Evidence map›Paper›PMID 26843057›Full record

ArticleBreast cancer research and treatment2016

Characteristics of second breast events among women treated with breast-conserving surgery for DCIS in the community.

Michael J Hassett, Wei Jiang, Laurel A Habel, Larissa Nekhlyudov, Ninah Achacoso, Luana Acton, Stuart J Schnitt, Deb Schrag, Rinaa S Punglia

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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.

Michael J HassettDivision of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215-5450, USA. michael_hassett@dfci.harvard.edu.
Wei JiangDepartment of Surgery, Brigham & Women's Hospital, Boston, MA, USA. wjiang3@partners.org.
Laurel A HabelDivision of Research, Kaiser Permanente, Oakland, CA, USA. laurel.habel@kp.org.
Larissa NekhlyudovDepartment of Population Medicine, Harvard Medical School, Boston, MA, USA. larissa_nekhlyudov@harvardpilgrim.org.
Ninah AchacosoDivision of Research, Kaiser Permanente, Oakland, CA, USA. ninah.s.achacoso@nsmtp.kp.org.
Luana ActonDivision of Research, Kaiser Permanente, Oakland, CA, USA. luana.acton@kp.org.
Stuart J SchnittDepartment of Pathology, Beth Israel Deaconess Medical Center, Boston, MA, USA. sschnitt@caregroup.harvard.edu.
Deb SchragDivision of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215-5450, USA. deb_schrag@dfci.harvard.edu.
Rinaa S PungliaDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. rpunglia@lroc.harvard.edu.

Funding

The HMO Cancer Research Network (CRN)U19CA079689 · NCI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI WAGNER, EDWARD H · 1999 to 2011
$62.6M
DCIS--MAMMOGRAPHIC FEATURES AND PROGNOSISR01CA081302 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HABEL, LAUREL A · 1999 to 2003
$1.1M
NCI NIH HHS R01 CA081302NCI NIH HHS R01 CA81302NCI NIH HHS U19 CA079689PHS HHS HHSA290200500161
6 · The paper itself

Abstract

We examined the clinical/pathologic features of ipsilateral second breast cancers (IP-SBCs) following breast-conserving surgery (BCS) for DCIS among community-treated patients and ascertained the degree of correlation between the features of index DCIS and IP-SBC events. From a Cancer Research Network cohort of DCIS patients diagnosed 1990-2001 and treated with BCS, we identified women who subsequently developed an ipsilateral DCIS or invasive breast cancer. All index DCIS tumors underwent expert pathology review. Pathologic characteristics of IP-SBCs were abstracted from available medical records. Logistic regression was used to examine associations between pathologic characteristics and identify factors associated with invasive versus non-invasive IP-SBC. Of 1969 DCIS patients, 182 developed an IP-SBC within a median of 38 months (range 6-160). IP-SBCs were slightly more commonly non-invasive (53 %) versus invasive (47 %). Of invasive IP-SBCs, 31 % were high grade, 67 % were <20 mm, 74 % were estrogen receptor positive, 7 % were HER2 positive, and 16 % were node positive. Of non-invasive IP-SBCs, 33 % were high grade. Comparing index DCIS and IP-SBC specimens, there was moderate-high correlation for HR status and grade. Among patients with IP-SBCs, those who were younger and whose index DCIS tumors were HR negative had shorter intervals (within 3 years) between index and IP-SBC diagnoses. No index DCIS feature was statistically significantly associated with an IP-SBC that was invasive versus non-invasive. Understanding the characteristics of SBCs and identifying correlations between these and index DCIS events could influence treatment choices for DCIS, and may help patients and providers develop treatment paradigms for SBCs.

Indexed as

AdultAgedBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingFemaleHumansLogistic ModelsMastectomy, SegmentalMiddle AgedNeoplasm Recurrence, LocalPrognosisRisk AssessmentBreast cancerDCISGradeHormone receptorRecurrenceSecond breast cancer

Identifiers

PMID26843057
PMCPMC4767622

What OpenQuestion holds

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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.