Evidence map›Paper›PMID 28052649›Full record

ArticleCancer research and treatment2017

Prognostic Impact of Elective Supraclavicular Nodal Irradiation for Patients with N1 Breast Cancer after Lumpectomy and Anthracycline Plus Taxane-Based Chemotherapy (KROG 1418): A Multicenter Case-Controlled Study.

Haeyoung Kim, Won Park, Jeong Il Yu, Doo Ho Choi, Seung Jae Huh, Yeon-Joo Kim, Eun Sook Lee, Keun Seok Lee, Han-Sung Kang, In Hae Park and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer research and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

22 authors.

Haeyoung KimDepartment of Radiation Oncology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Won ParkDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jeong Il YuDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Doo Ho ChoiDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Seung Jae HuhDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yeon-Joo KimCenter for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
Eun Sook LeeCenter for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
Keun Seok LeeCenter for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
Han-Sung KangCenter for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
In Hae ParkCenter for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
Kyung Hwan ShinDepartment of Radiation Oncology, Seoul National University College of Medicine, Seoul, Korea.
Chan Woo WeeDepartment of Radiation Oncology, Seoul National University College of Medicine, Seoul, Korea.
Kyubo KimDepartment of Radiation Oncology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
Kyung Ran ParkDepartment of Radiation Oncology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
Yong Bae KimDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Sung Ja AhnDepartment of Radiation Oncology, Chonnam National University Medical School, Gwangju, Korea.
Jong Hoon LeeDepartment of Radiation Oncology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
Jin Hee KimDepartment of Radiation Oncology, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Mison ChunDepartment of Radiation Oncology, Ajou University School of Medicine, Suwon, Korea.
Hyung-Sik LeeDepartment of Radiation Oncology, Dong-A University Hospital, Dong-A University School of Medicine, Busan, Korea.
Jung Soo KimDepartment of Radiation Oncology, Chonbuk National University Medical School, Jeonju, Korea.
Jihye ChaDepartment of Radiation Oncology, Wonju Severance Christian Hospital, Wonju, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was conducted to evaluate the impact of supraclavicular lymph node radiotherapy (SCNRT) on N1 breast cancer patients receiving post-lumpectomy whole-breast irradiation (WBI) and anthracycline plus taxane-based (AT) chemotherapy. MATERIALS AND

methodsWe performed a case-control analysis to compare the outcomes of WBI and WBI plus SCNRT (WBI+SCNRT). Among 1,147 patients with N1 breast cancer who received post-lumpectomy radiotherapy and AT-based chemotherapy in 12 hospitals, 542 were selected after propensity score matching. Patterns of failure, disease-free survival (DFS), distant metastasis-free survival (DMFS), and treatment-related toxicity were compared between groups.

resultsA total of 41 patients (7.6%) were found to have recurrence. Supraclavicular lymph node (SCN) failure was detected in three patients, two in WBI and one in WBI+SCNRT. All SCN failures were found simultaneously with distant metastasis. There was no significant difference in patterns of failure or survival between groups. The 5-year DFS and DMFS for patients with WBI and WBI+SCNRT were 94.4% versus 92.6% (p=0.50) and 95.1% versus 94.5% (p=0.99), respectively. The rates of lymphedema and radiation pneumonitis were significantly higher in the WBI+SCNRT than in the WBI.

conclusionWe did not find a benefit of SCNRT for N1 breast cancer patients receiving AT-based chemotherapy.

Indexed as

Postoperative CareAdultAgedAnthracyclinesAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsBridged-Ring CompoundsCase-Control StudiesCombined Modality TherapyFemaleHumansLymphatic MetastasisMastectomy, SegmentalMiddle AgedNeoplasm StagingPrognosisAnthracyclinesBridged-Ring CompoundstaxaneTaxoidsAdjuvant radiotherapyBreast neoplasmsCase-control studiesLymphatic irradiationTaxane

Identifiers

PMID28052649
PMCPMC5654147

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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.