Evidence map›Paper›PMID 30652307›Full record

ReviewJournal of cellular physiology2019

Efficacy and acceptability of neoadjuvant endocrine therapy in patients with hormone receptor-positive breast cancer: A network meta-analysis.

Tingting Zhang, Fubin Feng, Yan Yao, Lingyu Qi, Jinhui Tian, Chao Zhou, Shengjie Dong, Xue Wang, Changgang Sun

Abstract readReviewNetwork Meta-Analysis
In one paragraph

Review in Journal of cellular physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.2field-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, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Article
  6. Review
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

9 authors at 6 institutions in 1 country.

Tingting ZhangCollege of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, People's Republic of China.
Fubin FengDepartment of Oncology, Weifang Traditional Chinese Hospital, WeiFang, Shandong, People's Republic of China.
Yan YaoClinical Medical Colleges, Weifang Medical University, WeiFang, Shandong, People's Republic of China.
Lingyu QiCollege of First Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, People's Republic of China.
Jinhui TianEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, Gansu, People's Republic of China.
Chao ZhouDepartment of Oncology, Weifang Traditional Chinese Hospital, WeiFang, Shandong, People's Republic of China.
Shengjie DongDepartment of the Joint and Bone Surgery, Yantaishan Hospital, Yantai, Shandong, People's Republic of China.
Xue WangClinical Medical Colleges, Qingdao University, Qingdao, Shandong, People's Republic of China.
Changgang SunDepartment of Oncology, Weifang Traditional Chinese Hospital, WeiFang, Shandong, People's Republic of China.ORCID 0000-0002-6648-3602
Shandong University of Traditional Chinese Medicine · CNWeifang Chinese Medicine Hospital · CNWeifang Medical University · CNLanzhou University · CNQingdao University · CNYantaishan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal sequence of endocrine therapy in a neoadjuvant setting for hormone receptor-positive (HR+) breast cancer is unclear. Our study evaluated the efficacy and acceptability of neoadjuvant endocrine therapy for HR+ breast cancer.

methodsWe identified studies based on titles and abstracts that were published before 22 June 2018 in the following databases: PubMed, EMBASE, and the Cochrane Library. Eligible studies were randomised controlled trials with at least one arm that evaluated the effectiveness of one or a combination of anastrozole, letrozole, palbociclib, tamoxifen, fulvestrant, abemaciclib, everolimus, gefitinib, ribociclib, taselisib, and exemestane. We pooled effect sizes using the odds ratio (OR) and corresponding 95% credibility interval (95% CrI). The primary outcomes were response rate and treatment completion.

resultsOur network meta-analysis included 3,306 participants and 16 eligible studies, which assessed 15 treatments. In terms of response rates, compared with letrozole combined therapy, tamoxifen was associated with a significant reduction in response rate (OR, 0.34; 95% CrI, 0.13-0.85; OR, 0.32; 95% CrI, 0.13-0.80; OR, 0.26; 95% CrI, 0.09-0.83; and OR, 0.30; 95% CrI, 0.09-0.96; for letrozole plus everolimus, letrozole plus taselisib, letrozole plus zoledronic acid, and letrozole plus lapatinib, respectively). Based on the surface under the cumulative ranking curves ranking, letrozole plus zoledronic acid was associated with the highest rate of response (87.6%), followed by letrozole plus lapatinib (85.2%), and letrozole plus taselisib (79.3%).

conclusionsUltimately, our study established that letrozole plus zoledronic acid may be an optimal treatment based on its current rank in a neoadjuvant setting for HR+ breast cancer.

Indexed as

Antineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleHumansLetrozoleNeoadjuvant TherapyReceptors, EstrogenReceptors, ProgesteroneTamoxifenZoledronic AcidAntineoplastic Agents, HormonalErb-b2 Receptor Tyrosine KinasesLetrozoleReceptors, EstrogenReceptors, ProgesteroneTamoxifenZoledronic Acidbreast cancerhormone receptor-positiveletrozole plus zoledronic acidneoadjuvant endocrine therapyrandomised controlled trial

Identifiers

PMID30652307
PMCPMC13484142
OpenAlexW2910156389

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.