Evidence map›Paper›PMID 27999206›Full record

SynthesisOncotarget2017

Clinicopathological and prognostic significance of COX-2 immunohistochemical expression in breast cancer: a meta-analysis.

Feng Xu, Mengxin Li, Chao Zhang, Jianxiu Cui, Jun Liu, Jie Li, Hongchuan Jiang

Open access · diamondAbstract readMeta-Analysis
In one paragraph

Synthesis in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Feng XuDepartment of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, 100020.
Mengxin LiDepartment of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, 100020.
Chao ZhangDepartment of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, 100020.
Jianxiu CuiDepartment of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, 100020.
Jun LiuDepartment of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, 100020.
Jie LiDepartment of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, 100020.
Hongchuan JiangDepartment of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, 100020.
Beijing Chao-Yang Hospital · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognostic significance of COX-2 in patients with breast cancer remains controversial. The aims of our meta-analysis are to evaluate its association with clinicopathological characteristics and prognostic value in patients with breast cancer. PubMed, EMBASE, Web of Science, the Ovid Database and Grey literature were systematically searched up to May 2016. Twenty-one studies including 6739 patients with breast cancer were analyzed. The meta-analysis indicated that the incidence difference of COX-2 expression was significant when comparing the lymph node positive group to negative group (OR = 1.76, 95% CI [1.30, 2.39]) and the tumor size ≥ 2cm group to the tumor size < 2cm group (OR = 1.71, 95% CI [1.22, 2.39]). None of other clinicopathological parameters such as the ER status, PR status, HER2 status and the vascular invasion status were associated with COX-2 overexpression. The detection of COX-2 was significantly correlated with the disease-free survival (DFS) of patients (HR = 1.58, 95% CI [1.23, 2.03]) and the overall survival (OS) of patients (HR = 1.51, 95% CI [1.31, 1.72]). Our meta-analysis demonstrates that the presence of high levels of COX-2 is associated with poor prognosis for breast cancer patients and predicts bigger tumor size and lymph node metastasis.

Indexed as

Up-RegulationBreast NeoplasmsCyclooxygenase 2Disease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleGene Expression Regulation, NeoplasticHumansLymphatic MetastasisPrognosisReceptors, EstrogenReceptors, ProgesteroneSurvival AnalysisTumor BurdenCyclooxygenase 2ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesPTGS2 protein, humanReceptors, EstrogenReceptors, Progesteronebreast cancerCOX-2meta-analysisprognosis

Identifiers

PMID27999206
PMCPMC5351608
OpenAlexW2560996889

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.