Evidence map›Paper›PMID 30710068›Full record

ArticleThe oncologist2019

Neoadjuvant Management of Early Breast Cancer: A Clinical and Investigational Position Statement.

Ramon Colomer, Cristina Saura, Pedro Sánchez-Rovira, Tomás Pascual, Isabel T Rubio, Octavio Burgués, Lourdes Marcos, César A Rodríguez, Miguel Martín, Ana Lluch

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  13. Evaluation of pathological complete response rates in breast cancer patients undergoing neoadjuvant therapy.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
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  14. Review
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  17. Facts and Hopes in Neoadjuvant Immunotherapy: Current Approvals and Emerging Evidence.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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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

10 authors at 8 institutions in 1 country.

Ramon ColomerDepartment of Medical Oncology, Hospital Universitario La Princesa, Madrid, Spain rcolomer@seom.org.ORCID 0000-0002-6393-3444
Cristina SauraDepartment of Medical Oncology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Pedro Sánchez-RoviraDepartment of Medical Oncology, Hospital Universitario de Jaen, Jaen, Spain.
Tomás PascualDepartment of Medical Oncology, Hospital Clínic, Barcelona, Spain.
Isabel T RubioDepartment of Breast Surgical Oncology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Octavio BurguésPathology Department, Hospital Clínico Universitario, Valencia, Spain.
Lourdes MarcosDepartment of Radiology, Hospital Universitario La Princesa, Madrid, Spain.
César A RodríguezDepartment of Medical Oncology, Hospital Clínico Universitario de Salamanca-IBSAL, Salamanca, Spain.
Miguel MartínDepartment of Medical Oncology, Hospital Universitario Gregorio Marañon, Madrid, Spain.
Ana LluchDepartment of Medical Oncology and Hematology, Hospital Clínico Universitario, University of Valencia-INCLIVA Health Research Institute, CIBERONC, Valencia, Spain.
Hospital Universitario de La Princesa · ESVall d'Hebron Hospital Universitari · ESCentro de Investigación Biomédica en Red de Cáncer · ESComplejo Hospitalario de Jaén · ESHospital Clínic de Barcelona · ESHospital Clínico Universitario de Valencia · ESHospital General Universitario Gregorio Marañón · ESInstituto de Investigación Biomédica de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant treatment is increasingly one of the preferred therapeutic options for early breast cancer and may have some unique outcomes, such as identifying predictive and prognostic factors of response or increasing the knowledge of individual tumor biology.

designA panel of experts from different specialties reviewed published clinical studies on the neoadjuvant management of breast cancer. Recommendations were made that emphasized the clinical multidisciplinary management and the investigational leverage in early breast cancer.

resultsNeoadjuvant therapy has equivalent efficacy to adjuvant therapy, and it has some additional benefits that include increasing breast conservation, assessing tumor response, establishing prognosis based on the pathological response, and providing a "second opportunity" for nonresponding patients. Achieving pathological complete remission because of neoadjuvant therapy has been correlated with long-term clinical benefit, particularly in HER2-positive and triple-negative breast cancer. In addition, the neoadjuvant setting is a powerful model for the development of new drugs and the identification of prognostic markers. Finally, neoadjuvant therapy has proven to be cost-effective by reducing nondrug costs, avoiding radical surgery, and reducing hospital stays when compared with other treatment approaches.

conclusionNeoadjuvant therapy has clinical benefits in early breast cancer and provides in vivo information of individual breast cancer biology while allowing the investigation of new treatment approaches. Access to neoadjuvant therapy should be an option available to all patients with breast cancer through multidisciplinary tumor management. IMPLICATIONS FOR PRACTICE: Neoadjuvant treatment should be strongly considered as a therapeutic option for localized breast cancer and is a powerful tool for understanding breast cancer biology and investigating new treatment approaches.

Indexed as

Breast NeoplasmsFemaleHumansNeoadjuvant TherapyChemotherapyCost analysisHER therapyHormonal therapySurgery

Identifiers

PMID30710068
PMCPMC6516119
OpenAlexW2915058250

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.