Evidence map›Paper›PMID 27102154›Full record

Observational studyOncotarget2016

The impact of adjuvant chemotherapy in older breast cancer patients on clinical and biological aging parameters.

Barbara Brouwers, Sigrid Hatse, Lissandra Dal Lago, Patrick Neven, Peter Vuylsteke, Bruna Dalmasso, Guy Debrock, Heidi Van Den Bulck, Ann Smeets, Oliver Bechter and 8 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
2.2field-weighted citation impact, top 14% 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

30 citing papers in PubMed, 5 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  4. The prevalence of frailty among breast cancer patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
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  15. Development and validation of a prediction model for frailty in breast cancer patients with extended survival.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

18 authors at 8 institutions in 4 countries.

Barbara BrouwersLaboratory of Experimental Oncology (LEO), Department of Oncology, KU Leuven, and Department of General Medical Oncology, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
Sigrid HatseLaboratory of Experimental Oncology (LEO), Department of Oncology, KU Leuven, and Department of General Medical Oncology, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
Lissandra Dal LagoDepartment of Medicine, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Patrick NevenMultidisciplinary Breast Center, University Hospitals Leuven, Leuven, Belgium.
Peter VuylstekeDepartment of Medical Oncology, Clinique et Maternité Sainte-Elisabeth, Namur, Belgium.
Bruna DalmassoLaboratory of Experimental Oncology (LEO), Department of Oncology, KU Leuven, and Department of General Medical Oncology, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
Guy DebrockDepartment of Medical Oncology, Ziekenhuizen Oost Limburg (ZOL), Genk, Belgium.
Heidi Van Den BulckDepartment of Medical Oncology, Imelda Ziekenhuis Bondheiden, Belgium.
Ann SmeetsMultidisciplinary Breast Center, University Hospitals Leuven, Leuven, Belgium.
Oliver BechterLaboratory of Experimental Oncology (LEO), Department of Oncology, KU Leuven, and Department of General Medical Oncology, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
Jithendra Kini BailurDepartment of Internal Medicine II, Centre for Medical Research, University of Tübingen, Tübingen, Germany.
Cindy KenisDepartment of General Medical Oncology and Geriatric Medicine, University Hospitals Leuven, Belgium.
Annouschka LaenenInteruniversity Centre for Biostatistics and Statistical Bioinformatics, Leuven, Belgium.
Patrick SchöffskiLaboratory of Experimental Oncology (LEO), Department of Oncology, KU Leuven, and Department of General Medical Oncology, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
Graham PawelecDepartment of Internal Medicine II, Centre for Medical Research, University of Tübingen, Tübingen, Germany.
Fabrice JourneLaboratory of Oncology and Experimental Surgery, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Ghanem-Elias GhanemLaboratory of Oncology and Experimental Surgery, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Hans WildiersLaboratory of Experimental Oncology (LEO), Department of Oncology, KU Leuven, and Department of General Medical Oncology, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
KU Leuven · BEInstitut Jules Bordet · BEUniversity of Tübingen · DEImelda Hospital · BEIstituti di Ricovero e Cura a Carattere Scientifico · ITStatistics Belgium · BEUniversité Libre de Bruxelles · BEZiekenhuis Oost-Limburg · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis prospective observational study aimed to evaluate the impact of adjuvant chemotherapy on biological and clinical markers of aging and frailty.

methodsWomen ≥ 70 years old with early breast cancer were enrolled after surgery and assigned to a chemotherapy (Docetaxel and Cyclophosphamide) group (CTG, n=57) or control group (CG, n=52) depending on their planned adjuvant treatment. Full geriatric assessment (GA) and Quality of Life (QoL) were evaluated at inclusion (T0), after 3 months (T1) and at 1 year (T2). Blood samples were collected to measure leukocyte telomere length (LTL), levels of interleukin-6 (IL-6) and other circulating markers potentially informative for aging and frailty: Interleukin-10 (IL-10), Tumor Necrosis Factor Alpha (TNF-α), Insulin-like Growth Factor 1 (IGF-1), Monocyte Chemotactic Protein 1 (MCP-1) and Regulated on Activation, Normal T cell Expressed and Secreted (RANTES).

resultsLTL decreased significantly but comparably in both groups, whereas IL-6 was unchanged at T2. However, IL-10, TNF-α, IGF-1 and MCP-1 suggested a minor biological aging effect of chemotherapy. Clinical frailty and QoL decreased at T1 in the CTG, but recovered at T2, while remaining stable in the CG.

conclusionsChemotherapy (TC) is unlikely to amplify clinical aging or induce frailty at 1 year. Accordingly, there is no impact on the most established aging biomarkers (LTL, IL-6).

Indexed as

AgedAged, 80 and overAgingAntineoplastic AgentsBiomarkersBreast NeoplasmsChemokine CCL2Chemokine CCL5Chemotherapy, AdjuvantFemaleFrail ElderlyFrailtyHumansInsulin-Like Growth Factor IInterleukin-10Interleukin-6Antineoplastic AgentsBiomarkersCCL2 protein, humanCCL5 protein, humanChemokine CCL2Chemokine CCL5IGF1 protein, humanIL10 protein, humanIL6 protein, humanInsulin-Like Growth Factor IInterleukin-10Interleukin-6Tumor Necrosis Factor-alphaadjuvant chemotherapyaging biomarkersbiological agingbreast cancerGerotargetolder patients

Identifiers

PMID27102154
PMCPMC5058657
OpenAlexW2337576052

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.