Evidence map›Paper›PMID 24695692›Full record

SynthesisPloS one2014

Predicting survival of de novo metastatic breast cancer in Asian women: systematic review and validation study.

Hui Miao, Mikael Hartman, Nirmala Bhoo-Pathy, Soo-Chin Lee, Nur Aishah Taib, Ern-Yu Tan, Patrick Chan, Karel G M Moons, Hoong-Seam Wong, Jeremy Goh and 3 more

Abstract readSystematic ReviewValidation Study
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

17 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Expression and Significance of LINC02418 in Breast Cancer.Breast cancer (Dove Medical Press) · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Early Death Incidence and Prediction in Stage IV Breast Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  10. Article
  11. Prognostic Value of Site-Specific Metastases and Surgery in De Novo Stage IV Triple-Negative Breast Cancer: A Population-Based Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Association of CYP2D6*10, OATP1B1 A388G, and OATP1B1 T521C polymorphisms and overall survival of breast cancer patients after tamoxifen therapy.Medical science monitor : international medical journal of experimental and clinical research · 2015
    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

13 authors.

Hui MiaoSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Mikael HartmanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore; Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Nirmala Bhoo-PathyNational Clinical Research Centre, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia; Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, the Netherlands.
Soo-Chin LeeDepartment of Hematology Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Nur Aishah TaibDepartment of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ern-Yu TanDepartment of Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Patrick ChanDepartment of Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Karel G M MoonsJulius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, the Netherlands.
Hoong-Seam WongNational Clinical Research Centre, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
Jeremy GohYong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore.
Siti Mastura RahimMinistry of Health Holdings, Singapore, Singapore.
Cheng-Har YipDepartment of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Helena M VerkooijenSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore; Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Asia, up to 25% of breast cancer patients present with distant metastases at diagnosis. Given the heterogeneous survival probabilities of de novo metastatic breast cancer, individual outcome prediction is challenging. The aim of the study is to identify existing prognostic models for patients with de novo metastatic breast cancer and validate them in Asia. MATERIALS AND

methodsWe performed a systematic review to identify prediction models for metastatic breast cancer. Models were validated in 642 women with de novo metastatic breast cancer registered between 2000 and 2010 in the Singapore Malaysia Hospital Based Breast Cancer Registry. Survival curves for low, intermediate and high-risk groups according to each prognostic score were compared by log-rank test and discrimination of the models was assessed by concordance statistic (C-statistic).

resultsWe identified 16 prediction models, seven of which were for patients with brain metastases only. Performance status, estrogen receptor status, metastatic site(s) and disease-free interval were the most common predictors. We were able to validate nine prediction models. The capacity of the models to discriminate between poor and good survivors varied from poor to fair with C-statistics ranging from 0.50 (95% CI, 0.48-0.53) to 0.63 (95% CI, 0.60-0.66).

conclusionThe discriminatory performance of existing prediction models for de novo metastatic breast cancer in Asia is modest. Development of an Asian-specific prediction model is needed to improve prognostication and guide decision making.

Indexed as

Asian PeopleBreast NeoplasmsFemaleHumansMalaysiaNeoplasm MetastasisOligonucleotidesPrognosisSingaporeOligonucleotidesSurKex

Identifiers

PMID24695692
PMCPMC3973579

What OpenQuestion holds

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Registered trials

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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.