Evidence map›Paper›PMID 30987708›Full record

ArticleBiomedical journal2019

Impact of age on pathological complete response and locoregional recurrence in locally advanced breast cancer after neoadjuvant chemotherapy.

Hsu-Huan Chou, Wen-Ling Kuo, Chi-Chang Yu, Hsiu-Pei Tsai, Shih-Cheh Shen, Chia-Hui Chu, Ming-Chin Yu, Yung-Feng Lo, Muawiya A Dabora, Hsien-Kun Chang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Biomedical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 17% 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, 45 citations in OpenAlex.

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  19. Breast Cancer in Patients 80 Years-Old and Older.European journal of breast health · 2020
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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

13 authors at 2 institutions in 1 country.

Hsu-Huan ChouDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Wen-Ling KuoDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Chi-Chang YuDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Hsiu-Pei TsaiDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Shih-Cheh ShenDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Chia-Hui ChuDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Ming-Chin YuDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Yung-Feng LoDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Muawiya A DaboraKhartoum Breast Care Center, Khartoum, Sudan.
Hsien-Kun ChangDepartment of Medical Oncology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Yung-Chang LinDepartment of Medical Oncology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Shir-Hwa UengDepartment of Pathology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Shin-Cheh ChenDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address: chensc@adm.cgmh.org.tw.
Linkou Chang Gung Memorial Hospital · TWChang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant chemotherapy (NAC) is the standard approach for downstaging of locally advanced breast cancer and can improve breast conservation rates. A pathological complete response (pCR) after NAC associated with favorable long-term outcomes has been described. There is still a high locoregional recurrence (LRR) rate after NAC and the influence of age on LRR after NAC is unclear. This study analyzed the relationship between age and LRR after NAC.

methodsTwo hundred and sixty-three patients with invasive breast cancer who received NAC followed by mastectomy or breast conserving surgery (BCS) were enrolled. Concurrent weekly epirubicin and docetaxel was the NAC regimen.

resultsTwenty-nine patients (11%) achieved a pCR after NAC. In univariate analysis, age <50 years, luminal B (HER2 positive) subtype, HER2 overexpression subtype, and triple-negative subtype were factors to predict a pCR. In multivariate analysis, age <50 years, luminal B (HER2 positive) type, HER2 overexpression, and triple-negative subtype were the independent factors to predict a pCR. No patients in the pCR group developed LRR compared with 31 patients in the non-pCR group. Eleven patients (6.9%) in the younger group (age <50 years) developed LRR compared with 20 patients (19.4%) in the older group (age ≥50 years). In multivariate analysis, younger age (<50 years) was the only independent prognostic factor for a LRR-free survival.

conclusionYounger age can predict a pCR and is an independent prognostic factor for LRR in locally advanced breast cancer patients after NAC as concurrent epirubicin and docetaxel.

Indexed as

Neoadjuvant TherapyAdultAge DistributionAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansMastectomyMiddle AgedNeoplasm Recurrence, LocalReceptors, EstrogenRetrospective StudiesTreatment OutcomeReceptors, EstrogenAgeBreast cancerNeoadjuvant chemotherapyPathological complete response

Identifiers

PMID30987708
PMCPMC6468039
OpenAlexW2935325954

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.