Evidence map›Paper›PMID 29569018›Full record

ArticleBreast cancer research and treatment2018

Breast cancer survival, survival disparities, and guideline-based treatment.

Deirdre A Hill, Sarah Friend, Lesley Lomo, Charles Wiggins, Marc Barry, Eric Prossnitz, Melanie Royce

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

29 citing papers in PubMed, 53 citations in OpenAlex.

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  12. Understanding Benign Breast Disease and Subsequent Breast Cancer in Hispanic White Females: A Step Closer to Evidence-Based Management.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
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  18. CCDC3 Gene Regulates the Proliferation of Breast Cancer Cells.Bulletin of experimental biology and medicine · 2023
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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.

Deirdre A HillInternal Medicine Department, University of New Mexico School of Medicine, MSC 10 5550, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA. dahill@salud.unm.edu.ORCID http://orcid.org/0000-0002-8495-659X
Sarah FriendDepartment of Hematology/Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Lesley LomoDepartment of Pathology, University of New Mexico, Albuquerque, NM, USA.
Charles WigginsInternal Medicine Department, University of New Mexico School of Medicine, MSC 10 5550, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.
Marc BarryDepartment of Pathology, University of New Mexico, Albuquerque, NM, USA.
Eric ProssnitzInternal Medicine Department, University of New Mexico School of Medicine, MSC 10 5550, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.
Melanie RoyceInternal Medicine Department, University of New Mexico School of Medicine, MSC 10 5550, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA.
University of New Mexico · USEmory University · US

Funding

WOMEN'S CANCERS RESEARCH PROGRAMP30CA118100 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Yolanda Sanchez · 2005 to 2026
$57.1M
Molecular Mechanisms and Applications of Novel ER/GPER-selective LigandsR01CA194496 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI ARTERBURN, JEFFREY B, PROSSNITZ, ERIC R · 2016 to 2025
$4.1M
G protein-coupled estrogen receptor GPER and breast carcinogenesisR01CA163890 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI PROSSNITZ, ERIC R · 2012 to 2023
$3.3M
Towards a Transdisciplinary Understanding of Breast Cancer Survival DisparitiesR01CA132877 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI HILL, DEIRDRE · 2010 to 2014
$2.6M
National Cancer Institute 1R01CA132877National Cancer Institute 2P30CA11810National Cancer Institute HSN26120130010I-Task Order HHSN26100005NCI NIH HHS P30 CA118100NCI NIH HHS R01 CA132877NCI NIH HHS R01 CA163890NCI NIH HHS R01 CA194496
6 · The paper itself

Abstract

purposeThe role of appropriate therapy in breast cancer survival and survival disparities by race/ethnicity has not been fully elucidated. We investigated whether lack of guideline-recommended therapy contributed to survival differences overall and among Hispanics relative to non-Hispanic white (NHW) women in a case-cohort study.

methodsThe study included a 15% random sample of female invasive breast cancer patients diagnosed from 1997 to 2009 in 6 New Mexico counties and all deaths due to breast cancer-related causes. Information was obtained from comprehensive medical chart reviews. National Comprehensive Cancer Network (NCCN®) guideline-recommended treatment was assessed among white women aged < 70 who were free of contraindications for recommended therapy, had stage I-III tumors, and survived ≥ 12 months. Hazard ratios (HRs) and 95% confidence intervals (CIs) for breast cancer death were estimated using Cox proportional hazards models.

resultsIncluded women represented 4635 patients and 449 breast cancer deaths. Women who did not receive radiotherapy (HR 2.3; 95% CI 1.2-4.4) or endocrine therapy (HR 2.0; 95% CI 1.0-4.0) as recommended by guidelines had an increased risk of breast cancer death, relative to those treated appropriately. Receipt of guideline-recommended therapy did not differ between Hispanic and NHW women for chemotherapy (84.2% vs. 81.3%, respectively), radiotherapy (89.2% vs. 91.1%), or endocrine therapy (89.2% vs. 85.8%), thus did not influence Hispanic survival disparities.

conclusionsLack of guideline-recommended radiotherapy or endocrine therapy contributed to survival as strongly as other established prognostic indicators. Hispanic survival disparities in this population do not appear to be attributable to treatment differences.

Indexed as

Healthcare DisparitiesAdultAgedBreast NeoplasmsCase-Control StudiesCombined Modality TherapyFemaleGuideline AdherenceHispanic or LatinoHumansMiddle AgedNeoplasm StagingPopulation SurveillancePractice Guidelines as TopicPrognosisSEER ProgramBreast neoplasmsGuideline adherenceHealthcare disparitiesHispanic americansSurvival analysis

Identifiers

PMID29569018
PMCPMC6002943
OpenAlexW2791900492

What OpenQuestion holds

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Registered trials

None linked

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.