Evidence map›Paper›PMID 32563761›Full record

ArticleThe Journal of surgical research2020

Do Histopathology and Clinical Outcomes of Breast Atypia Vary by Race/Ethnicity?

Amanda R Sergesketter, Samantha M Thomas, Edgardo R Parrilla Castellar, Oluwadamilola M Fayanju, Carolyn Menendez, E Shelley Hwang, Jennifer K Plichta

Abstract read
In one paragraph

Article in The Journal of surgical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
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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.

Amanda R SergesketterDuke University Medical Center, Department of Surgery, Durham, North Carolina.
Samantha M ThomasDuke Cancer Institute, Durham, North Carolina; Department of Biostatistics & Bioinformatics, Duke University, Durham, North Carolina.
Edgardo R Parrilla CastellarDuke University Medical Center, Department of Pathology, Durham, North Carolina.
Oluwadamilola M FayanjuDuke University Medical Center, Department of Surgery, Durham, North Carolina; Duke Cancer Institute, Durham, North Carolina; Durham VA Medical Center, Department of Surgery, Durham, North Carolina.
Carolyn MenendezDuke University Medical Center, Department of Surgery, Durham, North Carolina; Duke Cancer Institute, Durham, North Carolina.
E Shelley HwangDuke University Medical Center, Department of Surgery, Durham, North Carolina; Duke Cancer Institute, Durham, North Carolina.
Jennifer K PlichtaDuke University Medical Center, Department of Surgery, Durham, North Carolina; Duke Cancer Institute, Durham, North Carolina. Electronic address: jennifer.plichta@duke.edu.

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
Using Modifiable Risk Factors to Predict Inferior Care and Survival after Breast Cancer Diagnosis: A Novel Approach to Addressing Health DisparitiesK08CA241390 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FAYANJU, OLUWADAMILOLA M. · 2019 to 2023
$1.1M
NCI NIH HHS K08 CA241390NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

backgroundThe clinical behavior of breast cancer varies by racial and ethnic makeup (REM), but the impact of REM on the clinical outcomes of breast atypia remains understudied. We examined the impact of REM on risk of underlying or subsequent carcinoma following a diagnosis of breast atypia.

methodsIn this retrospective, single-institution chart review, adult women diagnosed with breast atypia (atypical ductal hyperplasia, atypical lobular hyperplasia, or lobular carcinoma in situ) were stratified by REM. Regression modeling was used to estimate risk of underlying or subsequent carcinoma.

resultsWe identified 539 patients with breast atypia, including 15 Hispanic (2.8%), 127 non-Hispanic black (23.6%), and 397 non-Hispanic white women (73.7%). Diagnoses included 75.1% atypical ductal hyperplasia (n = 405), 4.6% atypical lobular hyperplasia (n = 25), and 20.2% lobular carcinoma in situ (n = 109). Rates for each type of atypia did not vary by REM (P = 0.33). Of those with atypia on needle biopsy, the rate of underlying carcinoma at excision was 17.3%. After adjustment, REM was not associated with greater risk for carcinoma at excision (P = 0.41). Of those with atypia alone on surgical excision, the rate of a subsequent carcinoma diagnosis was 15.4% (median follow-up 49 mo). REM was not associated with a long-term risk for carcinoma (P = 0.37) or differences in time to subsequent carcinoma (log-rank P = 0.52). Chemoprevention uptake rates were low (10.6%), especially among Hispanic (0%) and non-Hispanic black (3.8%) patients (P = 0.01).

conclusionsAmong patients with atypia, REM does not appear to influence type of histologic atypia, risk for carcinoma, or clinical outcome, despite differences in chemoprevention rates.

Indexed as

AdultAgedBlack or African AmericanBlack PeopleBreastBreast NeoplasmsCarcinomaCarcinoma, Intraductal, NoninfiltratingChemopreventionFemaleHispanic or LatinoHumansMiddle AgedNorth CarolinaRetrospective StudiesWhite PeopleAtypical breast lesionsBreast atypiaBreast cancer riskRaceREM

Identifiers

PMID32563761
PMCPMC7541625

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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.