Evidence map›Paper›PMID 30673703›Full record

ArticlePloS one2019

Impact of time to local recurrence on the occurrence of metastasis in breast cancer patients treated with neoadjuvant chemotherapy: A random forest survival approach.

Enora Laas, Anne-Sophie Hamy, Anne-Sophie Michel, Nabilah Panchbhaya, Matthieu Faron, Thanh Lam, Sophie Carrez, Jean-Yves Pierga, Roman Rouzier, Florence Lerebours and 2 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

12 authors.

Enora LaasDepartment of Surgery, Institut Curie, Paris, France.
Anne-Sophie HamyResidual Tumour & Response to Treatment Laboratory, RT2Lab, PSL Research University, Translational Research Department, Institut Curie, Paris, France.
Anne-Sophie MichelDepartment of Surgery, Institut Curie, Paris, France.
Nabilah PanchbhayaDepartment of Surgery, Institut Curie, Paris, France.
Matthieu FaronDepartment of Surgery, Institut Gustave Roussy, Villejuif, France.
Thanh LamDepartment of Gynaecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Sophie CarrezDepartment of Surgery, Institut Curie, Paris, France.
Jean-Yves PiergaDepartment of Medical Oncology, Institut Curie, Paris, France.
Roman RouzierDepartment of Surgery, Institut Curie, Paris, France.
Florence LereboursDepartment of Medical Oncology, Institut Curie, Paris, France.
Jean-Guillaume FeronDepartment of Surgery, Institut Curie, Paris, France.
Fabien ReyalDepartment of Surgery, Institut Curie, Paris, France.ORCID 0000-0002-2318-3589

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe studied the relationship between time to ipsilateral breast tumor recurrence (IBTR) and distant metastasis-free survival (DMFS) in patients with breast cancer treated by neoadjuvant chemotherapy (NAC).

methodsBetween 2002 and 2012, 1199 patients with primary breast cancer were treated with NAC. Clinical, radiological and pathological data were retrieved from medical records. Multivariate analysis was performed with the random survival forest (RSF) method, to evaluate the relationship between time to local recurrence and DMFS.

resultsTime to IBTR, local recurrence and molecular subtype were the factors most strongly associated with DMFS. In the total population, DMFS increased linearly with recurrence time, up to 50 months. For recurrences after 50 months, DMFS was similar for all times to recurrence. Considering molecular subtypes separately, the threshold was similar for the TNBC subtype (50 months), but appeared to occur later for the luminal and HER2-positive subtypes (75 months).

conclusionA threshold of 50 months seems to differentiate between early and late recurrences and could be used to guide the medical management of local breast tumour recurrences.

Indexed as

AdultBreast NeoplasmsDisease-Free SurvivalFemaleHumansMiddle AgedMultivariate AnalysisNeoadjuvant TherapyNeoplasm MetastasisRisk FactorsTime Factors

Identifiers

PMID30673703
PMCPMC6344020

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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.