Evidence map›Paper›PMID 25880008›Full record

ArticleBritish journal of cancer2015

Prognosis of metastatic breast cancer: are there differences between patients with de novo and recurrent metastatic breast cancer?

D J A Lobbezoo, R J W van Kampen, A C Voogd, M W Dercksen, F van den Berkmortel, T J Smilde, A J van de Wouw, F P J Peters, J M G H van Riel, N A J B Peters and 3 more

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03577197 (Southeast Netherlands Advanced Breast Cancer Registry), which is not on this map. Cited by 119 papers.

0numbers the graph read from it
0cells of the map it votes in
119citing 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.

NCT03577197 recruitingnot on this map

Southeast Netherlands Advanced Breast Cancer Registry

Typeobservational_patient_registrySponsorAcademisch Ziekenhuis MaastrichtRan2007 to 2027Enrolled7,000ConditionsAdvanced Breast Cancer, Metastatic Breast Cancer
3 · Its place in the literature

Who cites it

119 citing papers in PubMed.

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  2. Aggressive local therapy forOncology reports · 2023
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  20. Retrospective registry of patients with locally advanced/metastatic HRClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article

59 more citing papers are in PubMed but not listed here.

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.

D J A Lobbezoo1] GROW- School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands [2] Department of Internal Medicine, Máxima Medical Centre, Veldhoven, The Netherlands.
R J W van KampenGROW- School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.
A C Voogd1] GROW- School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands [2] Department of Research, Comprehensive Cancer Centre, Eindhoven, The Netherlands.
M W DercksenDepartment of Internal Medicine, Máxima Medical Centre, Veldhoven, The Netherlands.
F van den BerkmortelDepartment of Internal Medicine, Atrium Medical Centre Parkstad, Heerlen, The Netherlands.
T J SmildeDepartment of Internal Medicine, Jeroen Bosch Hospital, Den Bosch, The Netherlands.
A J van de WouwDepartment of Internal Medicine, VieCuri Medical Centre, Venlo, The Netherlands.
F P J PetersDepartment of Internal Medicine, Orbis Medical Centre, Sittard, The Netherlands.
J M G H van RielDepartment of Internal Medicine, St Elisabeth Hospital, Tilburg, The Netherlands.
N A J B PetersDepartment of Internal Medicine, St Jans Hospital, Weert, The Netherlands.
M de BoerGROW- School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.
P G M PeerDepartment for Health Evidence, Radboud university medical centre, Nijmegen, The Netherlands.
V C G Tjan-HeijnenGROW- School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to determine the prognostic impact of time between primary breast cancer and diagnosis of distant metastasis (metastatic-free interval, MFI) on the survival of metastatic breast cancer patients.

methodsConsecutive patients diagnosed with metastatic breast cancer in 2007-2009 in eight hospitals in the Southeast of the Netherlands were included and categorised based on MFI. Survival curves were estimated using the Kaplan-Meier method. Cox proportional hazards model was used to determine the prognostic impact of de novo metastatic breast cancer vs recurrent metastatic breast cancer (MFI ⩽24 months and >24 months), adjusted for age, hormone receptor and HER2 status, initial site of metastasis and use of prior (neo)adjuvant systemic therapy.

resultsEight hundred and fifteen patients were included and divided in three subgroups based on MFI; 154 patients with de novo metastatic breast cancer, 176 patients with MFI <24 months and 485 patients with MFI >24 months. Patients with de novo metastatic breast cancer had a prolonged survival compared with patients with recurrent metastatic breast cancer with MFI <24 months (median 29.4 vs 9.1 months, P<0.0001), but no difference in survival compared with patients with recurrent metastatic breast cancer with MFI >24 months (median, 29.4 vs 27.9 months, P=0.73). Adjusting for other prognostic factors, patients with MFI <24 months had increased mortality risk (hazard ratio 1.97, 95% CI 1.49-2.60, P<0.0001) compared with patients with de novo metastatic breast cancer. When comparing recurrent metastatic breast cancer with MFI >24 months with de novo metastatic breast cancer no significant difference in mortality risk was found. The association between MFI and survival was seen irrespective of use of (neo)adjuvant systemic therapy.

conclusionPatients with de novo metastatic breast cancer had a significantly better outcome when compared with patients with MFI <24 months, irrespective of the use of prior adjuvant systemic therapy in the latter group. However, compared with patients with MFI >24 months, patients with de novo metastatic breast cancer had similar outcome.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsCombined Modality TherapyFemaleFollow-Up StudiesHumansMiddle AgedNeoplasm GradingNeoplasm MetastasisNeoplasm Recurrence, LocalNeoplasm StagingPrognosisSurvival Rate

Identifiers

PMID25880008
PMCPMC4453676

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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.