Evidence map›Paper›PMID 30962956›Full record

ArticleESMO open2019

Changes in Recurrence Score by neoadjuvant endocrine therapy of breast cancer and their prognostic implication.

Takayuki Ueno, Shigehira Saji, Norikazu Masuda, Hiroji Iwata, Katsumasa Kuroi, Nobuaki Sato, Hiroyuki Takei, Yutaka Yamamoto, Shinji Ohno, Hiroko Yamashita and 4 more

Open access · goldAbstract read
In one paragraph

Article in ESMO open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

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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

14 authors at 12 institutions in 1 country.

Takayuki UenoBreast Surgical Oncology, Cancer Institute Hospital, Tokyo, Japan.ORCID 0000-0002-9080-9377
Shigehira SajiMedical Oncology, Fukushima Medical University, Fukushima, Japan.ORCID 0000-0002-6732-8030
Norikazu MasudaDepartment of Surgery, Breast Oncology, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Hiroji IwataDepartment of Breast Oncology, Aichi Cancer Center, Nagoya, Japan.
Katsumasa KuroiSurgery, Tokyo Metropolitan Health and Medical Treatment Cooperation Ebara Hospital, Tokyo, Japan.
Nobuaki SatoDepartment of Breast Oncology, Niigata Cancer Center Hospital, Niigata, Japan.
Hiroyuki TakeiDepartment of Breast Surgery and Oncology, Nippon Medical School, Tokyo, Japan.
Yutaka YamamotoDepartment of Breast and Endocrine Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Shinji OhnoBreast Oncology Center, Cancer Institute Hospital, Tokyo, Japan.
Hiroko YamashitaDepartment of Breast Surgery, Hokkaido University Hospital, Sapporo, Japan.
Kazufumi HisamatsuOikawa Hospital, Fukuoka, Japan.
Kenjiro AogiDepartment of Breast Surgery, National Hospital Organization Shikoku Cancer Center, Ehime, Japan.
Hironobu SasanoDepartment of Pathology, Tohoku University School of Medicine, Sendai, Japan.
Masakazu ToiBreast Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
The Cancer Institute Hospital · JPAichi Cancer Center · JPEbara Hospital · JPFukushima Medical University · JPHokkaido University Hospital · JPKumamoto University · JPKyoto University · JPNiigata Cancer Center Hospital · JPNippon Medical School · JPOsaka National Hospital · JPShikoku Cancer Center · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant endocrine therapy (NET) can improve surgical outcomes in postmenopausal patients with hormone receptor-positive breast cancer. The Ki67 labelling index after NET has a better prognostic power than that at baseline. However, it remains unknown whether a multigene assay with post-treatment samples could predict the prognosis better than that with pretreatment samples.

methodsThe prognostic value of the multigene assay Oncotype DX Recurrence Score (RS) was investigated using pretreatment and post-treatment samples from a multicentre NET trial, JFMC34-0601 (UMIN C000000345), where exemestane was given at 25 mg/day for 24 weeks.

resultsBoth pretreatment and post-treatment RSs were significantly associated with disease-free survival (DFS) (p=0.005 and 0.002, respectively). The combination of pretreatment and post-treatment RSs was also a predictor of DFS (p=0.002) and superior to preoperative endocrine prognostic index (PEPI). Furthermore, combined RS was the only independent prognostic factor in the multivariate analysis among the three RSs (p=0.04). In addition, combined RS could differentiate early recurrence in the high-risk group from mid/late recurrence in the intermediate-risk group, suggesting possible differential treatment strategies based on the risk categories indicated by the combined RS.

conclusionsThe combination of pretreatment and post-treatment RSs could provide pivotal information for predicting DFS and differentiating early recurrence in the high-risk group from mid/late recurrence in the intermediate-risk group in patients with hormone receptor-positive breast cancer. A larger study is required to validate the results.

Indexed as

endocrine therapyhormone receptorneoadjuvantOncotype DXRecurrence Score

Identifiers

PMID30962956
PMCPMC6435245
OpenAlexW2919814652

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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.