Evidence map›Paper›PMID 31882586›Full record

ArticleScientific reports2019

Survival impact of primary tumor resection in de novo metastatic breast cancer patients (GEICAM/El Alamo Registry).

Sara Lopez-Tarruella, M J Escudero, Marina Pollan, Miguel Martín, Carlos Jara, Begoña Bermejo, Angel Guerrero-Zotano, José García-Saenz, Ana Santaballa, Emilio Alba and 11 more

Registry-linked trialOpen 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. It is linked to trial NCT03210974 (Retrospective Observational Study About the Evolution of Patients With Breast Cancer in Hospitals From the GEICAM Group), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 22% 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.

NCT03210974 completednot on this map

Retrospective Observational Study About the Evolution of Patients With Breast Cancer in Hospitals From the GEICAM Group (2002 - 2005). ALAMO IV

TypeobservationalSponsorSpanish Breast Cancer Research GroupRan2016 to 2021Enrolled13,135ConditionsInvasive Breast Cancer Between 2002 and 2005
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Aggressive local therapy forOncology reports · 2023
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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

21 authors at 15 institutions in 1 country.

Sara Lopez-TarruellaInstituto de Investigación Sanitaria Gregorio Marañón, Universidad Complutense, Madrid, Spain. sara.lopeztarruella@geicam.org.ORCID http://orcid.org/0000-0002-2606-9538
M J EscuderoGEICAM, Spanish Breast Cancer Research Group, Madrid, Spain.
Marina PollanInstituto de Salud Carlos III (ISCIII), Madrid, Spain.
Miguel MartínInstituto de Investigación Sanitaria Gregorio Marañón, Universidad Complutense, Madrid, Spain.ORCID http://orcid.org/0000-0001-9237-3231
Carlos JaraHospital Universitario Fundación Alcorcón, Universidad Rey Juan Carlos, Madrid, Spain.
Begoña BermejoCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
Angel Guerrero-ZotanoInstituto Valenciano de Oncología, Valencia, Spain.
José García-SaenzCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
Ana SantaballaHospital Universitario La Fe, Valencia, Spain.
Emilio AlbaCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
Raquel AndrésHospital Universitario Lozano Blesa, Zaragoza, Spain.
Purificación MartínezHospital de Basurto, Bilbao, Spain.
Lourdes CalvoComplejo Hospitalario Juan Canalejo, A Coruña, Spain.
Antonio FernándezComplejo Hospitalario de Albacete, Albacete, Spain.ORCID http://orcid.org/0000-0003-3897-2262
Norberto BatistaHospital Universitario de Canarias, Sta Cruz de Tenerife, Spain.
Antonio Llombart-CussacHospital Universitario de Lleida Arnau de Vilanova, Lleida, Spain.
Antonio AntónHospital General Universitario Miguel Servet, Zaragoza, Spain.
Ainhara LahuertaInstituto Oncológico de Guipúzcoa, San Sebastián, Spain.
Juan de la HabaCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
José Manuel López-VegaHospital Universitario Marqués de Valdecilla, Santander, Spain.
E CarrascoGEICAM, Spanish Breast Cancer Research Group, Madrid, Spain.
Instituto de Salud Carlos III · ESGEICAM – Spanish Breast Cancer Group · ESComplejo Hospitalario Universitario de Albacete · ESComplexo Hospitalario Universitario A Coruña · ESFundación Instituto Valenciano de Oncología · ESHospital Clínico Universitario Lozano Blesa · ESHospital de Basurto · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari Arnau de Vilanova · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario de Canarias · ESHospital Universitario Miguel Servet · ESMarqués de Valdecilla University Hospital · ESOnkologikoa · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The debate about surgical resection of primary tumor (PT) in de novo metastatic breast cancer (MBC) patients persists. We explored this approach's outcomes in patients included in a retrospective registry, named El Álamo, of breast cancer patients diagnosed in Spain (1990-2001). In this analysis we only included de novo MBC patients, 1415 of whom met the study's criteria. Descriptive, Kaplan-Meier and Cox regression analyses were carried out. Median age was 63.1 years, 49.2% of patients had single-organ metastasis (skin/soft tissue [16.3%], bone [33.8%], or viscera [48.3%]). PT surgery (S) was performed in 44.5% of the cases. S-group patients were younger, had smaller tumors, higher prevalence of bone and oligometastatic disease, and lower prevalence of visceral involvement. With a median follow-up of 23.3 months, overall survival (OS) was 39.6 versus 22.4 months (HR = 0.59, p < 0.0001) in the S- and non-S groups, respectively. The S-group OS benefit remained statistically and clinically significant regardless of metastatic location, histological type, histological grade, hormone receptor status and tumor size. PT surgery (versus no surgery) was associated with an OS benefit suggesting that loco-regional PT control may be considered in selected MBC patients. Data from randomized controlled trials are of utmost importance to confirm these results.

Indexed as

RegistriesAgedBreast NeoplasmsFemaleHumansMiddle AgedNeoplasm MetastasisRetrospective StudiesSpain

Identifiers

PMID31882586
PMCPMC6934456
OpenAlexW2997200366

What OpenQuestion holds

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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.