Evidence map›Paper›PMID 29127715›Full record

ArticleJournal of surgical oncology2017

Relationship between preoperative breast MRI and surgical treatment of non-metastatic breast cancer.

Tracy Onega, Julie E Weiss, Martha E Goodrich, Weiwei Zhu, Wendy B DeMartini, Karla Kerlikowske, Elissa Ozanne, Anna N A Tosteson, Louise M Henderson, Diana S M Buist and 5 more

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06305312 (Community Services Navigation to Advance Health Equity in Breast Cancer Screening), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 42% 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.

NCT06305312 narecruitingnot on this mapstarted 2024, after this paper: background citation

Community Services Navigation to Advance Health Equity in Breast Cancer Screening

TypeinterventionalSponsorUniversity of UtahRan2024 to 2028Enrolled1,450ConditionsBreast CancerArmsCommunity Service Navigation, Usual Care
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Imaging in Locoregional Management of Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Review
  7. Article
  8. 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

15 authors at 9 institutions in 1 country.

Tracy OnegaThe Dartmouth Institute for Health Policy and Clinical Practice and Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Julie E WeissDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Martha E GoodrichDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.ORCID http://orcid.org/0000-0001-5581-3664
Weiwei ZhuGroup Health Research Institute, Seattle, Washington.
Wendy B DeMartiniDepartment of Radiology, Stanford University Medical Center, Stanford, California.
Karla KerlikowskeDepartments of Medicine and Epidemiology and Biostatistics, University of California, San Francisco, California.
Elissa OzanneThe Dartmouth Institute for Health Policy and Clinical Practice and Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Anna N A TostesonThe Dartmouth Institute for Health Policy and Clinical Practice and Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Louise M HendersonDepartment of Radiology, The University of North Carolina, Chapel Hill, North Carolina.
Diana S M BuistGroup Health Research Institute, Seattle, Washington.
Karen J WernliGroup Health Research Institute, Seattle, Washington.
Sally D HerschornUniversity of Vermont and Vermont Cancer Center, Burlington, Vermont.
Elise HotalingDepartment of Radiology, University of Vermont, Burlington, Vermont.
Cristina O'DonoghueSurgical Oncology, Moffitt Cancer Center, Tampa, Florida.
Rebecca HubbardDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Dartmouth College · USKaiser Permanente Washington Health Research Institute · USDartmouth Institute for Health Policy and Clinical Practice · USUniversity of Vermont · USMoffitt Cancer Center · USStanford Medicine · USUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Diana L Miglioretti · 2011 to 2026
$52.9M
Vermont Screening Process Documentation UnitU54CA163303 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SPRAGUE, BRIAN L · 2011 to 2017
$6.4M
Effectiveness of Pre-Operative MRI in Breast Cancer Surgery and OutcomesR01CA149365 · NCI · DARTMOUTH COLLEGE · PI ONEGA, TRACY · 2011 to 2015
$2.8M
NCI NIH HHS HHSN261201100031CNCI NIH HHS P01 CA154292NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA149365NCI NIH HHS U54 CA163303
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMore extensive surgical treatments for early stage breast cancer are increasing. The patterns of preoperative MRI overall and by stage for this trend has not been well established.

methodsUsing Breast Cancer Surveillance Consortium registry data from 2010 through 2014, we identified women with an incident non-metastatic breast cancer and determined use of preoperative MRI and initial surgical treatment (mastectomy, with or without contralateral prophylactic mastectomy (CPM), reconstruction, and breast conserving surgery ± radiation). Clinical and sociodemographic covariates were included in multivariable logistic regression models to estimate adjusted odds ratios and 95% confidence intervals.

resultsOf the 13 097 women, 2217 (16.9%) had a preoperative MRI. Among the women with MRI, results indicated 32% higher odds of unilateral mastectomy compared to breast conserving surgery and of mastectomy with CPM compared to unilateral mastectomy. Women with preoperative MRI also had 56% higher odds of reconstruction.

conclusionPreoperative MRI in women with DCIS and early stage invasive breast cancer is associated with more frequent mastectomy, CPM, and reconstruction surgical treatment. Use of more extensive surgical treatment and reconstruction among women with DCIS and early stage invasive cancer whom undergo MRI warrants further investigation.

Indexed as

AdultAgedBreastBreast NeoplasmsFemaleHumansLogistic ModelsMagnetic Resonance ImagingMastectomyMastectomy, SegmentalMiddle AgedNeoplasm Stagingbreast cancer surgerybreast reconstructionpreoperative breast MRI

Identifiers

PMID29127715
PMCPMC5760434
OpenAlexW2767377768

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.