Evidence map›Paper›PMID 26000714›Full record

ArticlePloS one2015

Repeated nipple fluid aspiration: compliance and feasibility results from a prospective multicenter study.

J S de Groot, C B Moelans, S G Elias, A Hennink, B Verolme, K P M Suijkerbuijk, A Jager, C Seynaeve, P Bos, A J Witkamp and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

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  8. Breast health screening: a UK-wide questionnaire.BMJ nutrition, prevention & health · 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

13 authors at 2 institutions in 1 country.

J S de GrootDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
C B MoelansDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
S G EliasJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
A HenninkDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
B VerolmeDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
K P M SuijkerbuijkDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
A JagerDepartment of Medical Oncology, Erasmus University Medical Center, Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
C SeynaeveDepartment of Medical Oncology, Erasmus University Medical Center, Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
P BosDepartment of Medical Oncology, Erasmus University Medical Center, Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
A J WitkampDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
M G E M AusemsDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
P J van DiestDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
E van der WallDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite intensive surveillance, a high rate of interval malignancies is still seen in women at increased breast cancer risk. Therefore, novel screening modalities aiming at early detection remain needed. The intraductal approach offers the possibility to directly sample fluid containing cells, DNA and proteins from the mammary ductal system where, in the majority of cases, breast cancer originates. Fluid from the breast can non-invasively be obtained by oxytocin-assisted vacuum aspiration, called nipple fluid aspiration (NFA). The goal of this feasibility study was to evaluate the potential of repeated NFA, which is a critical and essential step to evaluate its possible value as a breast cancer screening method.

methodsIn this multicenter, prospective study, we annually collected nipple fluid for up to 5 consecutive years from women at increased breast cancer risk, and performed a questionnaire-based survey regarding discomfort of the aspiration. Endpoints of the current interim analyses were the feasibility and results of 994 NFA procedures in 451 women with total follow-up of 560 person years of observation.

resultsIn this large group of women at increased risk of breast cancer, repetitive NFA appeared to be feasible and safe. In 66.4% of aspirated breasts, nipple fluid was successfully obtained. Independent predictive factors for successful NFA were premenopausal status, spontaneous nipple discharge, smaller breast size, bilateral oophorectomy and previous use of hormone replacement therapy or anti-hormonal treatment. The procedure was well tolerated with low discomfort. Drop-out rate was 20%, which was mainly due to repeated unsuccessful aspiration attempts. Only 1.6% of women prematurely declined further participation because of side effects.

conclusionsRepeated NFA in women at increased breast cancer risk is feasible and safe. Therefore, NFA is a promising method to non-invasively obtain a valuable source of potential breast cancer specific biomarkers.

Indexed as

NipplesAdultAgedBiomarkers, TumorBody FluidsBreast DiseasesBreast NeoplasmsFemaleHumansMiddle AgedProspective StudiesYoung AdultBiomarkers, Tumor

Identifiers

PMID26000714
PMCPMC4441497
OpenAlexW1131026046

What OpenQuestion holds

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LicenceCC BY
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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.