Evidence map›Paper›PMID 33037977›Full record

ArticleBreast cancer research and treatment2021

Central nervous system metastases in breast cancer: the impact of age on patterns of development and outcome.

Matan Ben-Zion Berliner, Rinat Yerushalmi, Inbar Lavie, Alexandra Benouaich-Amiel, Daliah Tsoref, Daniel Hendler, Hadar Goldvaser, Michal Sarfaty, Ofer Rotem, Olga Ulitsky and 3 more

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In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Aging · 2021
    Article
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

13 authors at 2 institutions in 1 country.

Matan Ben-Zion BerlinerDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel. matanbe4@gmail.com.ORCID http://orcid.org/0000-0001-6089-2467
Rinat YerushalmiDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Inbar LavieSackler Faculty of Medicine, Tel Aviv, Israel.
Alexandra Benouaich-AmielDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Daliah TsorefDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Daniel HendlerDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Hadar GoldvaserDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Michal SarfatyDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Ofer RotemDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Olga UlitskyDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Tali SiegalDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Victoria NeimanDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Shlomit Yust-KatzDavidoff Cancer Center, Rabin Medical Center-Beilinson Hospital, 4941492, Petach Tikva, Israel.
Rabin Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to explore differences in the pattern and outcome of central nervous system (CNS) involvement in breast cancer by age at diagnosis.

methodsA retrospective database of a tertiary cancer center yielded 174 consecutive patients with breast cancer who were diagnosed with CNS metastases in 2006-2019. Data on histopathology, characteristics of CNS involvement, treatments, and survival (at three time points during the disease course) were compared between patients aged ≤ 45 and > 45 years. Pearson Chi-square or Fisher exact test and Kaplan-Meier survival curves with log-rank test were used for statistical analyses.

resultsStudy population was divided according to age at diagnosis of breast cancer. 65 patients were ≤ 45 years old and 109 patients > 45 years old. The younger group was characterized by longer median overall survival (117.1 months vs 88 months, p = 0.017) and longer interval between breast cancer diagnosis to development of CNS metastases (97.4 months vs 75.9 months, p = 0.026). Median survival after development of CNS disease was not significantly different (18.7 months vs 11.1 months, p = 0.341), although it was significantly longer in younger patients within the subgroup of patients with triple-negative disease (22.5 vs 7.9 months, p = 0.033). There were no between-group differences in number, location, and clinical presentation of CNS metastases or in systemic and CNS-directed treatment approaches.

conclusionWhile the presentation of CNS involvement was similar between the different age groups, younger patients had significantly longer CNS-free interval and longer overall survival, and for the subgroups of triple-negative patients, younger age at breast cancer diagnosis was associated with longer survival after diagnosis of CNS disease.

Indexed as

Breast NeoplasmsCentral Nervous System NeoplasmsAgedCentral Nervous SystemFemaleHumansMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesAgeBreast cancerCentral nervous system (CNS) metastasisTriple negative

Identifiers

PMID33037977
OpenAlexW3092129416

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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.