Evidence map›Paper›PMID 25240289›Full record

Trial reportEuropean journal of cancer (Oxford, England : 1990)2014

The impact of Oncotype DX testing on breast cancer management and chemotherapy prescribing patterns in a tertiary referral centre.

Terri Patricia McVeigh, Lauren M Hughes, Nicola Miller, Margaret Sheehan, Maccon Keane, Karl J Sweeney, Michael J Kerin

Abstract readClinical Trial
In one paragraph

Trial report in European journal of cancer (Oxford, England : 1990), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  20. Precision Medicine: Making It Happen for Malaysia.The Malaysian journal of medical sciences : MJMS · 2021
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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

7 authors.

Terri Patricia McVeighDiscipline of Surgery, National University of Ireland Galway, Ireland. Electronic address: terri.mcveigh@gmail.com.
Lauren M HughesDiscipline of Surgery, National University of Ireland Galway, Ireland.
Nicola MillerDiscipline of Surgery, National University of Ireland Galway, Ireland.
Margaret SheehanBreastCheck, Western Unit, Ireland.
Maccon KeaneDepartment of Oncology, Galway University Hospital, Ireland.
Karl J SweeneyBreastCheck, Western Unit, Ireland.
Michael J KerinDiscipline of Surgery, National University of Ireland Galway, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of chemotherapy in node-negative, (O)Estrogen Receptor (ER)-positive breast cancer has changed significantly since the introduction of Oncotype DX to determine systemic recurrence risk based on tumour genomic signature.

aimsThis study aims to

methodsA cohort study was undertaken, including consecutive patients with early node-negative, ER-positive breast cancer diagnosed between 2006 and May 2013, including a period of prospective clinical trial (Trial Assigning Individualised Options for Treatment (TAILORx)) recruitment. Data were collected regarding patient demographics, tumour clinico-pathological features, Oncotype DX use and recurrence score and chemotherapy use. All therapeutic decisions were made following multidisciplinary discussion, with adherence to guidelines and consideration of trial protocol and Oncotype DX recurrence scores.

results479 consecutive patients were included in the study, of whom 241 (50%) underwent Oncotype DX testing, 97 as part of the TAILORx clinical trial. Oncotype DX testing began on a trial basis in 2007 and until October 2011, only patients enrolled on TAILORx availed of genomic profiling. From October 2011, Oncotype DX was used in all eligible patients as per National Cancer Control Programme (NCCP) guidelines. A total of 216 (45%) patients received chemotherapy. The use of chemotherapy changed in inverse proportion to the availability of the genomic assay. Of those patients in whom Oncotype DX was utilised, 138 (57%) were spared chemotherapy.

conclusionThis study validates the use of molecular testing in the rationalisation of systemic therapy.

Indexed as

AdultAgedAntineoplastic AgentsBreast NeoplasmsDisease ProgressionFemaleFollow-Up StudiesGene Expression ProfilingGenomicsHumansMiddle AgedNeoplasm Recurrence, LocalProspective StudiesReceptors, EstrogenRetrospective StudiesRiskAntineoplastic AgentsReceptors, EstrogenAdjuvant chemotherapyBreast cancerChemotherapyGenomic assayGenomic profilingIndividualised therapyOncotypeOncotype DXRecurrence score

Identifiers

PMID25240289
PMCPMC4204201

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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.