Evidence map›Paper›PMID 27305108›Full record

ArticleArquivos brasileiros de cardiologia2016

A Prospective Cohort Study on Cardiotoxicity of Adjuvant Trastuzumab Therapy in Breast Cancer Patients.

Erika Matos, Borut Jug, Rok Blagus, Branko Zakotnik

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2016. 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
1.8field-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

10 citing papers in PubMed, 38 citations in OpenAlex.

  1. Association between comorbidity burden and subclinical cardiac dysfunction in cancer patients prior to chemotherapy.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026
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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

4 authors at 3 institutions in 2 countries.

Erika MatosDivision of Medical Oncology, Institute of Oncology Ljubljana, Slovenia.
Borut JugDepartment of Vascular Diseases, University Medical Centre Ljubljana, Slovenia.
Rok BlagusInstitute for Biostatistics and Medical Informatics, University of Ljubljana, Slovenia.
Branko ZakotnikDivision of Medical Oncology, Institute of Oncology Ljubljana, Slovenia.
Ljubljana University Medical Centre · SIInstitute for Medical Informatics and Biostatistics · CHInstitute of Oncology Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiotoxicity is an important side effect of trastuzumab therapy and cardiac surveillance is recommended.

objectivesThe aim of our study was to prospectively assess baseline patients' characteristics, level of N-terminal pro-brain natriuretic peptide (NT-proBNP) and echocardiographic parameters as possible predictors of trastuzumab-related cardiac dysfunction.

methodsIn a prospective cohort study, clinical, echocardiographic and neurohumoral assessment was performed at baseline, after 4, 8 and 12 months in breast cancer patients undergoing post-anthracycline (3-4 cycles) adjuvant therapy with trastuzumab. Trastuzumab-related cardiac dysfunction was defined as a decline of ≥ 10% in left ventricular ejection fraction (LVEF).

results92 patients (mean age, 53.6 ± 9.0 years) were included. Patients who developed trastuzumab-related LVEF decline ≥ 10% (20.6%) during treatment had significantly higher baseline LVEF (70.7 ± 4.4%) than those without (64.8 ± 5.5%) (p = 0.0035). All other measured baseline parameters (age, body mass index, arterial hypertension, level of NT-proBNP and other echocardiographic parameters) were not identified as significant.

conclusionsOur findings suggest that baseline patient' characteristics, level of NT-proBNP and echocardiographic parameters, as long as they are within normal range, are not a reliable tool to predict early trastuzumab-related cardiac dysfunction in patients undergoing post-low dose anthracycline adjuvant trastuzumab therapy. A LVEF decline in patients with high-normal baseline level although statistically significant is not clinically relevant.

Indexed as

AdultAgedAnimalsAnthracyclinesAntineoplastic AgentsBlood PressureBody Mass IndexBreast NeoplasmsCardiotoxicityChemotherapy, AdjuvantEchocardiography, DopplerErb-b2 Receptor Tyrosine KinasesFemaleHeart FailureHumansLogistic ModelsAnthracyclinesAntineoplastic AgentsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Trastuzumab

Identifiers

PMID27305108
PMCPMC4976955
OpenAlexW2407973862

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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.