Evidence map›Paper›PMID 25889186›Full record

Trial reportWorld journal of surgical oncology2015

Age at diagnosis in relation to survival following breast cancer: a cohort study.

Jasmine Brandt, Jens Peter Garne, Ingrid Tengrup, Jonas Manjer

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in World journal of surgical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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.

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

84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
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  7. Competing risks models with two time scales.Statistical methods in medical research · 2025
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  20. Nipple-sparing mastectomy in young versus elderly patients.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Article

24 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

4 authors at 3 institutions in 2 countries.

Jasmine BrandtDepartment of Surgery, Lund University, Skåne University Hospital Malmö, Inga Marie Nilssons gata 47, SE-205 02, Malmö, Sweden. jasmine.brandt@med.lu.se.
Jens Peter GarneDepartment of Breast Surgery, Aalborg Hospital, Aarhus University Hospital, Skovvej 3, 9000, Aalborg, Denmark. jpg@rn.dk.
Ingrid TengrupDepartment of Surgery, Lund University, Skåne University Hospital Malmö, Inga Marie Nilssons gata 47, SE-205 02, Malmö, Sweden. ingrid.tengrup@skane.se.
Jonas ManjerDepartment of Surgery, Lund University, Skåne University Hospital Malmö, Inga Marie Nilssons gata 47, SE-205 02, Malmö, Sweden. jonas.manjer@med.lu.se.
Lund University · SEAalborg University Hospital · DKSkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAge is an important risk factor for breast cancer, but previous data has been contradictory on whether patient age at diagnosis is also related to breast cancer survival. The present study evaluates age at diagnosis as a prognostic factor for breast cancer on a large cohort of patients at a single institution.

methodsAll 4,453 women diagnosed with breast cancer in Malmö University Hospital, Sweden between 1961 and 1991 were followed up on for 10 years with regards to breast cancer-specific mortality (BCSM) in different age groups. Corresponding relative risks (RR), with 95% confidence intervals, were obtained using Cox's proportional hazards analysis. All analyses were adjusted for potential confounders and stratified for axillary lymph node involvement (ALNI) and diagnostic period.

resultsAs compared to women aged 40 to 49 years, those who were aged under 40 (RR: 1.40; 95% CI: 1.04 to 1.88) and 80 or more years (RR: 1.80; 95% CI: 1.45 to 2.25) had a statistically significant higher 10-year mortality rate. When adjusted for potential confounders, including stage at diagnosis, the associations only remained statistically significant for women aged 80 years or more. In the analyses stratified on ALNI, ALNI-negative women under 40 years had a statistically significant higher five-year mortality rate (RR: 2.65; 95% CI: 1.23 to 5.70). In the analyses stratified on diagnostic period, the positive association between women aged under 40 or aged 80 or more years and high BCSM rate remained, with statistically significant results for women aged 80 years or more in all periods.

conclusionsWomen under 40 years of age had a poor prognosis, and this association was strongest among young women with axillary lymph node negative breast cancer. An age of 80 years or more was a prognostic factor for poor survival, independent of stage at diagnosis and diagnostic period.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAge FactorsBreast NeoplasmsCarcinoma, LobularCohort StudiesFemaleFollow-Up StudiesHumansLymphatic MetastasisMiddle AgedNeoplasm InvasivenessNeoplasm StagingPrognosis

Identifiers

PMID25889186
PMCPMC4344734
OpenAlexW2126293923

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.