Visual analysis of research hotspots and trends related to lung cancer patient management based on patient-reported outcomes_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LU Yitong ^1,2 , SUN Yuxin ¹ , MENG Fanmao ² , ZHAO Liang ² , ZHANG Guochao ² , CHE Yun ² , REN Na ² ,  SUN Xin ² ,  TIAN Yu ¹

1. School of Public Health, Capital Medical University, Beijing, 100069, P. R. China;
2. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, P. R. China;

Corresponding author：

SUN Xin, Email: sunxin@cicams.ac.cn; TIAN Yu, Email: yutian@ccmu.edu.cn

Keywords：

Lung cancer; patient-reported outcome; management; CiteSpace; visual analysis

DOI：

10.7507/1007-4848.202403047

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To comprehensively analyze the research trends in the reported outcomes for lung cancer patients and related management, reveal research hotspots and trends, and provide references for future related research. Methods We searched for relevant literature in the Web of Science core collection, PubMed, and Scopus databases from inception to December 31, 2023. CiteSpace bibliometric software was used to analyze the distribution of authors, countries and regions, research institutions, keyword co-occurrence, keyword burst, and to generate keyword clusters and timeline analysis maps. Results A total of 478 qualified publications were included, and the number of published papers showed an overall upward trend. The highest number of articles was published in the United States. The journal with the highest number of articles was Journal of Pain and Symptom Management, and the journal with the highest citation frequency was Journal of Clinical Oncology. The results of keyword burst analysis showed that hot topics mainly focused on areas such as prospective study, physical activity, exercise, vomiting, survival. Conclusion Although the research on lung cancer surgical treatment and the management of patients is developing rapidly, the application of management based on reported outcomes of lung cancer patients is still at a nascent stage, and needs to be continuously improved in clinical research and practice. The establishment of relevant assessment systems needs to be improved. In the future, more researchers need to focus on this area, strengthen multi-regional and multi-institutional collaborations, and accelerate research progress in the management of reported outcomes in lung cancer patients.

Citation： LU Yitong, SUN Yuxin, MENG Fanmao, ZHAO Liang, ZHANG Guochao, CHE Yun, REN Na, SUN Xin, TIAN Yu. Visual analysis of research hotspots and trends related to lung cancer patient management based on patient-reported outcomes. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(9): 1318-1327. doi: 10.7507/1007-4848.202403047 Copy

1.	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2.	Xia C, Dong X, Li H, et al. Cancer statistics in China and United States, 2022: profiles, trends, and determinants. Chin Med J (Engl), 2022, 135(5): 584-590.
3.	张崎, 戴维, 魏星, 等. 患者报告结局量表在肺癌外科的应用现状. 中国胸心血管外科临床杂志. 2024, 31(4): 606-612.Zhang Q, Dai W, Wei X, et al. Application status of patient-reported outcome scale in lung cancer surgery. Chin J Clin Thorac Cardiovasc Surg, 2024, 31(4): 606-612.
4.	Patrick DL, Burke LB, Powers JH, et al. Patient-reported outcomes to support medical product labeling claims: FDA perspective. Value in Health, 2010, 10(S2): S125-S137.
5.	关佳瑞, 张彭, 谢洋. 肺癌患者报告结局测评工具的研究近况与思考. 世界中医药, 2022, 17(17): 2490-2495.Guan JR, Zhang P, Xie Y. Status quo and consideration of patient-reported outcome measurements for lung cance. World Chin Med, 2022, 17(17): 2490-2495.
6.	Calvert M, Kyte D, Price G, et al. Maximising the impact of patient reported outcome assessment for patients and society. BMJ, 2019, 364: k5267.
7.	戴维, 石丘玲, 李强, 等. 基于患者报告结局的症状管理在肺癌外科的应用现状. 中国胸心血管外科临床杂志, 2020, 27(10): 1228-1234.Dai W, Shi QL, Li Q, et al. Application status of patient-reported outcome-based symptom management in lung cancer surgery. Chin J Clin Thorac Cardiovasc Surg, 2020, 27(10): 1228-1234.
8.	张婷, 查震球, 魏东华, 等. 基于CiteSpace的中美肺癌筛查研究现状及热点分析. 中华肿瘤防治杂志, 2023, 30(13): 812-819.Zhang T, Zha ZQ, Wei DH, et al. Current status and hotspot analysis of CiteSpace-based lung cancerscreening research in China and the United States. Chin J Cancer Prev Treat, 2023, 30(13): 812-819.
9.	梁依敏, 梁文心, 杨鑫龙, 等. 基于CiteSpace和VOSviewer的国内近30年来中医药治疗胃癌前病变研究的文献计量学分析. 时珍国医国药, 2022, 33(3): 752-755.Liang YM, Liang WX, Yang XL, et al. A bibliometric analysis of Chinese medicine in the treatment of precancerous lesions of gastric cancer in recent 30 years based on CiteSpace and VosViewer software. Lishizhen Med Materia Medica Res, 2022, 33(3): 752-755.
10.	王松, 杨涛, 胡孔法. 基于CiteSpace的中医药治疗肺癌知识图谱可视化分析. 世界科学技术-中医药现代化, 2020, 22(10): 3549-3557.Wang S, Yang T, Hu KF. Knowledge mapping visualization analysis of traditional chinese medicine in lung cancer treatment based on CiteSpace. Modern Trad Chin Med Materia Medica-World Sci Technol, 2020, 22(10): 3549-3557.
11.	陈大洋, 宗曾艳, 熊丹, 等. 基于CiteSpace的鼻咽癌研究文献计量学分析. 肿瘤防治研究, 2020, 47(8): 596-599.Chen DY, Zong ZY, Xiong D, et al. Bibliometric analysis of nasopharyngeal carcinoma based on CiteSpace. Cancer Res Prev Treat, 2020, 47(8): 596-599.
12.	毛彬, 罗楚红, 曾媛, 等. 2013—2023年儿童糖尿病研究热点与趋势的文献计量学分析. 中国儿童保健杂志, 2024, 32(5): 552-558.Mao B, Luo CH, Zeng Y, et al. Bibliometric analysis on pediatric hotspots and trends of childhood diabetes from 2013 to 2023. Chin J Child Health Care, 2024, 32(5): 552-558.
13.	韦妮娜, 徐曼曼, 潘菊华, 等. 基于CiteSpace脑白质病的相关文献分析. 中国医药导报, 2020, 17(17): 9-14, 20.Wei NN, Xu MM, Pan JH, et al. Analysis of related literature based on CiteSpace leukoencephalopathy. China Med Herald, 2020, 17(17): 9-14, 20.
14.	卢羽彤, 袁圳伟, 张彦芳, 等. 基于CiteSpace的肺癌术后康复研究热点及前沿分析. 护理研究, 2021, 35(16): 2846-2851.Lu YT, Yuan ZW, Zhang YF, et al. Analysis of hotspots and frontiers of postoperative lung cancer rehabilitation research based on CiteSpace. Chin Nurs Res, 2021, 35(16): 2846-2851.
15.	王东军, 张颖, 关媛媛, 等. 基于Citespace的国内肿瘤舌象研究可视化分析(2001-2020年). 世界科学技术-中医药现代化, 2022, 24(2): 463-472.Wang DJ, Zang Y, Guan YY, et al. Visualization analysis of tongue manifestation studies in cancer patients in China based on CiteSpace (2001-2020). Modern Trad Chin Med Materia Medica-World Sci Technol, 2022, 24(2): 463-472.
16.	石丘玲, 王旭. 基于患者报告结局的症状监测在药物警戒中的应用前景及方法学考量. 中国医药导刊, 2023, 25(12): 1194-1199.Shi QL, Wang X. Prospects and methodological considerations of PRO-based symptom monitoring for pharmacovigilance. Chin J Med Guide, 2023, 25(12): 1194-1199.
17.	沈诚, 李珏, 李鹏飞, 等. 加速康复外科评价指标: 病人报告结局在胸外科的临床应用现状与进展. 中国肺癌杂志, 2019, 22(3): 161-166.Shen C, Li J, Li PF, et al. Evaluation index of enhanced recovery after surgery: status and progress of patient report outcomes in thoracic surgery. Chin J Lung Cancer, 2019, 22(3): 161-166.
18.	李华艳, 樊榕榕. 肺癌患者报告结局工具及应用研究进展. 护士进修杂志, 2021, 36(12): 1124-1128.Li HY, Fan RR. A review of literature on patient-reported outcome measures for lung cancer. J Nurs Train, 2021, 36(12): 1124-1128.
19.	陶继华, 杨明莹, 刘玉芹, 等. 基于CiteSpace国内患者报告结局可视化分析. 全科护理, 2023, 21(27): 3751-3754.Tao JH, Yang MY, Liu YQ, et al. Patient-reported outcomes in China based on CiteSpace: a visual analysis. Chin Gen Prac Nurs, 2023, 21(27): 3751-3754.
20.	成磊, 袁长蓉. 科学视角下患者报告结局实施的研究进展. 护理学杂志, 2020, 35(24): 98-101.Cheng L, Yuan CR. Patient-reported outcome in clinical practice: current status and methodology progress from the lens of implementation science. J Nurs Sci, 2020, 35(24): 98-101.
21.	Titz C, Hummler S, Schmidt ME, et al. Exercise behavior and physical fitness in patients with advanced lung cancer. Support Care Cancer, 2018, 26(8): 2725-2736.
22.	朱虹宣, 庞建美, 孙盛楠, 等. 老年肺癌患者术后过渡期肺康复行为影响因素的质性研究. 中华护理杂志, 2024, 59(1): 15-21.Zhu HX, Pang JM, Sun SN, et al. A qualitative study of the factors of pulmonary rehabilitation behavior of elderly patients with lung cancer in the post-operative transitional period. Chin J Nurs, 2024, 59(1): 15-21.
23.	陈静, 文艳丽, 彭均伟, 等. 治疗性沟通系统干预对肺癌患者围术期心理状态、应对方式及生活质量的影响. 中国健康心理学杂志, 2023, 31(4): 509-513.Chen J, Wen YL, Peng JW, et al. Influence of therapeutic communication system intervention on perioperative mental state, coping style and quality of life of patients with lung cancer. Chin J Health Psychol, 2023, 31(4): 509-513.
24.	Dai W, Feng W, Zhang Y, et al. Patient-reported outcome-based symptom management versus usual care after lung cancer surgery: a multicenter randomized controlled trial. J Clin Oncol, 2022, 40(9): 988-996.
25.	Kneuertz PJ, Jagadesh N, Perkins A, et al. Improving patient engagement, adherence, and satisfaction in lung cancer surgery with implementation of a mobile device platform for patient reported outcomes. J Thorac Dis, 2020, 12(11): 6883-6891.
26.	郭潇雅. 聚焦肺癌术后管理新模式. 中国医院院长, 2022, 18(5): 80-81.Guo XY. Focusing on a new approach to postoperative management of lung cancer. China Hosp CEO, 2022, 18(5): 80-81.
27.	Dai W, Zhang Y, Feng W, et al. Using patient-reported outcomes to manage postoperative symptoms in patients with lung cancer: protocol for a multicentre, randomised controlled trial. BMJ Open, 2019, 9(8): e030041.

1. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2. Xia C, Dong X, Li H, et al. Cancer statistics in China and United States, 2022: profiles, trends, and determinants. Chin Med J (Engl), 2022, 135(5): 584-590.
3. 张崎, 戴维, 魏星, 等. 患者报告结局量表在肺癌外科的应用现状. 中国胸心血管外科临床杂志. 2024, 31(4): 606-612.Zhang Q, Dai W, Wei X, et al. Application status of patient-reported outcome scale in lung cancer surgery. Chin J Clin Thorac Cardiovasc Surg, 2024, 31(4): 606-612.
4. Patrick DL, Burke LB, Powers JH, et al. Patient-reported outcomes to support medical product labeling claims: FDA perspective. Value in Health, 2010, 10(S2): S125-S137.
5. 关佳瑞, 张彭, 谢洋. 肺癌患者报告结局测评工具的研究近况与思考. 世界中医药, 2022, 17(17): 2490-2495.Guan JR, Zhang P, Xie Y. Status quo and consideration of patient-reported outcome measurements for lung cance. World Chin Med, 2022, 17(17): 2490-2495.
6. Calvert M, Kyte D, Price G, et al. Maximising the impact of patient reported outcome assessment for patients and society. BMJ, 2019, 364: k5267.
7. 戴维, 石丘玲, 李强, 等. 基于患者报告结局的症状管理在肺癌外科的应用现状. 中国胸心血管外科临床杂志, 2020, 27(10): 1228-1234.Dai W, Shi QL, Li Q, et al. Application status of patient-reported outcome-based symptom management in lung cancer surgery. Chin J Clin Thorac Cardiovasc Surg, 2020, 27(10): 1228-1234.
8. 张婷, 查震球, 魏东华, 等. 基于CiteSpace的中美肺癌筛查研究现状及热点分析. 中华肿瘤防治杂志, 2023, 30(13): 812-819.Zhang T, Zha ZQ, Wei DH, et al. Current status and hotspot analysis of CiteSpace-based lung cancerscreening research in China and the United States. Chin J Cancer Prev Treat, 2023, 30(13): 812-819.
9. 梁依敏, 梁文心, 杨鑫龙, 等. 基于CiteSpace和VOSviewer的国内近30年来中医药治疗胃癌前病变研究的文献计量学分析. 时珍国医国药, 2022, 33(3): 752-755.Liang YM, Liang WX, Yang XL, et al. A bibliometric analysis of Chinese medicine in the treatment of precancerous lesions of gastric cancer in recent 30 years based on CiteSpace and VosViewer software. Lishizhen Med Materia Medica Res, 2022, 33(3): 752-755.
10. 王松, 杨涛, 胡孔法. 基于CiteSpace的中医药治疗肺癌知识图谱可视化分析. 世界科学技术-中医药现代化, 2020, 22(10): 3549-3557.Wang S, Yang T, Hu KF. Knowledge mapping visualization analysis of traditional chinese medicine in lung cancer treatment based on CiteSpace. Modern Trad Chin Med Materia Medica-World Sci Technol, 2020, 22(10): 3549-3557.
11. 陈大洋, 宗曾艳, 熊丹, 等. 基于CiteSpace的鼻咽癌研究文献计量学分析. 肿瘤防治研究, 2020, 47(8): 596-599.Chen DY, Zong ZY, Xiong D, et al. Bibliometric analysis of nasopharyngeal carcinoma based on CiteSpace. Cancer Res Prev Treat, 2020, 47(8): 596-599.
12. 毛彬, 罗楚红, 曾媛, 等. 2013—2023年儿童糖尿病研究热点与趋势的文献计量学分析. 中国儿童保健杂志, 2024, 32(5): 552-558.Mao B, Luo CH, Zeng Y, et al. Bibliometric analysis on pediatric hotspots and trends of childhood diabetes from 2013 to 2023. Chin J Child Health Care, 2024, 32(5): 552-558.
13. 韦妮娜, 徐曼曼, 潘菊华, 等. 基于CiteSpace脑白质病的相关文献分析. 中国医药导报, 2020, 17(17): 9-14, 20.Wei NN, Xu MM, Pan JH, et al. Analysis of related literature based on CiteSpace leukoencephalopathy. China Med Herald, 2020, 17(17): 9-14, 20.
14. 卢羽彤, 袁圳伟, 张彦芳, 等. 基于CiteSpace的肺癌术后康复研究热点及前沿分析. 护理研究, 2021, 35(16): 2846-2851.Lu YT, Yuan ZW, Zhang YF, et al. Analysis of hotspots and frontiers of postoperative lung cancer rehabilitation research based on CiteSpace. Chin Nurs Res, 2021, 35(16): 2846-2851.
15. 王东军, 张颖, 关媛媛, 等. 基于Citespace的国内肿瘤舌象研究可视化分析(2001-2020年). 世界科学技术-中医药现代化, 2022, 24(2): 463-472.Wang DJ, Zang Y, Guan YY, et al. Visualization analysis of tongue manifestation studies in cancer patients in China based on CiteSpace (2001-2020). Modern Trad Chin Med Materia Medica-World Sci Technol, 2022, 24(2): 463-472.
16. 石丘玲, 王旭. 基于患者报告结局的症状监测在药物警戒中的应用前景及方法学考量. 中国医药导刊, 2023, 25(12): 1194-1199.Shi QL, Wang X. Prospects and methodological considerations of PRO-based symptom monitoring for pharmacovigilance. Chin J Med Guide, 2023, 25(12): 1194-1199.
17. 沈诚, 李珏, 李鹏飞, 等. 加速康复外科评价指标: 病人报告结局在胸外科的临床应用现状与进展. 中国肺癌杂志, 2019, 22(3): 161-166.Shen C, Li J, Li PF, et al. Evaluation index of enhanced recovery after surgery: status and progress of patient report outcomes in thoracic surgery. Chin J Lung Cancer, 2019, 22(3): 161-166.
18. 李华艳, 樊榕榕. 肺癌患者报告结局工具及应用研究进展. 护士进修杂志, 2021, 36(12): 1124-1128.Li HY, Fan RR. A review of literature on patient-reported outcome measures for lung cancer. J Nurs Train, 2021, 36(12): 1124-1128.
19. 陶继华, 杨明莹, 刘玉芹, 等. 基于CiteSpace国内患者报告结局可视化分析. 全科护理, 2023, 21(27): 3751-3754.Tao JH, Yang MY, Liu YQ, et al. Patient-reported outcomes in China based on CiteSpace: a visual analysis. Chin Gen Prac Nurs, 2023, 21(27): 3751-3754.
20. 成磊, 袁长蓉. 科学视角下患者报告结局实施的研究进展. 护理学杂志, 2020, 35(24): 98-101.Cheng L, Yuan CR. Patient-reported outcome in clinical practice: current status and methodology progress from the lens of implementation science. J Nurs Sci, 2020, 35(24): 98-101.
21. Titz C, Hummler S, Schmidt ME, et al. Exercise behavior and physical fitness in patients with advanced lung cancer. Support Care Cancer, 2018, 26(8): 2725-2736.
22. 朱虹宣, 庞建美, 孙盛楠, 等. 老年肺癌患者术后过渡期肺康复行为影响因素的质性研究. 中华护理杂志, 2024, 59(1): 15-21.Zhu HX, Pang JM, Sun SN, et al. A qualitative study of the factors of pulmonary rehabilitation behavior of elderly patients with lung cancer in the post-operative transitional period. Chin J Nurs, 2024, 59(1): 15-21.
23. 陈静, 文艳丽, 彭均伟, 等. 治疗性沟通系统干预对肺癌患者围术期心理状态、应对方式及生活质量的影响. 中国健康心理学杂志, 2023, 31(4): 509-513.Chen J, Wen YL, Peng JW, et al. Influence of therapeutic communication system intervention on perioperative mental state, coping style and quality of life of patients with lung cancer. Chin J Health Psychol, 2023, 31(4): 509-513.
24. Dai W, Feng W, Zhang Y, et al. Patient-reported outcome-based symptom management versus usual care after lung cancer surgery: a multicenter randomized controlled trial. J Clin Oncol, 2022, 40(9): 988-996.
25. Kneuertz PJ, Jagadesh N, Perkins A, et al. Improving patient engagement, adherence, and satisfaction in lung cancer surgery with implementation of a mobile device platform for patient reported outcomes. J Thorac Dis, 2020, 12(11): 6883-6891.
26. 郭潇雅. 聚焦肺癌术后管理新模式. 中国医院院长, 2022, 18(5): 80-81.Guo XY. Focusing on a new approach to postoperative management of lung cancer. China Hosp CEO, 2022, 18(5): 80-81.
27. Dai W, Zhang Y, Feng W, et al. Using patient-reported outcomes to manage postoperative symptoms in patients with lung cancer: protocol for a multicentre, randomised controlled trial. BMJ Open, 2019, 9(8): e030041.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Visual analysis of research hotspots and trends related to lung cancer patient management based on patient-reported outcomes

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