Evidence map›Paper›PMID 24068769›Full record

ArticleJournal of the National Cancer Institute2013

Treatment of ductal carcinoma in situ after excision: would a prophylactic paradigm be more appropriate?

Rinaa S Punglia, Stuart J Schnitt, Jane C Weeks

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Journal of the National Cancer Institute, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 41 citations in OpenAlex.

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  6. Diagnosis of ductal carcinoma in situ in an era of de-escalation of therapy.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Review
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  17. Ductal carcinoma in situ: a rose by any other name.Journal of the National Cancer Institute · 2013
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Rinaa S PungliaAffiliations of authors: Department of Radiation Oncology (RSP) and Division of Medical Oncology (JCW), Dana-Farber Cancer Institute, Boston, MA; Department of Pathology, Beth Israel Deaconess Medical Center, Boston, MA (SJS).
Stuart J Schnitt
Jane C Weeks
Dana-Farber Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Corresponding to the increased use of mammography, the incidence of ductal carcinoma in situ (DCIS) has risen dramatically in the past 30 years. Despite its growing incidence, the treatment of DCIS remains highly variable and controversial. Although DCIS itself does not metastasize and is never lethal, it may be a precursor of invasive breast cancer and is a marker of increased breast cancer risk. Confusing a precursor lesion with cancer, many clinicians apply an invasive breast cancer treatment paradigm to DCIS patients, offering adjuvant radiation therapy and tamoxifen after diagnosis. In this commentary, we outline the issues associated with DCIS management--is DCIS a cancer, a precursor of cancer, or a marker of invasive carcinoma risk? Specifically, we argue that consideration be given to removing the term "carcinoma" from DCIS, using cancer "occurrence" to mean the diagnosis of invasive cancer after DCIS instead of "recurrence," and make the argument that a prophylactic paradigm of treatment after excision may be more appropriate.

Indexed as

Antineoplastic Agents, HormonalBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingChemotherapy, AdjuvantClinical Trials as TopicDiagnosis, DifferentialDisease ProgressionFemaleHumansIncidenceMastectomy, SegmentalNeoplasm Recurrence, LocalPrimary PreventionRadiotherapy, AdjuvantSecondary PreventionAntineoplastic Agents, Hormonal

Identifiers

PMID24068769
OpenAlexW2110092265

What OpenQuestion holds

Textmetadata
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.