Evidence map›Paper›PMID 27587621›Full record

ArticleJournal of the National Comprehensive Cancer Network : JNCCN2016

Predictors of Antiestrogen Recommendation in Women With Estrogen Receptor-Positive Ductal Carcinoma In Situ.

Rondi M Kauffmann, Leanne Goldstein, Emily Marcinkowski, George Somlo, Yuan Yuan, Philip H G Ituarte, Laura Kruper, Leslie Taylor, Courtney Vito

Abstract read
In one paragraph

Article in Journal of the National Comprehensive Cancer Network : JNCCN, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Rondi M KauffmannFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
Leanne GoldsteinFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
Emily MarcinkowskiFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
George SomloFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
Yuan YuanFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
Philip H G ItuarteFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
Laura KruperFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
Leslie TaylorFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.
Courtney VitoFrom the Departments of Oncologic Surgery, Biostatistics and Population Sciences, and Medical Oncology, City of Hope National Medical Center, Duarte, California.

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI XIWEI WU · 1985 to 2026
$86.3M
NCI NIH HHS P30 CA033572
6 · The paper itself

Abstract

backgroundAntiestrogen (anti-e) use in estrogen receptor-positive (ER+) ductal carcinoma in situ (DCIS) has been shown to reduce the incidence of noninvasive and invasive breast cancer. Few studies have evaluated factors associated with anti-e recommendation in ER+ DCIS.

methodsThe California Cancer Registry was queried for female patients diagnosed with ER+ DCIS and treated with lumpectomy or unilateral mastectomy from 2004 to 2011. Patient demographics, comorbidities, and clinical characteristics were analyzed for association with anti-e recommendation.

resultsOf 5,527 patients identified, 76.4% patients underwent lumpectomy and 23.6% underwent unilateral mastectomy. Of the total cohort, 31.6% patients were recommended anti-e therapy, 60.4% were not, and the remaining 8.0% were recommended anti-e, but administration was not documented. Performance of lumpectomy predicted anti-e use compared with mastectomy (odds ratio [OR], 2.08; 95% CI, 1.77-2.43). Asian/Pacific Islanders were more often recommended anti-e therapy when compared with whites (OR, 1.28; 95% CI, 1.10-1.49). Patients younger than 70 years were more often recommended anti-e (age, 18-49 years: OR, 1.38; CI, 1.12-1.71; and age, 50-69 years: OR, 1.43; CI, 1.20-1.71).

conclusionsDespite current guidelines to consider the use of anti-e therapy, recommendation of anti-e after surgical treatment of DCIS is low, having been recommended to 40% of patients, and used by fewer than one-third. Significant predictors include lumpectomy compared with unilateral mastectomy, Asian/Pacific Islander race, younger age, and number of comorbidities. Further work is merited to understand patterns of anti-e therapy recommendation by providers in patients with DCIS.

Indexed as

AdolescentAdultAgedBreast NeoplasmsCarcinoma, Ductal, BreastCohort StudiesEstrogen Receptor ModulatorsFemaleHumansMiddle AgedReceptors, EstrogenYoung AdultEstrogen Receptor ModulatorsReceptors, Estrogen

Identifiers

PMID27587621
PMCPMC9206878

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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.