Evidence map›Paper›PMID 30384580›Full record

ArticleCancer research and treatment2019

Comparison of Breast Conserving Surgery Followed by Radiation Therapy with Mastectomy Alone for Pathologic N1 Breast Cancer Patients in the Era of Anthracycline Plus Taxane-Based Chemotherapy: A Multicenter Retrospective Study (KROG 1418).

Gyu Sang Yoo, Won Park, Jeong Il Yu, Doo Ho Choi, Yeon-Joo Kim, Kyung Hwan Shin, Chan Woo Wee, Kyubo Kim, Kyung Ran Park, Yong Bae Kim and 7 more

Open access · diamondAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 46% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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

17 authors at 11 institutions in 1 country.

Gyu Sang YooDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Won ParkDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jeong Il YuDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Doo Ho ChoiDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yeon-Joo KimCenter for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
Kyung Hwan ShinDepartment of Radiation Oncology, Seoul National University College of Medicine, Seoul, Korea.
Chan Woo WeeDepartment of Radiation Oncology, Seoul National University College of Medicine, Seoul, Korea.
Kyubo KimDepartment of Radiation Oncology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
Kyung Ran ParkDepartment of Radiation Oncology, Kosin University Gospel Hospital, Busan, Korea.
Yong Bae KimDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Sung Ja AhnDepartment of Radiation Oncology, Chonnam National University Medical School, Gwangju, Korea.
Jong Hoon LeeDepartment of Radiation Oncology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
Jin Hee KimDepartment of Radiation Oncology, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Mison ChunDepartment of Radiation Oncology, Ajou University School of Medicine, Suwon, Korea.
Hyung-Sik LeeDepartment of Radiation Oncology, Dong-A University Hospital, Dong-A University School of Medicine, Busan, Korea.
Jung Soo KimDepartment of Radiation Oncology, Chonbuk National University Medical School, Jeonju, Korea.
Jihye ChaDepartment of Radiation Oncology, Wonju Severance Christian Hospital, Wonju, Korea.
Samsung Medical Center · KRKeimyung University Dongsan Medical Center · KRSeoul National University · KRYonsei University · KRAjou University · KRChonnam National University Hospital · KRDong-A University Hospital · KREwha Womans University · KRKosin University Gospel Hospital · KRThe Catholic University of Korea St. Vincent's Hospital · KRWonju Severance Christian Hospital · KR

Funding

Ministry of Health and Welfare 1720170
6 · The paper itself

Abstract

purposeWe compared the oncologic outcomes of breast-conserving surgery plus radiation therapy (BCS+RT) and modified radical mastectomy (MRM) under anthracycline plus taxane-based (AT) regimens and investigated the role of adjuvant radiation therapy (RT) in patients with pathologic N1 (pN1) breast cancer treated by mastectomy. MATERIALS AND

methodsWe retrospectively reviewed the medical records of 2,011 patients with pN1 breast cancer who underwent BCS+RT or MRM alone at 12 institutions between January 2006 and December 2010. Two-to-one propensity score matching was performed for balances in variables between the groups.

resultsThe median follow-up duration for the total cohort was 69 months (range, 1 to 114 months). After propensity score matching, 1,074 patients (676 in the BCS+RT group and 398 in the MRM-alone group) were analyzed finally. The overall survival, disease-free survival, locoregional failure-free survival, and regional failure-free survival (RFFS) curves of the BCS+RT group vs. MRM-alone group were not significantly different. The subgroup analysis revealed that in the group with both lymphovascular invasion (LVI) and histologic grade (HG) III, the BCS+RT showed significantly superior RFFS (p=0.008). Lymphedema (p=0.007) and radiation pneumonitis (p=0.031) occurred more frequently in the BCS+RT group than in the MRM-alone group, significantly.

conclusionThere are no differences in oncologic outcomes between BCS+RT and MRM-alone groups under the AT chemotherapy regimens for pN1 breast cancer. However, BCS+RT group showed superior RFFS to MRM-alone group in the patients with LVI and HG III. Adjuvant RT might be considerable for pN1 breast cancer patients with LVI and HG III.

Indexed as

AdultAnthracyclinesBreast NeoplasmsFemaleHumansMastectomyMastectomy, SegmentalMiddle AgedNeoplasm GradingNeoplasm StagingPropensity ScoreRadiotherapy, AdjuvantRetrospective StudiesSurvival AnalysisTaxoidsTreatment OutcomeAnthracyclinesTaxoidsAnthracyclinesBreast conserving surgeryBreast neoplasmsMastectomyPathologic N1Radiation RadiotherapyTaxane

Identifiers

PMID30384580
PMCPMC6639204
OpenAlexW2899302964

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.