Evidence map›Paper›PMID 23709174›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2013

A simple and reproducible prognostic index in luminal ER-positive breast cancers.

I Castellano, L Chiusa, A M Vandone, S Beatrice, M Goia, M Donadio, R Arisio, F Muscarà, A Durando, G Viale and 2 more

Abstract read
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Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

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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

16 citing papers in PubMed.

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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

12 authors.

I CastellanoDepartment of Medical Sciences, University of Turin, Turin, Italy. isabella.castellano@unito.it
L Chiusa
A M Vandone
S Beatrice
M Goia
M Donadio
R Arisio
F Muscarà
A Durando
G Viale
P Cassoni
A Sapino

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe group of estrogen receptor (ER)-positive breast cancers (both luminal-A and -B) behaves differently from the ER-negative group. At least in early follow-up, ER expression influences positively patients' prognosis. This low aggressive biology flattens out the differences of clinical management. Thus we aimed to produce a prognostic index specific for ER-positive (ERPI) cancers that could be of aid for clinical decision. PATIENTS AND

methodsThe test set comprised 495 consecutive ER-positive breast cancers. Tumor size, number of metastatic lymph nodes and androgen receptor expression were the only independent variables related to disease-specific survival. These variables were used to create the ERPI, which was applied to the entire test set and to selected subpopulations (grade 2 (G2)-tumors, luminal-A and -B breast cancers). A series of 581 ER-positive breast cancers, collected from another hospital, was used to validate ERPI.

resultsIn the test population, 96.9% of patients classified as ERPI-good showed a good prognosis compared with 79.6% classified as ERPI-poor (P < 0.001). ERPI effectively discriminated outcome in luminal-A and luminal-B and in G2-tumors. In the validation series, the ERPI maintained its value.

conclusionERPI is a practical tool in refining the prediction of outcome of patients with ER-positive breast cancer.

Indexed as

Biomarkers, TumorBreast NeoplasmsDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansLymphatic MetastasisReceptors, AndrogenReceptors, EstrogenTreatment OutcomeAR protein, humanBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesReceptors, AndrogenReceptors, EstrogenAR expressionbreast cancerER expressionlymph nodal statusprognostic indextumor size

Identifiers

PMID23709174
PMCPMC3755326

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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.