Evidence map›Paper›PMID 23990894›Full record

SynthesisPloS one2013

Bisphosphonates in the adjuvant setting of breast cancer therapy--effect on survival: a systematic review and meta-analysis.

Irit Ben-Aharon, Liat Vidal, Shulamith Rizel, Rinat Yerushalmi, Ofer Shpilberg, Aaron Sulkes, Salomon M Stemmer

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT02347163 phase2terminatednot on this mapstarted 2015, after this paper: background citation

A Multicenter, Single-arm, Phase II Study to Evaluate the Activity of Pre-operative Zoledronate in Triple Negative Breast Cancer Patients, According to p53 Level

TypeinterventionalSponsorMario Negri Institute for Pharmacological ResearchRan2015 to 2018Enrolled22ConditionsBreast CancerArmsZoledronate
NCT03358017 phase2completednot on this mapstarted 2018, after this paper: background citation

Multicenter, Randomized, Phase II Study of Neoadjuvant Chemotherapy Associated or Not With Zoledronate and Atorvastatin in Triple Negative Breast Cancers - YAPPETIZER Study

TypeinterventionalSponsorMario Negri Institute for Pharmacological ResearchRan2018 to 2023Enrolled54ConditionsTriple Negative Breast CancerArmsZoledronate, Atorvastatin 80mg, Standard neoadjuvant cht
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Lung Macrophages: Multifunctional Regulator Cells for Metastatic Cells.International journal of molecular sciences · 2018
    Review
  6. Targeting macrophages: therapeutic approaches in cancer.Nature reviews. Drug discovery · 2018
    Review
  7. Article
  8. Article
  9. Bisphosphonate Use and Risk of Recurrence, Second Primary Breast Cancer, and Breast Cancer Mortality in a Population-Based Cohort of Breast Cancer Patients.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Article
  10. Article
  11. Diagnostic PET Imaging of Mammary Microcalcifications UsingJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2017
    Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Mechanisms of aromatase inhibitor resistance.Nature reviews. Cancer · 2015
    Review
  18. Article
  19. Breast cancer under age 40: a different approach.Current treatment options in oncology · 2015
    Review
  20. Main controversies in breast cancer.World journal of clinical oncology · 2014
    Review
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

7 authors at 2 institutions in 1 country.

Irit Ben-AharonInstitute of Oncology, Davidoff Center, Rabin Medical Center, Petah-Tiqva, Israel ; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Liat Vidal
Shulamith Rizel
Rinat Yerushalmi
Ofer Shpilberg
Aaron Sulkes
Salomon M Stemmer
Tel Aviv University · ILRabin Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of bisphosphonates (BP) in early breast cancer (BC) has been considered controversial. We performed a meta-analysis of all randomized controlled trials (RCTs) that appraised the effects of BP on survival in early BC.

methodsRCTs were identified by searching the Cochrane Library, MEDLINE databases and conference proceedings. Hazard ratios (HRs) of overall survival (OS), disease-free survival (DFS) and relative risks of adverse events were estimated and pooled.

resultsThirteen trials met the inclusion criteria, evaluating a total of 15,762 patients. Meta-analysis of ten trials which reported OS revealed no statistically significant benefit in OS for BP (HR 0.89, 95% CI = 0.79 to 1.01). Meta-analysis of nine trials which reported the DFS revealed no benefit in DFS (HR 0.95 (0.81-1.12)). Meta-analysis upon menopausal status showed a statistically significant better DFS in the BP-treated patients (HR 0.81(0.69-0.95)). In meta-regression, chemotherapy was negatively associated with HR of survival.

conclusionsOur meta-analysis indicates a positive effect for adjuvant BP on survival only in postmenopausal patients. Meta-regression demonstrated a negative association between chemotherapy use BP effect on survival. Further large scale RCTs are warranted to unravel the specific subgroups that would benefit from the addition of BP in the adjuvant setting.

Indexed as

Antineoplastic AgentsBone Density Conservation AgentsBreast NeoplasmsChemotherapy, AdjuvantClodronic AcidDiphosphonatesDisease-Free SurvivalEtidronic AcidFemaleHumansIbandronic AcidPamidronateProportional Hazards ModelsRandomized Controlled Trials as TopicResearch DesignRisedronic AcidAntineoplastic AgentsBone Density Conservation AgentsClodronic AcidDiphosphonatesEtidronic AcidIbandronic AcidPamidronateRisedronic Acid

Identifiers

PMID23990894
PMCPMC3753308
OpenAlexW2027724763

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.