Evidence map›Paper›PMID 29963108›Full record

ArticleJournal of breast cancer2018

Association between Changes in Serum 25-Hydroxyvitamin D Levels and Survival in Patients with Breast Cancer Receiving Neoadjuvant Chemotherapy.

Ji Su Kim, Caspar Christian Haule, Joo Heung Kim, Sung Mook Lim, Kwang Hyun Yoon, Jee Ye Kim, Hyung Seok Park, Seho Park, Seung Il Kim, Young Up Cho and 1 more

Abstract read
In one paragraph

Article in Journal of breast cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Observational
  5. Review
  6. Review
  7. Observational
  8. Association between serum Vitamin D levels and prognostic factors in nonmetastatic breast cancer patients.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    Article
  9. Observational
  10. Article
  11. Serum Levels of 25-Hydroxyvitamin D at Diagnosis Are Not Associated with Overall Survival in Esophageal Adenocarcinoma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
    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

11 authors.

Ji Su KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Caspar Christian HauleDepartment of Surgery, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Joo Heung KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Sung Mook LimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Kwang Hyun YoonDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Jee Ye KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Hyung Seok ParkDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Seho ParkDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Seung Il KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Young Up ChoDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Byeong-Woo ParkDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe investigated the changes in serum 25-hydroxyvitamin D (25[OH]D) levels before and after neoadjuvant chemotherapy (NCT) and the associations with pathologic complete response (pCR) and survival in patients with breast cancer.

methodsSerum 25(OH)D concentrations were measured pre- and post-NCT in 374 patients between 2010 and 2013. Based on a cutoff of 20 ng/mL, patients were categorized into "either sufficient" or "both deficient" groups. The associations with clinicopathological data, including pCR and survival, were analyzed using multivariable analyses.

resultsPatients with either pre- or post-NCT sufficient 25(OH)D levels accounted for 23.8%, and the overall pCR rate was 25.9%. Most patients showed 25(OH)D deficiency at diagnosis and 65.8% showed decreased serum levels after NCT. Changes in 25(OH)D status were associated with postmenopause status, rural residence, baseline summer examination, and molecular phenotype, but not pCR. No association between survival and 25(OH)D status was found, including in the subgroup analyses based on molecular phenotypes.

conclusionMost Korean patients with breast cancer showed vitamin D deficiency at diagnosis and a significant decrease in the serum concentration after NCT. No association with oncologic outcomes was found. Therefore, although optimal management for vitamin D deficiency is urgent for skeletal health, further research is warranted to clearly determine the prognostic role of vitamin D in patients with breast cancer who are candidates for NCT.

Indexed as

Breast neoplasmsNeoadjuvant therapySurvivalTreatment outcomeVitamin D

Identifiers

PMID29963108
PMCPMC6015976

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.