Evidence map›Paper›PMID 18540954›Full record

Trial reportThe breast journal

BMI influences prognosis following surgery and adjuvant chemotherapy for lymph node positive breast cancer.

Mara Z Vitolins, Gretchen G Kimmick, L Douglas Case

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in The breast journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Body mass index and survival in women with breast cancer-systematic literature review and meta-analysis of 82 follow-up studies.Annals of oncology : official journal of the European Society for Medical Oncology · 2014
    Pooled it
  3. Article
  4. Obesity and mortality after locoregional breast cancer diagnosis.Breast cancer research and treatment · 2018
    Article
  5. Review
  6. Article
  7. Weight Loss Intervention in Survivors of ER/PR-negative Breast Cancer.Clinical medicine insights. Women's health · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Mara Z VitolinsDivision of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. mvitolin@wfubmc.edu
Gretchen G Kimmick
L Douglas Case
Duke University Hospital · USDuke Medical Center · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Comprehensive Cancer Center of Wake Forest University CCOP Research BaseU10CA081851 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SHAW, EDWARD G · 1999 to 2013
$22.0M
NCI NIH HHS P30 CA012197NCI NIH HHS P30-CA-12197NCI NIH HHS U10 CA081851NCI NIH HHS U10-CA-81851
6 · The paper itself

Abstract

Increased body mass index (BMI) at diagnosis has been shown to be associated with an increased risk of disease recurrence and death. However, the association has not been consistent in the literature and may depend on several factors such as menopausal status, extent of disease, and receptor status. We performed a secondary analysis on what we believe is the largest prospective trial of adjuvant chemotherapy to assess the effect of BMI on prognosis in women with lymph node positive breast cancer. The study included 636 women with a median follow-up of over 13 years. Cox's proportional hazards regression model was used to assess the effect of BMI on outcomes. Kaplan-Meier methods were used to estimate survival curves and log rank tests were used to assess differences in survival for BMI groups. We found that increased BMI was generally predictive of faster time to recurrence and decreased survival, but that the relationship was stronger for younger women, those with progesterone receptor negative disease and those with a greater number of lymph nodes that were positive.

Indexed as

Body Mass IndexLymphatic MetastasisAdultAgedAge FactorsBreast NeoplasmsChemotherapy, AdjuvantFemaleFollow-Up StudiesHumansLymph NodesMiddle AgedMultivariate AnalysisNeoplasm Recurrence, LocalPrognosisProportional Hazards ModelsReceptors, Progesterone

Identifiers

PMID18540954
PMCPMC4906544
OpenAlexW2020566120

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.