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2. Surgical decision-making in advanced-stage non–small cell lung cancer is influenced by more than just guidelines

Author

Peng, Terrance, Farias, Albert J, Shemanski, Kimberly A, Kim, Anthony W, Wightman, Sean C, Atay, Scott M, Canter, Robert J, and David, Elizabeth A

Subjects
Biomedical and Clinical Sciences, Health Services and Systems, Health Sciences, Clinical Sciences, Oncology and Carcinogenesis, Patient Safety, Cancer, Lung Cancer, Lung, Clinical Research, 6.4 Surgery, Management of diseases and conditions, Evaluation of treatments and therapeutic interventions, 7.1 Individual care needs, 7.3 Management and decision making, NSCLC, non–small cell lung cancer, ThORN, Thoracic Surgery Outcomes Research Network, disparities, multidisciplinary, qualitative, surgical decision-making
Abstract

ObjectiveThis qualitative study sought to uncover factors that influence decisions to offer curative-intent surgery for patients with advanced-stage (stage IIIB/IV) non-small cell lung cancer.MethodsA trained interviewer conducted open-ended, semistructured telephone interviews with cardiothoracic surgeons in the United States. Participants were recruited from the Thoracic Surgery Outcomes Research Network, with subsequent diversification through snowball sampling. Four hypothetical clinical scenarios were presented, each demonstrating varying levels of ambiguity with respect to international guideline recommendations. Interviews continued until thematic saturation was reached. Interview transcripts were coded using inductive reasoning and conventional content analysis.ResultsOf the 27 participants, most had been in practice for ≤20 years (n = 23) and were in academic practice (n = 18). When considering nonguideline-concordant surgeries, participants were aware of relevant guidelines but acknowledged their limitations for unique scenarios. Surgeons perceived that a common barrier to offering surgery is incomplete nonsurgeon physician understanding of surgical capabilities or expected morbidity; and that improved education is necessary to correct these misperceptions. Surgeons expressed concern that undertaking a controversial resection for an individual patient could fracture trust built in long-term professional relationships. Surgeons may face pressure from patients to operate despite a low expectation of clinical benefit, leading to emotional turmoil for the patient and surgeon.ConclusionsThis qualitative study generates the hypothesis that the scope of current guidelines, availability of clinical trial protocols, perceived surgical knowledge among nonsurgeon colleagues, interprofessional relationships, and emotional pressure all influence a surgeon's willingness to offer curative-intent surgery for patients with advanced-stage non-small cell lung cancer.

Published
2022

30. Predictors of staging accuracy, pathologic nodal involvement, and overall survival for cT2N0 carcinoma of the esophagus

Author

Atay, Scott M., Correa, Arlene, Hofstetter, Wayne L., Swisher, Stephen G., Ajani, Jaffer, Altorki, Nassar K., Blackmon, Shanda H., Blackstone, Eugene H., Rice, Thomas W., Crabtree, Traves D., D'Amico, Thomas A., Darling, Gail E., DeMeester, Steven R., DeMeester, Thomas R., Worrell, Stephanie G., Ferri, Lorenzo E., Gaissert, Henning A., Krasna, Mark J., Lerut, Antoon, Nafteux, Phillippe, Moons, Johnny, Little, Alex G., Low, Donald E., Carrott, Phillip W., Schmidt, Henner M., Miller, Daniel, Nason, Katie S., Luketich, James D., Orringer, Mark B., Chang, Andrew C., Rizk, Nabil P., Salo, Jarmo A., Schneider, Paul M., Smithers, Bernard Mark, Vallböhmer, Daniel, van Lanschot, J.J., Varghese, Thomas K., Watson, Tom J., Peters, Jeff H., and Yang, Stephen C.

Published
2019
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40. Supplementary Figure S5 from Mithramycin Depletes Specificity Protein 1 and Activates p53 to Mediate Senescence and Apoptosis of Malignant Pleural Mesothelioma Cells

Author

Rao, Mahadev, primary, Atay, Scott M., primary, Shukla, Vivek, primary, Hong, Young, primary, Upham, Trevor, primary, Ripley, R. Taylor, primary, Hong, Julie A., primary, Zhang, Mary, primary, Reardon, Emily, primary, Fetsch, Patricia, primary, Miettinen, Markku, primary, Li, Xinmin, primary, Peer, Cody J., primary, Sissung, Tristan, primary, Figg, William D., primary, De Rienzo, Assunta, primary, Bueno, Raphael, primary, and Schrump, David S., primary

Published
2023
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41. Supplementary Table S1 from Mithramycin Depletes Specificity Protein 1 and Activates p53 to Mediate Senescence and Apoptosis of Malignant Pleural Mesothelioma Cells

Author

Rao, Mahadev, primary, Atay, Scott M., primary, Shukla, Vivek, primary, Hong, Young, primary, Upham, Trevor, primary, Ripley, R. Taylor, primary, Hong, Julie A., primary, Zhang, Mary, primary, Reardon, Emily, primary, Fetsch, Patricia, primary, Miettinen, Markku, primary, Li, Xinmin, primary, Peer, Cody J., primary, Sissung, Tristan, primary, Figg, William D., primary, De Rienzo, Assunta, primary, Bueno, Raphael, primary, and Schrump, David S., primary

Published
2023
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42. Supplementary Methods from Mithramycin Depletes Specificity Protein 1 and Activates p53 to Mediate Senescence and Apoptosis of Malignant Pleural Mesothelioma Cells

Author

Rao, Mahadev, primary, Atay, Scott M., primary, Shukla, Vivek, primary, Hong, Young, primary, Upham, Trevor, primary, Ripley, R. Taylor, primary, Hong, Julie A., primary, Zhang, Mary, primary, Reardon, Emily, primary, Fetsch, Patricia, primary, Miettinen, Markku, primary, Li, Xinmin, primary, Peer, Cody J., primary, Sissung, Tristan, primary, Figg, William D., primary, De Rienzo, Assunta, primary, Bueno, Raphael, primary, and Schrump, David S., primary

Published
2023
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43. Supplementary Table 2 from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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44. Supplementary Table 3 from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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45. Supplementary Figure 4 from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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46. Data from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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47. Supplementary Figure 3 from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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48. Supplementary Table 1 from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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49. Supplementary Figure 2 from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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50. Supplementary Methods from Mithramycin Represses Basal and Cigarette Smoke–Induced Expression of ABCG2 and Inhibits Stem Cell Signaling in Lung and Esophageal Cancer Cells

Author

Zhang, Mary, primary, Mathur, Aarti, primary, Zhang, Yuwei, primary, Xi, Sichuan, primary, Atay, Scott, primary, Hong, Julie A., primary, Datrice, Nicole, primary, Upham, Trevor, primary, Kemp, Clinton D., primary, Ripley, R. Taylor, primary, Wiegand, Gordon, primary, Avital, Itzak, primary, Fetsch, Patricia, primary, Mani, Haresh, primary, Zlott, Daniel, primary, Robey, Robert, primary, Bates, Susan E., primary, Li, Xinmin, primary, Rao, Mahadev, primary, and Schrump, David S., primary

Published
2023
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