Wu 2002.
Methods | Randomised controlled trial (1989 to 1995) | |
Participants | Individuals with pathologically confirmed NSCLC, cTNM stage I‐IIIA, age <71 Patients with stage IIIB and IV cancer after re‐staging from resection were excluded after randomisation as were those with incomplete resection and cancer other than NSCLC (total exclusions =61) | |
Interventions | Intervention group: lung resection plus systematic nodal dissection. Control group: Lung resection plus mediastinal lymph node sampling (hilar lymph node dissection, mediastinotomy & nodes of stations 1‐9 were explored, nodes of station 7 were routinely removed) | |
Outcomes | Surgical mortality. Overall survival (5 years). Proportion of participants experiencing tumour recurrence. | |
Notes | C‐factor staging C4 (after thoracotomy) Pathological stages were classified using the 1997 UICC revisions of the international system for staging lung cancer (Mountain 1997) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Low risk | Information not reported. After contacting study authors, sequence generation was reclassified as adequate (computer generated) |
Allocation concealment? | Low risk | Information not reported. After contacting study authors, concealment of allocation was reclassified as adequate |
Blinding? All outcomes | Unclear risk | None described |
Incomplete outcome data addressed? All outcomes | Low risk | Description of withdrawals and losses to follow up were adequate (There were six cases lost to follow‐up and the rate of lost to follow‐up was 1.88%) |
NSCLC = non‐small cell lung cancer FEV1= Forced expiratory volume in 1 second; FVC = Forced vital capicity; MMEFR= maximum midexpiratory flow rate; MVV= maximum voluntary ventilation SS = systematic sampling CMLND = complete mediastinal lymph node dissection