Evidence map›Paper›PMID 29416435›Full record

ArticleContemporary oncology (Poznan, Poland)2017

A specific controlled ovarian stimulation (COS) protocol for fertility preservation in women with breast cancer undergoing neoadjuvant chemotherapy.

Felipe Cavagna, Anagloria Pontes, Mario Cavagna, Artur Dzik, Nilka F Donadio, Rafael Portela, Michelle T Nagai, Luiz H Gebrim

Open access · goldAbstract read
In one paragraph

Article in Contemporary oncology (Poznan, Poland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. A call to action: unified clinical practice guidelines for oncofertility care.Journal of assisted reproduction and genetics · 2021
    Article
  4. Article
  5. Review
  6. 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

8 authors at 2 institutions in 1 country.

Felipe CavagnaWomen's Health Reference Center, Hospital Perola Byington, São Paulo, Brazil.
Anagloria PontesDepartment of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University - UNESP, Botucatu, São Paulo, Brazil.
Mario CavagnaWomen's Health Reference Center, Hospital Perola Byington, São Paulo, Brazil.
Artur DzikWomen's Health Reference Center, Hospital Perola Byington, São Paulo, Brazil.
Nilka F DonadioWomen's Health Reference Center, Hospital Perola Byington, São Paulo, Brazil.
Rafael PortelaWomen's Health Reference Center, Hospital Perola Byington, São Paulo, Brazil.
Michelle T NagaiWomen's Health Reference Center, Hospital Perola Byington, São Paulo, Brazil.
Luiz H GebrimWomen's Health Reference Center, Hospital Perola Byington, São Paulo, Brazil.
Hospital Pérola Byington · BRUniversidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studyThe authors present a novel and specific controlled ovarian stimulation protocol for fertility preservation in women with estrogen-positive receptor breast cancer undergoing neoadjuvant chemotherapy. The protocol foresees random start ovarian stimulation and the use of letrozole associated to tamoxifen. MATERIAL AND

methodsForty breast cancer patients were included in the study. COS was performed either with recombinant FSH or hMG. Concomitantly with COS, letrozole in a dose of 5 mg and tamoxifen in a dose of 20 mg were given orally on a daily basis. The trigger was performed with 0.2 mg of triptorelin, in the presence of follicles ≥ 19 mm. Oocyte retrieval was scheduled 35-36 hours after triptorelin injection. Our main outcome measures were the number of oocytes collected and number of oocytes vitrified, the length of ovarian stimulation, total dose of gonadotropins administered, and levels of estradiol on the day of the trigger.

resultsThe mean age of patients was 30.43 ±4.25 years. Nineteen women commenced COS in the luteal phase, eleven in the early follicular phase and ten in the late follicular phase. The mean number of collected oocytes was 11.78 ±9.12 and the mean number of vitrified oocytes was 9.72 ±7.36. The mean duration of COS was 10.03 ±1.33 days. The mean estradiol concentrations on the triggering day was 623.10 ±441.27, and the mean dose of gonadotropins administered was 2540 ±713.10.

conclusionsThe authors suggest that the protocol is efficient and may be a safe option for oocyte vitrification in these patients.

Indexed as

breast cancerfertility preservationletrozoleovarian stimulationtamoxifen

Identifiers

PMID29416435
PMCPMC5799704
OpenAlexW2780830128

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.