Evidence map›Paper›PMID 32215182›Full record

ArticleCurrent breast cancer reports2019

A Radiation Oncologist's Guide to Axillary Management in Breast Cancer: A Walk Through the Trials.

Julie K Jang, Elana R Sverdlik, Naomi R Schechter

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Current breast cancer reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 58% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Julie K JangDepartment of Radiation Oncology, Norris Comprehensive Cancer Center, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Elana R SverdlikDepartment of Surgical Oncology, Norris Comprehensive Cancer Center, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
Naomi R SchechterDepartment of Radiation Oncology, Norris Comprehensive Cancer Center, Keck School of Medicine of the University of Southern California, Los Angeles, CA.
USC Norris Comprehensive Cancer Center · US

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MYLES G COCKBURN · 1985 to 2026
$181.4M
NCI NIH HHS P30 CA014089
6 · The paper itself

Abstract

purpose of reviewThe axilla is the most common site for breast cancer nodal metastases. Aggressive management includes axillary lymph node dissection (ALND), radiotherapy, and systemic therapy, but carries the risks of lymphedema and "overtreatment". We review the clinical trials that led to de-escalation of axillary management and their nuances that are often overlooked. RECENT

findingsWith the rise of sentinel lymph node biopsy, several trials conclude that ALND can be omitted in specific populations. However, the subtleties in those trials, such as the role of chemotherapy and radiotherapy, have yet to be clarified. These discussions carry forward into the era of neoadjuvant chemotherapy, where ongoing trials investigate who needs ALND and/or radiation. SUMMARY: This review examines the clinical trials that form the standard of care, and highlights why axillary management is individualized today.

Indexed as

axillaaxillary lymph node dissectionbreast cancerlymph node metastasisradiotherapysentinel lymph node biopsy

Identifiers

PMID32215182
PMCPMC7093898
OpenAlexW2973142432

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.