Evidence map›Paper›PMID 30655614›Full record

ArticleBritish journal of cancer2019

Tamoxifen treatment for male breast cancer and risk of thromboembolism: prospective cohort analysis.

Holm Eggemann, Anna-Lena Bernreiter, Mattea Reinisch, Sibylle Loibl, Florin-Andrei Taran, Serban-Dan Costa, Atanas Ignatov

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Sex Differences in Cancer-Associated Thrombosis.International journal of molecular sciences · 2026
    Review
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  13. High expression of autophagy-related geneWorld journal of clinical cases · 2023
    Article
  14. Article
  15. Risk factors associated with venous thromboembolism in breast cancer: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
  16. Review
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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 5 institutions in 1 country.

Holm EggemannDepartment of Obstetrics and Gynaecology, Otto-von-Guericke University, Magdeburg, Germany. holm.eggemann@med.ovgu.de.
Anna-Lena BernreiterDepartment of Obstetrics and Gynaecology, Otto-von-Guericke University, Magdeburg, Germany.
Mattea ReinischBreast Unit, Kliniken Essen-Mitte, Essen, Germany.
Sibylle LoiblGBG Forschungs GmbH, Neu-Isenburg, Germany.
Florin-Andrei TaranDepartment of Obstetrics and Gynaecology, University Hospital Tübingen, Tübingen, Germany.
Serban-Dan CostaDepartment of Obstetrics and Gynaecology, Otto-von-Guericke University, Magdeburg, Germany.
Atanas IgnatovDepartment of Obstetrics and Gynaecology, Otto-von-Guericke University, Magdeburg, Germany. atanas.ignatov@gmail.com.
Otto-von-Guericke University Magdeburg · DEGerman Breast group · DEKliniken Essen-Mitte · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThromboembolism is a common adverse event in women treated with tamoxifen (TAM) for breast cancer. The risk in male breast cancer patients is poorly investigated. We aimed to examine the risk of thrombotic events after TAM in male breast cancer patients. PATIENTS AND

methodsIn this prospective cohort study, 448 patients treated between May 2009 and July 2017 for male breast cancer (BC) were assessed for eligibility. Patients with follow-up shorter than 6 months were excluded. The cumulative risk of thromboembolism was evaluated.

resultsThe median follow-up was 47 months (range 6-101 months) with a median age of 69.4 years (range 27-89 years). Oestrogen receptor and progesterone receptor expression levels were observed in 98.3 and 94.9% of cases, respectively. During the follow-up period, thrombotic events were documented in 21 (11.9%) of 177 patients receiving TAM and in 1 (2.5%) of 41 patients who did not receive tamoxifen. The estimated incidence was 51.9 per 1000 person-years and 21.5 per 1000 person-years, respectively. Notably, the highest risk was identified in the first 18 months, where 81% of the observed thrombotic events occurred. Patients aged older than 71 years had a significantly increased risk of thrombotic event under TAM treatment than their younger counterparts (p = 0.033). History of thrombotic event, cardiovascular and liver disease, as well as additional adjuvant treatment were not associated with increased thrombotic risk.

conclusionThe risk of thrombotic event in men treated with TAM for breast cancer is markedly increased in the first 18 months of treatment, and should be considered during treatment decisions.

Indexed as

AdultAgedAged, 80 and overAge FactorsBreast Neoplasms, MaleChemotherapy, AdjuvantHumansMaleMiddle AgedProspective StudiesRisk FactorsTamoxifenThromboembolismTreatment OutcomeTamoxifen

Identifiers

PMID30655614
PMCPMC6353985
OpenAlexW2909201457

What OpenQuestion holds

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LicenceCC BY
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.