Evidence map›Paper›PMID 33078972›Full record

GuidelineJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Updated Breast Cancer Surveillance Recommendations for Female Survivors of Childhood, Adolescent, and Young Adult Cancer From the International Guideline Harmonization Group.

Renée L Mulder, Melissa M Hudson, Smita Bhatia, Wendy Landier, Gill Levitt, Louis S Constine, W Hamish Wallace, Flora E van Leeuwen, Cécile M Ronckers, Tara O Henderson and 8 more

Open access · greenAbstract readPractice Guideline
In one paragraph

Guideline in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
17.0field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Guideline
  5. Trial
  6. Article
  7. Subsequent malignant neoplasm among cancer survivors in the United States.Journal of cancer survivorship : research and practice · 2026
    Article
  8. Review
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  12. Subsequent primary neoplasm risk among survivors of cancer in adolescence and young adulthood: a population-based study from Alberta, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  13. Management of late toxicities and specific follow-up needs of adolescent and young adult cancer survivors: recommendations from scientific societies in Spain.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  14. Review
  15. Article
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  19. Longitudinal adherence to surveillance for late effects of cancer treatment: a population-based study of adult survivors of childhood cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  20. 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

18 authors at 15 institutions in 5 countries.

Renée L MulderPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0002-0414-9561
Melissa M HudsonDepartments of Epidemiology and Cancer Control, and Oncology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-6984-2407
Smita BhatiaInstitute for Cancer Outcomes and Survivorship and Department of Pediatrics, School of Medicine, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-7755-5683
Wendy LandierInstitute for Cancer Outcomes and Survivorship and Department of Pediatrics, School of Medicine, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0003-3319-5652
Gill LevittDepartment of Oncology/Haematology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Louis S ConstineDepartments of Radiation Oncology and Pediatrics, University of Rochester Medical Center, Rochester, NY.ORCID 0000-0003-0742-1740
W Hamish WallaceDepartment of Paediatric Oncology, Royal Hospital for Sick Children, Edinburgh, United Kingdom.ORCID 0000-0001-8080-5674
Flora E van LeeuwenDepartment of Epidemiology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-5871-1484
Cécile M RonckersPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Tara O HendersonDepartment of Pediatrics, University of Chicago Pritzker School of Medicine, Chicago, IL.ORCID 0000-0001-9394-6206
Chaya S MoskowitzDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-2850-8450
Danielle N FriedmanDepartments of Pediatrics and Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-4668-9176
Andrea K NgDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0001-8428-7421
Helen C JenkinsonDepartment of Paediatric Oncology, Birmingham Children's Hospital, NHS Foundation Trust, Birmingham, United Kingdom.
Charlotte Demoor-GoldschmidtCentre for Research in Epidemiology and Population Health, Cancer and Radiation team, University of Paris-Sud, Villejuif, France.ORCID 0000-0002-1236-9089
Roderick SkinnerDepartment of Paediatric and Adolescent Haematology/Oncology, Great North Children's Hospital and Newcastle University Centre for Cancer, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-1162-675X
Leontien C M KremerPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Kevin C OeffingerDepartment of Medicine, Duke University School of Medicine, Durham, NC.ORCID 0000-0003-0806-7894
Memorial Sloan Kettering Cancer Center · USPrincess Máxima Center · NLUniversity of Alabama at Birmingham · USBirmingham Children's Hospital · GBDana-Farber Cancer Institute · USDuke University · USEmma Kinderziekenhuis · NLGreat North Children's Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBRoyal Hospital for Children · GBSt. Jude Children's Research Hospital · USThe Netherlands Cancer Institute · NLUniversité Paris-Sud · FRUniversity of Chicago · USUniversity of Rochester Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
EMPOWER Study: Promoting BC Screening in Women Who Survived Childhood Cancer Administrative SupplementR01CA134722 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI FORD, JENNIFER S, OEFFINGER, KEVIN CHARLES · 2009 to 2022
$6.6M
ANALYSIS OF TOBACCO DEPOSITIONS AND TRIAL TESTIMONYR01CA087486 · NCI · MICHIGAN PUBLIC HEALTH INSTITUTE · PI DAVIS, RONALD M · 2000 to 2003
$2.8M
Prediction Model: Breast Cancer in Women Irradiated for a Pediatric MalignancyR01CA136783 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI MOSKOWITZ, CHAYA · 2010 to 2013
$1.5M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA087486NCI NIH HHS R01 CA134722NCI NIH HHS R01 CA136783
6 · The paper itself

Abstract

purposeAs new evidence is available, the International Late Effects of Childhood Cancer Guideline Harmonization Group has updated breast cancer surveillance recommendations for female survivors of childhood, adolescent, and young adult cancer.

methodsWe used evidence-based methods to apply new knowledge in refining the international harmonized recommendations developed in 2013. The guideline panel updated the systematic literature review, developed evidence summaries, appraised the evidence, and updated recommendations on the basis of evidence, clinical judgement, and consideration of benefits versus the harms of the surveillance interventions while attaining flexibility in implementation across different health care systems. The GRADE Evidence-to-Decision framework was used to translate evidence to recommendations. A survivor information form was developed to counsel survivors about the potential harms and benefits of surveillance.

resultsThe literature update identified new study findings related to the effects of prescribed moderate-dose chest radiation (10 to 19 Gy), radiation dose-volume, anthracyclines and alkylating agents in non-chest irradiated survivors, and the effects of ovarian function on breast cancer risk. Moreover, new data from prospective investigations were available regarding the performance metrics of mammography and magnetic resonance imaging among survivors of Hodgkin lymphoma. Modified recommendations include the performance of mammography and breast magnetic resonance imaging for survivors treated with 10 Gy or greater chest radiation (strong recommendation) and upper abdominal radiation exposing breast tissue at a young age (moderate recommendation) at least annually up to age 60 years. As a result of inconsistent evidence, no recommendation could be formulated for routine breast cancer surveillance for survivors treated with any type of anthracyclines in the absence of chest radiation.

conclusionThe newly identified evidence prompted significant change to the recommendations formulated in 2013 related to moderate-dose chest radiation and anthracycline exposure as well as breast cancer surveillance modality.

Indexed as

Cancer SurvivorsBreast NeoplasmsEarly Detection of CancerFemaleHumansPopulation SurveillanceSystematic Reviews as Topic

Identifiers

PMID33078972
PMCPMC7723685
OpenAlexW3093257740

What OpenQuestion holds

Textmetadata
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.