Evidence map›Paper›PMID 32383058›Full record

ArticleBreast cancer research and treatment2020

Chemotherapy use near the end-of-life in patients with metastatic breast cancer.

Luisa Edman Kessler, Johnny Sigfridsson, Dora Hatzidaki, Jonas Bergh, Theodoros Foukakis, Vasilios Georgoulias, Alexios Matikas

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
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  4. Review
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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

7 authors.

Luisa Edman KesslerDepartment of Oncology/Pathology, Karolinska Institutet, Stockholm, Sweden.
Johnny SigfridssonDepartment of Oncology/Pathology, Karolinska Institutet, Stockholm, Sweden.
Dora HatzidakiHellenic Oncology Research Group, Athens, Greece.
Jonas BerghDepartment of Oncology/Pathology, Karolinska Institutet, Stockholm, Sweden.
Theodoros FoukakisDepartment of Oncology/Pathology, Karolinska Institutet, Stockholm, Sweden.
Vasilios GeorgouliasHellenic Oncology Research Group, Athens, Greece.
Alexios MatikasDepartment of Oncology/Pathology, Karolinska Institutet, Stockholm, Sweden. alexios.matikas@ki.se.ORCID http://orcid.org/0000-0002-4122-9624

Funding

Cancerfonden CAN 2017/1043Stockholms Läns Landsting K 2017-4577
6 · The paper itself

Abstract

introductionVery few data are available regarding the use of chemotherapy in patients with metastatic breast cancer (MBC) near the end-of-life, i.e., the final month. The aim of this study was to provide a descriptive analysis of its use in two different European geographic areas (Sweden and Greece). MATERIALS AND

methodsWe retrospectively collected data regarding clinicopathologic characteristics, survival, and use of chemotherapy during the final 30 days of life using two sources: for the Swedish cohort, patients who were diagnosed with MBC in 2010-2015 were identified from the Stockholm-Gotland population-based Breast Cancer Registry and treatment data were collected using hospital charts. For the Greek cohort, patients with MBC were identified from hospital charts at two hospitals in Athens and Crete.

resultsIn the Swedish cohort, 1571 patients were identified; median overall survival was 16.96 months (95% CI 15.4-18.4). 23.2% of patients were treated with chemotherapy during the final month of life, with higher rates among patients ≤ 60 years (p < 0.001). Per OS monotherapy such as capecitabine or vinorelbine was most commonly used. In contrast, median OS in the Greek cohort (n = 966) was 49.8 months (95% CI 45.6-54.1) and 46.5% of patients received chemotherapy at the end-of-life, most commonly intravenous drug combinations. In multivariable analysis, age and albumin levels were statistically significantly associated with chemotherapy use in the Swedish cohort.

conclusionChemotherapy use near the end-of-life was common, which might negatively impact patient quality of life.

Indexed as

DeathAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesHumansMiddle AgedPrognosisReceptors, EstrogenReceptors, ProgesteroneERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneBreast cancerChemotherapyEnd-of-lifeFutileMetastatic

Identifiers

PMID32383058
PMCPMC7220858

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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.