Evidence map›Paper›PMID 31338839›Full record

ArticleJournal of surgical oncology2019

Predicting the extent of nodal involvement for node positive breast cancer patients: Development and validation of a novel tool.

Ingrid van den Hoven, David van Klaveren, Nicole C Verheuvel, Raquel F D van la Parra, Adri C Voogd, Wilfred K de Roos, Koop Bosscha, Esther M Heuts, Vivianne C G Tjan-Heijnen, Rudi M H Roumen and 1 more

Abstract readValidation Study
In one paragraph

Article in Journal of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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  6. Incidence trends, overall survival, and metastasis prediction using multiple machine learning and deep learning techniques in pediatric and adolescent population with osteosarcoma and Ewing's sarcoma: nomogram and webpage.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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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

11 authors.

Ingrid van den HovenDepartment of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.
David van KlaverenDepartment of Public Health, Center for Medical Decision Sciences, Erasmus MC, Rotterdam, The Netherlands.
Nicole C VerheuvelDepartment of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
Raquel F D van la ParraDivision of Surgery, Department of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Adri C VoogdDepartment of Research, Netherlands Comprehensive Cancer Organization (IKNL), Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-8041-2720
Wilfred K de RoosDepartment of Surgery, Gelderse Vallei Hospital, Ede, The Netherlands.
Koop BosschaDepartment of Surgery, Jeroen Bosch Hospital, Den Bosch, The Netherlands.
Esther M HeutsDepartment of Surgery, School for Oncology and Developmental Biology (GROW), Maastricht University Medical Centre, Maastricht, The Netherlands.
Vivianne C G Tjan-HeijnenDepartment of Medical Oncology, School for Oncology and Developmental Biology (GROW), Maastricht University Medical Center, Maastricht, The Netherlands.
Rudi M H RoumenDepartment of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.
Ewout W SteyerbergDepartment of Public Health, Center for Medical Decision Sciences, Erasmus MC, Rotterdam, The Netherlands.

Funding

Netherlands Organization for Scientific Research 917.11.383
6 · The paper itself

Abstract

backgroundThis study aimed to develop an easy to use prediction model to predict the risk of having a total of 1 to 2, ≥3, or ≥4 positive axillary lymph nodes (LNs), for patients with sentinel lymph node (SLN) positive breast cancer.

methodsData of 911 SLN positive breast cancer patients were used for model development. The model was validated externally in an independent population of 180 patients with SLN positive breast cancer.

resultsFinal pathology after ALND showed additional positive LN for 259 (28%) of the patients. A total of 726 (81%) out of 911 patients had a total of 1 to 2 positive nodes, whereas 175 (19%) had ≥3 positive LNs. The model included three predictors: the tumor size (in mm), the presence of a negative SLN, and the size of the SLN metastases (in mm). At external validation, the model showed a good discriminative ability (area under the curve = 0.82; 95% confidence interval = 0.74-0.90) and good calibration over the full range of predicted probabilities.

conclusionThis new and validated model predicts the extent of nodal involvement in node-positive breast cancer and will be useful for counseling patients regarding their personalized axillary treatment.

Indexed as

NomogramsAgedBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularFemaleFollow-Up StudiesHumansLymphatic MetastasisLymph NodesMiddle AgedPrognosisROC CurveSentinel Lymph NodeSentinel Lymph Node Biopsyarea under curvebreast neoplasmsnomogramssentinel lymph node

Identifiers

PMID31338839
PMCPMC6771524

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.