Evidence map›Paper›PMID 31752747›Full record

ArticleBMC cancer2019

Detection of disseminated tumor cells in bone marrow predict late recurrences in operable breast cancer patients.

Kjersti Tjensvoll, Oddmund Nordgård, Maren Skjæveland, Satu Oltedal, Emiel A M Janssen, Bjørnar Gilje

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 44 citations in OpenAlex.

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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 1 institution in 1 country.

Kjersti TjensvollDepartment of Haematology and Oncology, Stavanger University Hospital, N-4011, Stavanger, Norway. ktje@sus.no.ORCID http://orcid.org/0000-0002-0945-0193
Oddmund NordgårdDepartment of Haematology and Oncology, Stavanger University Hospital, N-4011, Stavanger, Norway.
Maren SkjævelandDepartment of Haematology and Oncology, Stavanger University Hospital, N-4011, Stavanger, Norway.
Satu OltedalDepartment of Haematology and Oncology, Stavanger University Hospital, N-4011, Stavanger, Norway.
Emiel A M JanssenLaboratory for Molecular Biology, Stavanger University Hospital, N-4011, Stavanger, Norway.
Bjørnar GiljeDepartment of Haematology and Oncology, Stavanger University Hospital, N-4011, Stavanger, Norway.
Stavanger University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOperable breast cancer patients may experience late recurrences because of reactivation of dormant tumor cells within the bone marrow (BM). Identification of patients who would benefit from extended therapy is therefore needed.

methodsBM samples obtained pre- and post-surgery were previously analysed for presence of disseminated tumor cells (DTC) by a multimarker mRNA quantitative reverse-transcription PCR assay. Updated survival analyses were performed on all patient data (n = 191) and in a subgroup of patients alive and recurrence-free after 5 years (n = 156). DTC data were compared to the mitotic activity index (MAI) of the primary tumors. Median follow-up time was 15.3 years.

resultsAmong the 191 patients, 49 (25.65%) experienced systemic relapse, 24 (49%) within 5-18 years after surgery. MAI and pre- and post-operative DTC status had significant prognostic value based on Kaplan-Meier analyses and multiple Cox regression in the overall patient cohort. With exclusion of patients who relapsed or died within 5 years from surgery, only pre-operative DTC detection was an independent prognostic marker of late recurrences. High MAI (≥10) did not predict late recurrences or disease-specific mortality.

conclusionPre-operative DTC detection, but not MAI status, predicts late recurrences in operable breast cancer.

Indexed as

AdultAgedAged, 80 and overBone MarrowBreast NeoplasmsFemaleHumansKaplan-Meier EstimateMiddle AgedMitosisNeoplasm Recurrence, LocalNeoplastic Cells, CirculatingPrognosisRegression AnalysisReverse Transcriptase Polymerase Chain ReactionRNA, MessengerRNA, MessengerBreast cancerDisseminated tumor cellDormancyDTCLate recurrenceMitotic activity indexProliferation

Identifiers

PMID31752747
PMCPMC6873493
OpenAlexW2989679054

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.