Evidence map›Paper›PMID 31285590›Full record

ReviewBritish journal of cancer2019

Ductal carcinoma in situ: to treat or not to treat, that is the question.

Maartje van Seijen, Esther H Lips, Alastair M Thompson, Serena Nik-Zainal, Andrew Futreal, E Shelley Hwang, Ellen Verschuur, Joanna Lane, Jos Jonkers, Daniel W Rea and 2 more

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05576545 (Develop and Evaluate the Effectiveness of a Self-Care Smartphone Application on the Self-Efficacy, and Resilience Among Newly Diagnosed Breast Cancer Patients Undergoing Treatment), which is not on this map. Cited by 165 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 4 pooled it
10.7field-weighted citation impact, top 1% 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.

NCT05576545 nacompletednot on this mapstarted 2020, after this paper: background citation

Develop and Evaluate the Effectiveness of a Self-Care Smartphone Application on the Self-Efficacy, and Resilience Among Newly Diagnosed Breast Cancer Patients Undergoing Treatment

TypeinterventionalSponsorKaohsiung Medical University Chung-Ho Memorial HospitalRan2020 to 2022Enrolled73ConditionsBreast Cancer, Breast Neoplasm, Breast Malignant Tumor, ResilienceArmsThe Breast Cancer Self-Care App
3 · Its place in the literature

Who cites it

165 citing papers in PubMed, 4 syntheses or guidelines pooled it, 329 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Active Monitoring versus Surgical Excision for Atypical Ductal Hyperplasia.Cancer prevention research (Philadelphia, Pa.) · 2026
    Observational
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  10. Review
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  18. Elucidating cooperative genetic events in DCIS progression in mutantProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  19. Article
  20. Article

105 more citing papers are in PubMed but not listed here.

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 at 7 institutions in 3 countries.

Maartje van Seijen *Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Esther H Lips *Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Alastair M ThompsonDan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, USA.
Serena Nik-ZainalDepartment of Medical Genetics, University of Cambridge, Cambridge, UK.
Andrew FutrealDepartment of Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
E Shelley HwangDepartment of Surgery, Duke University Comprehensive Cancer Center, Durham, NC, USA.
Ellen VerschuurBorstkankervereniging Nederland, Utrecht, The Netherlands.
Joanna LaneHealth Cluster Net, Amsterdam, The Netherlands.
Jos JonkersDivision of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Daniel W ReaDepartment of Medical Oncology, University of Birmingham, Birmingham, UK.
Jelle WesselingDivision of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands. j.wesseling@nki.nl.
PRECISION team
The Netherlands Cancer Institute · NLBaylor College of Medicine · USThe University of Texas MD Anderson Cancer Center · USBorstkankervereniging Nederland · NLDuke University · USDutch Cancer Society · NLOncode Institute · NL

Funding

Cancer Research UK 22932Cancer Research UK 23433Cancer Research UK 23916Cancer Research UK 25354Cancer Research UK 27815
6 · The paper itself

Abstract

Ductal carcinoma in situ (DCIS) now represents 20-25% of all 'breast cancers' consequent upon detection by population-based breast cancer screening programmes. Currently, all DCIS lesions are treated, and treatment comprises either mastectomy or breast-conserving surgery supplemented with radiotherapy. However, most DCIS lesions remain indolent. Difficulty in discerning harmless lesions from potentially invasive ones can lead to overtreatment of this condition in many patients. To counter overtreatment and to transform clinical practice, a global, comprehensive and multidisciplinary collaboration is required. Here we review the incidence of DCIS, the perception of risk for developing invasive breast cancer, the current treatment options and the known molecular aspects of progression. Further research is needed to gain new insights for improved diagnosis and management of DCIS, and this is integrated in the PRECISION (PREvent ductal Carcinoma In Situ Invasive Overtreatment Now) initiative. This international effort will seek to determine which DCISs require treatment and prevent the consequences of overtreatment on the lives of many women affected by DCIS.

Indexed as

Breast NeoplasmsCarcinoma, Intraductal, NoninfiltratingFemaleHumans

Identifiers

PMID31285590
PMCPMC6697179
OpenAlexW2957751887

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.