Evidence map›Paper›PMID 30538888›Full record

ArticleJournal of radiosurgery and SBRT2018

Potential prognostic markers for survival and neurologic death in patients with breast cancer brain metastases who receive upfront SRS alone.

Rachel F Shenker, Ryan T Hughes, Emory R McTyre, Claire Lanier, Hui-Wen Lo, Linda Metheny-Barlow, Jing Su, Alexandra Thomas, Doris R Brown, Tiffany Avery and 6 more

Abstract read
In one paragraph

Article in Journal of radiosurgery and SBRT, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 20% 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, 8 citations in OpenAlex.

  1. Article
  2. Treatment Strategies for Oligometastatic Breast Cancer.Current treatment options in oncology · 2021
    Review
  3. 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

16 authors at 2 institutions in 1 country.

Rachel F ShenkerDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Ryan T HughesDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Emory R McTyreDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Claire LanierDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Hui-Wen LoDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Linda Metheny-BarlowDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Jing SuDepartment of Biostatistics, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Alexandra ThomasDepartment of Medicine (Hematology & Oncology), Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Doris R BrownDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Tiffany AveryDepartment of Medicine (Hematology & Oncology), Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Boris PascheDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Christina K CramerDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Adrian W LaxtonDepartment of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Stephen B TatterDepartment of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Kounosuke WatabeDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Michael D ChanDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Wake Forest University · USAtrium Health Wake Forest Baptist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PURPOSE/

objectivesStereotactic radiosurgery (SRS) is used as a treatment option for breast cancer brain metastases. It is unclear what factors predict neurologic death for these patients. MATERIALS/

methodsA total of 128 patients with breast cancer brain metastases were treated with upfront SRS alone in this study. Survival was estimated using the Kaplan-Meier method. Clinicopathologic factors evaluated included age, ER/PR status, Her2 status, numbers of brain metastases treated, minimum SRS dose, disease-specific GPA, extracranial disease status and systemic disease burden.

resultsER or PR positivity was associated with a trend towards decreased neurologic death (subdistribution hazard ratio (sHR) = 0.54, p=0.06). Factors associated with non-neurologic death include extracranial disease status (sHR = 2.02, p=0.02) and dose (sHR = 1.11, p=0.02); Her2-positivity was associated with reduced hazard of non-neurologic death (sHR 0.52, p=0.05).

conclusionsER/PR positivity was associated with a trend towards less neurologic death. HER2 positivity was associated with a trend towards less non-neurologic death.

Indexed as

brain metastasesbreast cancerbreast cancer metastasesneurologic deathprognostic factors

Identifiers

PMID30538888
PMCPMC6255726
OpenAlexW2896738977

What OpenQuestion holds

Textmetadata
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.