Evidence map›Paper›PMID 25684986›Full record

ReviewCurrent oncology (Toronto, Ont.)2015

Concurrent chemoradiotherapy for locally advanced breast cancer-time for a new paradigm?

V Mandilaras, N Bouganim, J Spayne, R Dent, A Arnaout, J F Boileau, M Brackstone, S Meterissian, M Clemons

Abstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

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  15. Emerging ways to treat breast cancer: will promises be met?Cellular oncology (Dordrecht, Netherlands) · 2018
    Review
  16. Concurrent use of capecitabine with radiation therapy and survival in breast cancer (BC) after neoadjuvant chemotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    Article
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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

9 authors.

V MandilarasDepartment of Medical Oncology, McGill University Health Centre, Royal Victoria Hospital, Montreal, QC.
N BouganimDepartment of Medical Oncology, McGill University Health Centre, Royal Victoria Hospital, Montreal, QC.
J SpayneDivision of Radiation Oncology, Sunnybrook Health Sciences Centre, Toronto, ON.
R DentDivision of Medical Oncology, Sunnybrook Health Sciences Centre, Toronto, ON.
A ArnaoutOttawa Hospital Cancer Centre and Ottawa Hospital Research Institute, Ottawa, ON.
J F BoileauDepartment of Oncology, Jewish General Hospital and Segal Cancer Centre, Montreal, QC.
M BrackstoneLondon Regional Cancer Program, Division of General Surgery/Surgical Oncology, London, ON.
S MeterissianDepartment of Surgical Oncology, McGill University Health Centre, Royal Victoria Hospital, Montreal, QC.
M ClemonsDivision of Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn cases of locally advanced breast cancer (labc), preoperative ("neoadjuvant") therapy was traditionally reserved to render the patient operable. More recently, neoadjuvant therapy, particularly chemotherapy, is being used in patients with operable disease to increase the opportunity for breast conservation. Despite the increasing use of preoperative chemotherapy, rates of pathologic complete response, a surrogate marker for disease-free survival, remain modest in patients with locally advanced disease and particularly so when the tumour is estrogen or progesterone receptor-positive and her2-negative. A new paradigm for labc patients is needed. In other solid tumours (for example, rectal, esophageal, and lung cancers), concurrent chemoradiotherapy (ccrt) is routinely used in neoadjuvant and adjuvant treatment protocols alike.

resultsThe literature suggests that ccrt in labc patients with inoperable disease is associated with response rates higher than would be anticipated with systemic therapy alone.

conclusionsOngoing trials in this field are eagerly awaited to determine if ccrt should become the new paradigm.

Indexed as

Breast cancerconcurrent chemoradiotherapylocally advanced diseaseneoadjuvant therapy

Identifiers

PMID25684986
PMCPMC4324341

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.