1016/j.jtho.2025.10.004
Luis Lara-Mejía MD, MHSc , Andres F. Cardona MD, PhD , Luis Mas MD , Claudio Martin MD , Suraj Samtani MD , Luis Corrales MD , Graciela Cruz-Rico PhD , Jordi Remon MD , Marco Galvez-Nino MD , Rossana Ruiz MD , Eduardo Rios-Garcia MD, MSc , Fernanda Tejada MD , Natalia Lozano-Vazquez MD , Rafael Rosell MD, PhD , Oscar Arrieta MD, MSc
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引用次数: 0
期刊
Journal of Thoracic Oncology
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