Evidence map›Paper›PMID 29234252›Full record

ArticleBreast care (Basel, Switzerland)2017

Targeted Intraoperative Radiotherapy Tumour Bed Boost during Breast-Conserving Surgery after Neoadjuvant Chemotherapy - a Subgroup Analysis of Hormone Receptor-Positive HER2-Negative Breast Cancer.

Hans-Christian Kolberg, György Lövey, Leyla Akpolat-Basci, Miltiades Stephanou, Peter Fasching, Michael Untch, Oliver Hoffmann, Max Bulsara, Jayant Vaidya, Cornelia Liedtke

Open access · bronzeAbstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. The evolution of targeted intra operative radiotherapy in early breast cancer.Journal of cancer research and clinical oncology · 2025
    Review
  4. IORT-photon boost plus hypofractionated whole breast irradiation in patients with breast cancer after primary systemic treatment: feasibility, safety and clinical results.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  5. Intraoperative radiation therapy (IORT) in Taiwanese breast cancer patients: factors influencing local relapse risk and disease-free survival.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Article
  6. Review
  7. 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

10 authors at 6 institutions in 3 countries.

Hans-Christian KolbergDepartment of Gynaecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany.
György LöveyDepartment of Radiation Oncology, BORAD, Bottrop, Germany.
Leyla Akpolat-BasciDepartment of Gynaecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany.
Miltiades StephanouDepartment of Gynaecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany.
Peter FaschingDepartment of Gynaecology and Obstetrics, University of Erlangen, Erlangen, Germany.
Michael UntchDepartment of Gynaecology and Obstetrics, Helios Klinikum Berlin-Buch, Berlin, Germany.
Oliver HoffmannDepartment of Gynaecology and Obstetrics, University Hospital Essen, Essen, Germany.
Max BulsaraDepartment of Biostatistics, University of Notre Dame, Fremantle WA, Australia.
Jayant VaidyaDepartment of Surgery and Interventional Science, University College London, London, UK.
Cornelia LiedtkeDepartment of Gynaecology and Obstetrics, University Hospital Schleswig-Holstein / Campus Lübeck, Lübeck, Germany.
Marienhospital Bottrop · DEUniversity College London · GBEssen University Hospital · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHelios Hospital Berlin-Buch · DEUniversity Hospital Schleswig-Holstein · DE

Funding

Department of Health 07/60/49Department of Health 10/104/07Department of Health 14/49/13Department of Health HTA/14/49/13
6 · The paper itself

Abstract

introductionIn a previous study our group showed a beneficial effect of targeted intraoperative radiotherapy (TARGIT-IORT) as an intraoperative boost on overall survival after neoadjuvant chemotherapy (NACT) compared to an external boost (EBRT). In this study we present the results of a detailed subgroup analysis of the hormone receptor (HR)-positive HER2-negative patients.

methodsIn this cohort study involving 46 patients with HR-positive HER2-negative breast cancer after NACT, we compared the outcomes of 21 patients who received an IORT boost to those of 25 patients treated with an EBRT boost. All patients received whole breast radiotherapy.

resultsMedian follow-up was 49 months. Whereas disease-free-survival and breast cancer-specific mortality were not significantly different between the groups, the 5-year Kaplan-Meier estimate of overall mortality was significantly lower by 21% with IORT, p = 0.028. Non-breast cancer-specific mortality was significantly lower by 16% with IORT, p = 0.047.

conclusionAlthough our results have to be interpreted with caution, we have shown that the improved overall survival demonstrated previously could be reproduced in the HR-positive HER2-negative subgroup. These data give further support to the inclusion of such patients in the TARGIT-B (Boost) randomised trial that is testing whether IORT boost is superior to EBRT boost.

Indexed as

Breast cancerBreast-conserving surgeryHER2-negativeHormone receptor-positiveIntraoperative radiotherapyNeoadjuvant therapyTARGIT-IORT

Identifiers

PMID29234252
PMCPMC5704703
OpenAlexW2756319082

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.