Evidence map›Paper›PMID 24455283›Full record

ArticleInternational journal of breast cancer2013

Utilization of Oncotype DX in an Inner City Population: Race or Place?

Amber A Guth, Susan Fineberg, Kezhen Fei, Rebeca Franco, Nina A Bickell

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of breast cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00233077 (Patient Assistance to Reduce Breast Cancer Disparities), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
13.8field-weighted citation impact, top 2% 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.

NCT00233077 nacompletednot on this map

Patient Assistance to Reduce Breast Cancer Disparities

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2006 to 2011Enrolled374ConditionsEarly-Stage Breast CancerArmsPatient Assistance, Information only
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Racial Differences in 21-Gene Recurrence Scores Among Patients With Hormone Receptor-Positive, Node-Negative Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Article
  11. 21-Gene recurrence score testing among Medicare beneficiaries with breast cancer in 2010-2013.Genetics in medicine : official journal of the American College of Medical Genetics · 2017
    Article
  12. Article
  13. Article
  14. Article
  15. Implementation of the 21-gene recurrence score test in the United States in 2011.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Article
  16. Article
  17. Article
  18. Article
  19. Racial Variation in the Uptake of Oncotype DX Testing for Early-Stage Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Article
  20. Observational
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

5 authors at 3 institutions in 1 country.

Amber A GuthDivision of Surgical Oncology, NYU-Langone Medical Center, 160 East 34th Street, 4th Floor, New York, NY 10016, USA.
Susan FinebergDepartment of Pathology, Montefiore Medical Center, Bronx, NY 10467, USA.
Kezhen FeiDepartment of Health Evidence and Policy, Mount Sinai School of Medicine, New York, NY 10029, USA.
Rebeca FrancoDepartment of Health Evidence and Policy, Mount Sinai School of Medicine, New York, NY 10029, USA.
Nina A BickellDepartment of Health Evidence and Policy, Mount Sinai School of Medicine, New York, NY 10029, USA.
Icahn School of Medicine at Mount Sinai · USMontefiore Medical Center · USNYU Langone Health · US

Funding

Patient Assistance to Reduce Breast Cancer DisparitiesR01CA107051 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI BICKELL, NINA A. · 2004 to 2009
$3.1M
NCI NIH HHS R01 CA107051
6 · The paper itself

Abstract

Oncotype DX, a 21-gene-array analysis, can guide chemotherapy treatment decisions for women with ER+ tumors. Of 225 ER+ women participating in a patient assistance trial, 23% underwent Oncotype DX testing: 31% of whites, 21% of blacks, and 14% of Hispanics (P = 0.04) were tested. Only 3 white women were treated at municipal hospitals and none was tested. 3% of women treated in municipal hospital as compared to 30% treated at tertiary referral centers were tested (P = 0.001). Within tertiary referral centers, there was no racial difference in testing: 32% of whites, 29% of blacks, and 19% of Hispanics (P = 0.25). Multivariate analysis (model c-statistic = 0.76; P < 0.0001) revealed that women who underwent testing were more likely to have stage 1B (RR = 1.70; 95% CI: 1.45-1.85) and to be treated after 2007 (RR = 1.34; 95% CI: 1.01-1.65) and less likely to be treated at a municipal hospital (RR = 0.20; 95% CI: 0.04-0.94). Women treated at municipal hospitals were less likely to undergo testing resulting in a misleading racial disparity that is driven by site of care. As Oncotype DX can reduce overuse of chemotherapy, it is imperative to expand testing to those who could benefit from yet experience underuse of this test, namely, women treated at safety net hospitals. This trial is registered with NCT00233077.

Identifiers

PMID24455283
PMCPMC3878389
OpenAlexW2089712649

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.