Evidence map›Paper›PMID 27783163›Full record

ArticleAnnals of surgical oncology2017

Evaluation of Local and Distant Recurrence Patterns in Patients with Triple-Negative Breast Cancer According to Age.

Julia C Radosa, Anne Eaton, Michelle Stempel, Amrin Khander, Cornelia Liedtke, Erich-Franz Solomayer, Maria Karsten, Melissa Pilewskie, Monica Morrow, Tari A King

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Observational
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  9. The 3q OncogeneInternational journal of molecular sciences · 2023
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  17. Receptor conversion in metastatic breast cancer: analysis of 390 cases from a single institution.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
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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

10 authors.

Julia C RadosaBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anne EatonDepartment of Epidemiology-Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Michelle StempelBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Amrin KhanderBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Cornelia LiedtkeDepartment of Gynecology and Obstetrics, University of Schleswig-Holstein, Lübeck, Germany.
Erich-Franz SolomayerDepartment of Gynecology and Obstetrics, Saarland University Hospital, Homburg, Germany.
Maria KarstenBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Melissa PilewskieBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Monica MorrowBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Tari A KingBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. tking7@partners.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundTriple-negative breast cancer (TNBC) subtype and young patient age are both associated with an increased risk of local recurrence (LR) and distant recurrence (DR). In young women with TNBC, it is unclear whether subtype or patient age is driving prognosis.

methodsPatients treated for primary TNBC from 1998 to 2011 were identified from the breast surgery database. Clinicopathologic characteristics, treatment, and outcomes were compared between patients <40 and ≥40 years of age at diagnosis. Multivariate models were used to identify factors independently associated with LR and DR.

resultsAmong 1930 patients with TNBC, 289 (15 %) were <40 and 1641 (85 %) were ≥40 years of age at diagnosis. Younger patients were more likely to present with higher stage disease and more likely to receive mastectomy (p < 0.01), axillary node dissection (p < 0.01), and chemotherapy (p < 0.01). At a median follow-up of 74 (0-201.1) months, there was no difference in LR or disease-free survival (DFS) by age group [5-year LR = 3.9 % (95 % confidence interval (CI) 1.5-6.2) vs. 4.5 % (95 % CI 3.5-5.6) and 5-year DFS = 75.3 % (95 % CI 70.2-80.7) vs. 77.7 % (95 % CI 75.6-79.8), p = 0.94] in patients aged <40 and ≥40 years, respectively. On multivariate analysis, larger tumor size, lymphovascular invasion, and nodal positivity were associated with increased risk of DR. Age and type of surgery were not significantly associated with either outcome.

conclusionsYoung age at diagnosis is not an independent risk factor for LR or DR in patients with TNBC.

Indexed as

Lymph Node ExcisionAdultAgedAged, 80 and overAge FactorsAntineoplastic AgentsAxillaBlood VesselsDisease-Free SurvivalFollow-Up StudiesHumansLymphatic MetastasisLymphatic VesselsMastectomyMiddle AgedNeoplasm InvasivenessAntineoplastic Agents

Identifiers

PMID27783163
PMCPMC5408739

What OpenQuestion holds

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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.