Evidence map›Paper›PMID 31677532›Full record

ArticleBreast (Edinburgh, Scotland)2020

Survival outcomes of breast cancer patients with brain metastases: A multicenter retrospective study in Korea (KROG 16-12).

Jae Sik Kim, Kyubo Kim, Wonguen Jung, Kyung Hwan Shin, Seock-Ah Im, Hee-Jun Kim, Yong Bae Kim, Jee Suk Chang, Doo Ho Choi, Yeon Hee Park and 15 more

Abstract readMulticenter Study
In one paragraph

Article in Breast (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. DEGRO guideline for personalized radiotherapy of brain metastases and leptomeningeal carcinomatosis in patients with breast cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Guideline
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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

25 authors.

Jae Sik KimDepartment of Radiation Oncology, Seoul National University College of Medicine, Republic of Korea.
Kyubo KimDepartment of Radiation Oncology, Ewha Womans University College of Medicine, Republic of Korea. Electronic address: kyubokim.ro@gmail.com.
Wonguen JungDepartment of Radiation Oncology, Ewha Womans University College of Medicine, Republic of Korea.
Kyung Hwan ShinDepartment of Radiation Oncology, Seoul National University College of Medicine, Republic of Korea.
Seock-Ah ImDepartment of Internal Medicine, Seoul National University College of Medicine, Republic of Korea.
Hee-Jun KimDepartment of Internal Medicine, Chung-Ang University College of Medicine, Republic of Korea.
Yong Bae KimDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Republic of Korea.
Jee Suk ChangDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Republic of Korea.
Doo Ho ChoiDepartment of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea.
Yeon Hee ParkDepartment of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea.
Dae Yong KimProton Therapy Center, National Cancer Center, Republic of Korea.
Tae Hyun KimProton Therapy Center, National Cancer Center, Republic of Korea.
Byung Ock ChoiDepartment of Radiation Oncology, Seoul St. Mary's Hospital, The Catholic University of Korea, Republic of Korea.
Sea-Won LeeDepartment of Radiation Oncology, Seoul St. Mary's Hospital, The Catholic University of Korea, Republic of Korea.
Suzy KimDepartment of Radiation Oncology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Republic of Korea.
Jeanny KwonDepartment of Radiation Oncology, Chungnam National University College of Medicine, Republic of Korea.
Ki Mun KangDepartment of Radiation Oncology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Republic of Korea.
Woong-Ki ChungDepartment of Radiation Oncology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Republic of Korea.
Kyung Su KimDepartment of Radiation Oncology, Ewha Womans University College of Medicine, Republic of Korea; Department of Radiation Oncology, Dongnam Institute of Radiological and Medical Sciences, Republic of Korea.
Ji Ho NamDepartment of Radiation Oncology, Yangsan Pusan National University Hospital, Pusan National University School of Medicine, Republic of Korea.
Won Sup YoonDepartment of Radiation Oncology, Ansan Hospital, Korea University Medical College, Republic of Korea.
Jin Hee KimDepartment of Radiation Oncology, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Republic of Korea.
Jihye ChaDepartment of Radiation Oncology, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Republic of Korea.
Yoon Kyeong OhDepartment of Radiation Oncology, Chosun University Medical School, Republic of Korea.
In Ah KimDepartment of Radiation Oncology, Seoul National University College of Medicine, Republic of Korea. Electronic address: inah228@snu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated the influence of prognostic factors and whole brain radiotherapy (WBRT) on overall survival (OS) of breast cancer (BC) patients with brain metastases (BM). METHODS AND MATERIALS: Medical records of 730 BC patients diagnosed with BM from 2000 to 2014 at 17 institutions were retrospectively reviewed. OS was calculated from BM diagnosis. Median follow-up duration was 11.9 months (range, 0.1-126.2).

resultsMedian OS was 15.0 months (95% CI: 14.0-16.9). Patients with different BC-specific graded prognostic assessment (GPA) scores showed significant differences (p < 0.001) in OS. In multivariate analysis, histologic grade 3 (p = 0.014), presence of extracranial metastasis (p < 0.001), the number of BM (>4; p = 0.002), hormone receptor negativity (p = 0.005), HER2-negativity (p = 0.003), and shorter time interval (<30 months) between BC and BM diagnosis (p = 0.007) were associated with inferior OS. By summing the β-coefficients of variables that were prognostic in multivariate analyses, we developed a prognostic model that stratified patients into low-risk (≤0.673) and high-risk (>0.673) subgroups; the high-risk subgroup had poorer median OS (10.1 months, 95% CI: 7.9-11.9 vs. 21.9 months, 95% CI: 19.5-27.1, p < 0.001). Univariate and multivariate analyses of propensity score-matched patients diagnosed with BM ≥ 30 months after BC diagnosis (n = 389, "late BM") revealed that WBRT-treated patients showed superior OS compared to non-WBRT-treated patients (p = 0.070 and 0.030, respectively).

conclusionOur prognostic model identified high-risk BC patients with BM who might benefit from increased surveillance; if validated, our model could guide treatment selection for such patients. Patients with late BM might benefit from WBRT as initial local treatment.

Indexed as

AdultAgedAged, 80 and overBrain NeoplasmsBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularFemaleFollow-Up StudiesHumansMiddle AgedPrognosisRepublic of KoreaRetrospective StudiesSurvival AnalysisBrain metastasisBreast cancerOverall survivalPrognostic modelWhole brain radiotherapy

Identifiers

PMID31677532
PMCPMC7375558

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.