Evidence map›Paper›PMID 25922577›Full record

ArticleBreast cancer : basic and clinical research2015

Defining the survival benchmark for breast cancer patients with systemic relapse.

Simon B Zeichner, Tadeu Ambros, John Zaravinos, Alberto J Montero, Reshma L Mahtani, Eugene R Ahn, Aruna Mani, Nathan J Markward, Charles L Vogel

Abstract read
In one paragraph

Article in Breast cancer : basic and clinical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. SilverIET nanobiotechnology · 2018
    Article
  6. A Review of Systemic Treatment in Metastatic Triple-Negative Breast Cancer.Breast cancer : basic and clinical research · 2016
    Review
  7. Article
  8. 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

9 authors.

Simon B ZeichnerDepartment of Hematology and Oncology, Emory Winship Cancer Institute, Atlanta, GA, USA.
Tadeu AmbrosDepartment of Hematology and Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA.
John ZaravinosDepartment of Medicine, SUNY Downstate Medical Center, New York, NY, USA.
Alberto J MonteroDepartment of Solid Tumor Oncology, Cleveland Clinic Foundation, Taussig Cancer Center, Cleveland, OH, USA.
Reshma L MahtaniDepartment of Hematology and Oncology, University of Miami/Sylvester Comprehensive Cancer Center, Boca Raton, FL, USA.
Eugene R AhnCancer Treatment Centers of America at Midwestern Regional Medical Center, Zion, IL, USA.
Aruna ManiMemorial Breast Cancer Center, Memorial Healthcare System, Pembroke Pines, FL, USA.
Nathan J MarkwardDirector of Advanced Analytics, RxAnte, LLC, Arlington, VA, USA.
Charles L VogelDepartment of Hematology and Oncology, University of Miami/Sylvester Comprehensive Cancer Center, Boca Raton, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur original paper, published in 1992, reported a median overall survival after first relapse in breast cancer of 26 months. The current retrospective review concentrates more specifically on patients with first systemic relapse, recognizing that subsets of patients with local recurrence are potentially curable.

methodsRecords of 5,168 patients from a largely breast-cancer-specific oncology practice were reviewed to identify breast cancer patients with their first relapse between 1996 and 2006 after primary treatment. There were 189 patients diagnosed with metastatic disease within 2 months of being seen by our therapeutic team and 101 patients diagnosed with metastatic disease greater than 2 months. The patients were divided in order to account for lead-time bias than could potentially confound the analysis of the latter 101 patients.

resultsMedian survival for our primary study population of 189 patients was 33 months. As expected, the median survival from first systemic relapse (MSFSR) for the 101 patients excluded because of the potential for lead-time bias was better at 46 months. Factors influencing prognosis included estrogen receptor (ER) status, disease-free interval (DFI), and dominant site of metastasis. Compared with our original series, even with elimination of local-regional recurrences in our present series, the median survival from first relapse has improved by 7 months over the past two decades.

conclusionThe new benchmark for MSFSR approaches 3 years.

Indexed as

breast cancerdisease-free intervalestrogen receptor positiveHER2 positivemedian survivalmetastatic breast cancersystemic relapse

Identifiers

PMID25922577
PMCPMC4401244

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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.