Evidence map›Paper›PMID 31289308›Full record

ArticleScientific reports2019

Overall survival is improved when DCIS accompanies invasive breast cancer.

Adam J Kole, Henry S Park, Skyler B Johnson, Jacqueline R Kelly, Meena S Moran, Abhijit A Patel

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
0.8field-weighted citation impact, top 33% 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

28 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Prognostic significance of ductal carcinomaMolecular and clinical oncology · 2026
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  19. Spatial biology of cancer evolution.Nature reviews. Genetics · 2023
    Review
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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

6 authors at 3 institutions in 1 country.

Adam J KoleDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-7931-8841
Henry S ParkDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT, USA.
Skyler B JohnsonDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT, USA.
Jacqueline R KellyDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT, USA.
Meena S MoranDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT, USA.
Abhijit A PatelDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT, USA. abhijit.patel@yale.edu.ORCID http://orcid.org/0000-0003-3943-5610
Yale University · USUniversity of Alabama at Birmingham · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Circulating DNA as a Marker of Treatment Efficacy and Failure in Lung CancerR01CA197486 · NCI · YALE UNIVERSITY · PI PATEL, ABHIJIT · 2016 to 2020
$1.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA197486
6 · The paper itself

Abstract

Invasive ductal carcinoma (IDC) often presents alone or with a co-existing ductal carcinoma in situ component (IDC + DCIS). Studies have suggested that pure IDC may exhibit different biological behavior than IDC + DCIS, but whether this translates to a difference in outcomes is unclear. Here, utilizing the National Cancer Database we identified 494,801 stage I-III breast cancer patients diagnosed with either IDC alone or IDC + DCIS. We found that IDC + DCIS was associated with significantly better overall survival (OS) compared to IDC alone (5-year OS, 89.3% vs. 85.5%, p < 0.001), and this finding persisted on multivariable Cox modeling adjusting for demographic, clinical, and treatment-related variables. The significantly superior OS observed for IDC + DCIS was limited to patients with invasive tumor size < 4 cm or with node negative disease. A greater improvement in OS was observed for tumors containing ≥25% DCIS component. We also found IDC + DCIS to be associated with lower T/N stage, low/intermediate grade, ER/PR positivity, and receipt of mastectomy. Thus, the presence of a DCIS component in patients with IDC is associated with favorable clinical characteristics and independently predicts improved OS. IDC + DCIS could be a useful prognostic factor for patients with breast cancer, particularly if treatment de-escalation is being considered for small or node negative tumors.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingCarcinoma, LobularCombined Modality TherapyErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesHumansMiddle AgedNeoplasm InvasivenessPrognosisBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID31289308
PMCPMC6616329
OpenAlexW2959703621

What OpenQuestion holds

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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.