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Lack of impact of antibiotics and proton pump inhibitors on the efficacy of preoperative chemoimmunotherapy in locally advanced non-small cell lung cancer: A multicenter retrospective study.

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Title: Lack of impact of antibiotics and proton pump inhibitors on the efficacy of preoperative chemoimmunotherapy in locally advanced non-small cell lung cancer: A multicenter retrospective study.
Authors: Toda M; Departments of General Thoracic Surgery, Kansai Rosai Hospital, Japan Organization of Occupational Health and Safety, Hyogo, Japan., Takada K; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Electronic address: takadakazuki0914@gmail.com., Nomura K; Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Kosai K; Department of Thoracic Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan., Hayasaka K; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan., Watanabe T; Division of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan., Takamori S; Department of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Oita, Japan., Hamada A; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan., Suda K; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan., Ohara S; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan., Ito M; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan., Oiki H; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan., Fukami T; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan., Muto S; Department of Chest Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan., Katsumata S; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan., Konno H; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan., Toyoda T; Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan., Endo M; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Japan., Takamori S; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Japan., Nakatsuka M; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Japan., Tenpaku H; Department of Thoracic and Cardiovascular Surgery, Kuwana City Medical Center, Kuwana, Japan., Takegahara K; Department of Thoracic Surgery, Hyogo College of Medicine, Nishinomiya, Japan., Matsubara T; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Kinoshita F; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Akamine T; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Nakamura R; Department of Thoracic and Pediatric Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan., Mizuno K; Division of Thoracic Surgery, Hamamatsu Medical Center, Hamamatsu Japan., Nakagawa K; Department of General Thoracic Surgery, Suzuka General Hospital, Suzuka, Japan., Kaneda S; Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu, Japan., Okada S; Division of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan., Notsuda H; Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan., Sakane T; Department of Thoracic Surgery, Nagoya City University West Medical Center, Nagoya, Japan., Shinohara S; Department of Thoracic Surgery, Anjo Kosei Hospital, Anjo, Japan., Abe M; Department of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Oita, Japan., Haratake N; Department of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Oita, Japan., Tane S; Division of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan., Hanawa R; Department of Thoracic Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan., Ito A; Department of Thoracic Surgery, Matsusaka Municipal Hospital, Matsusaka, Japan., Namba K; Department of Surgery, Okayama Rosai Hospital, Okayama, Japan., Kawaguchi T; Department of Thoracic Surgery, Mie Chuo Medical Center, Tsu, Japan., Minegishi K; Department of Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan., Kurihara N; Department of Surgery, Noshiro Kousei Medical Center, Noshiro, Japan., Iguchi T; Department of General Thoracic Surgery, NHO Kinki Chuo Chest Medical Center, Sakai, Japan., Aokage K; Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Tsuboi M; Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Iwata T; Departments of General Thoracic Surgery, Kansai Rosai Hospital, Japan Organization of Occupational Health and Safety, Hyogo, Japan., Soh J; Department of Thoracic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan., Shimokawa M; Department of Biostatistics, Graduate School of Medicine, Yamaguchi University, Ube, Japan., Ohde Y; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Source: Lung cancer (Amsterdam, Netherlands) [Lung Cancer] 2026 Apr; Vol. 214, pp. 109344. Date of Electronic Publication: 2026 Feb 26.
Publication Type: Journal Article; Multicenter Study
Journal Info: Publisher: Elsevier Scientific Publishers Country of Publication: Ireland NLM ID: 8800805 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-8332 (Electronic) Linking ISSN: 01695002 NLM ISO Abbreviation: Lung Cancer Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: Lack of impact of antibiotics and proton pump inhibitors on the efficacy of preoperative chemoimmunotherapy in locally advanced non-small cell lung cancer: A multicenter retrospective study.
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  Data: <searchLink fieldCode="AU" term="%22Toda+M%22">Toda M</searchLink>; Departments of General Thoracic Surgery, Kansai Rosai Hospital, Japan Organization of Occupational Health and Safety, Hyogo, Japan.<br /><searchLink fieldCode="AU" term="%22Takada+K%22">Takada K</searchLink>; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Electronic address: takadakazuki0914@gmail.com.<br /><searchLink fieldCode="AU" term="%22Nomura+K%22">Nomura K</searchLink>; Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.<br /><searchLink fieldCode="AU" term="%22Kosai+K%22">Kosai K</searchLink>; Department of Thoracic Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan.<br /><searchLink fieldCode="AU" term="%22Hayasaka+K%22">Hayasaka K</searchLink>; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.<br /><searchLink fieldCode="AU" term="%22Watanabe+T%22">Watanabe T</searchLink>; Division of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan.<br /><searchLink fieldCode="AU" term="%22Takamori+S%22">Takamori S</searchLink>; Department of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Oita, Japan.<br /><searchLink fieldCode="AU" term="%22Hamada+A%22">Hamada A</searchLink>; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.<br /><searchLink fieldCode="AU" term="%22Suda+K%22">Suda K</searchLink>; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.<br /><searchLink fieldCode="AU" term="%22Ohara+S%22">Ohara S</searchLink>; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.<br /><searchLink fieldCode="AU" term="%22Ito+M%22">Ito M</searchLink>; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.<br /><searchLink fieldCode="AU" term="%22Oiki+H%22">Oiki H</searchLink>; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.<br /><searchLink fieldCode="AU" term="%22Fukami+T%22">Fukami T</searchLink>; Division of Thoracic Surgery, Department of Surgery, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.<br /><searchLink fieldCode="AU" term="%22Muto+S%22">Muto S</searchLink>; Department of Chest Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.<br /><searchLink fieldCode="AU" term="%22Katsumata+S%22">Katsumata S</searchLink>; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.<br /><searchLink fieldCode="AU" term="%22Konno+H%22">Konno H</searchLink>; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.<br /><searchLink fieldCode="AU" term="%22Toyoda+T%22">Toyoda T</searchLink>; Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.<br /><searchLink fieldCode="AU" term="%22Endo+M%22">Endo M</searchLink>; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Japan.<br /><searchLink fieldCode="AU" term="%22Takamori+S%22">Takamori S</searchLink>; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Japan.<br /><searchLink fieldCode="AU" term="%22Nakatsuka+M%22">Nakatsuka M</searchLink>; Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, Japan.<br /><searchLink fieldCode="AU" term="%22Tenpaku+H%22">Tenpaku H</searchLink>; Department of Thoracic and Cardiovascular Surgery, Kuwana City Medical Center, Kuwana, Japan.<br /><searchLink fieldCode="AU" term="%22Takegahara+K%22">Takegahara K</searchLink>; Department of Thoracic Surgery, Hyogo College of Medicine, Nishinomiya, Japan.<br /><searchLink fieldCode="AU" term="%22Matsubara+T%22">Matsubara T</searchLink>; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.<br /><searchLink fieldCode="AU" term="%22Kinoshita+F%22">Kinoshita F</searchLink>; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.<br /><searchLink fieldCode="AU" term="%22Akamine+T%22">Akamine T</searchLink>; Department of Thoracic Surgery, Kyushu University Hospital, Fukuoka, Japan; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.<br /><searchLink fieldCode="AU" term="%22Nakamura+R%22">Nakamura R</searchLink>; Department of Thoracic and Pediatric Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.<br /><searchLink fieldCode="AU" term="%22Mizuno+K%22">Mizuno K</searchLink>; Division of Thoracic Surgery, Hamamatsu Medical Center, Hamamatsu Japan.<br /><searchLink fieldCode="AU" term="%22Nakagawa+K%22">Nakagawa K</searchLink>; Department of General Thoracic Surgery, Suzuka General Hospital, Suzuka, Japan.<br /><searchLink fieldCode="AU" term="%22Kaneda+S%22">Kaneda S</searchLink>; Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu, Japan.<br /><searchLink fieldCode="AU" term="%22Okada+S%22">Okada S</searchLink>; Division of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.<br /><searchLink fieldCode="AU" term="%22Notsuda+H%22">Notsuda H</searchLink>; Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.<br /><searchLink fieldCode="AU" term="%22Sakane+T%22">Sakane T</searchLink>; Department of Thoracic Surgery, Nagoya City University West Medical Center, Nagoya, Japan.<br /><searchLink fieldCode="AU" term="%22Shinohara+S%22">Shinohara S</searchLink>; Department of Thoracic Surgery, Anjo Kosei Hospital, Anjo, Japan.<br /><searchLink fieldCode="AU" term="%22Abe+M%22">Abe M</searchLink>; Department of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Oita, Japan.<br /><searchLink fieldCode="AU" term="%22Haratake+N%22">Haratake N</searchLink>; Department of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Oita, Japan.<br /><searchLink fieldCode="AU" term="%22Tane+S%22">Tane S</searchLink>; Division of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.<br /><searchLink fieldCode="AU" term="%22Hanawa+R%22">Hanawa R</searchLink>; Department of Thoracic Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan.<br /><searchLink fieldCode="AU" term="%22Ito+A%22">Ito A</searchLink>; Department of Thoracic Surgery, Matsusaka Municipal Hospital, Matsusaka, Japan.<br /><searchLink fieldCode="AU" term="%22Namba+K%22">Namba K</searchLink>; Department of Surgery, Okayama Rosai Hospital, Okayama, Japan.<br /><searchLink fieldCode="AU" term="%22Kawaguchi+T%22">Kawaguchi T</searchLink>; Department of Thoracic Surgery, Mie Chuo Medical Center, Tsu, Japan.<br /><searchLink fieldCode="AU" term="%22Minegishi+K%22">Minegishi K</searchLink>; Department of Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.<br /><searchLink fieldCode="AU" term="%22Kurihara+N%22">Kurihara N</searchLink>; Department of Surgery, Noshiro Kousei Medical Center, Noshiro, Japan.<br /><searchLink fieldCode="AU" term="%22Iguchi+T%22">Iguchi T</searchLink>; Department of General Thoracic Surgery, NHO Kinki Chuo Chest Medical Center, Sakai, Japan.<br /><searchLink fieldCode="AU" term="%22Aokage+K%22">Aokage K</searchLink>; Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.<br /><searchLink fieldCode="AU" term="%22Tsuboi+M%22">Tsuboi M</searchLink>; Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.<br /><searchLink fieldCode="AU" term="%22Iwata+T%22">Iwata T</searchLink>; Departments of General Thoracic Surgery, Kansai Rosai Hospital, Japan Organization of Occupational Health and Safety, Hyogo, Japan.<br /><searchLink fieldCode="AU" term="%22Soh+J%22">Soh J</searchLink>; Department of Thoracic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.<br /><searchLink fieldCode="AU" term="%22Shimokawa+M%22">Shimokawa M</searchLink>; Department of Biostatistics, Graduate School of Medicine, Yamaguchi University, Ube, Japan.<br /><searchLink fieldCode="AU" term="%22Ohde+Y%22">Ohde Y</searchLink>; Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
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