Evidence map›Paper›PMID 33083528›Full record

ArticleNPJ breast cancer2020

Preoperative magnetic resonance imaging use and oncologic outcomes in premenopausal breast cancer patients.

Zexian Zeng, Amanda Amin, Ankita Roy, Natalie E Pulliam, Lindsey C Karavites, Sasa Espino, Irene Helenowski, Xiaoyu Li, Yuan Luo, Seema A Khan

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Observational
  9. A literature review on the imaging methods for breast cancer.International journal of physiology, pathophysiology and pharmacology · 2022
    Review
  10. Article
  11. 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

10 authors at 4 institutions in 2 countries.

Zexian ZengDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL USA.
Amanda AminDepartment of Surgery, Kansas University Medical Center, Kansas City, KS USA.ORCID 0000-0002-9784-6226
Ankita RoyDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL USA.
Natalie E PulliamDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL USA.
Lindsey C KaravitesDepartment of Surgery, University of Illinois College of Medicine at Mt. Sinai Hospital, Chicago, IL USA.
Sasa EspinoDepartment of Surgery, Kansas University Medical Center, Kansas City, KS USA.
Irene HelenowskiDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL USA.
Xiaoyu LiTsinghua University, Beijing, China.ORCID 0000-0002-4463-9944
Yuan LuoDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL USA.ORCID 0000-0003-0195-7456
Seema A KhanDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL USA.ORCID 0000-0002-6307-2023
Northwestern University · USUniversity Medical Center · USIllinois College · USTsinghua University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast magnetic resonance imaging (MRI) delineates disease extent sensitively in newly diagnosed breast cancer patients, but improved cancer outcomes are uncertain. Young women, for whom mammography is less sensitive, are expected to benefit from MRI-based resection. We identified 512 women aged ≤50 years, undergoing breast-conserving treatment (BCT: tumor-free resection margins and radiotherapy) during 2006-2013 through Northwestern Medicine database queries; 64.5% received preoperative MRI and 35.5% did not. Tumor and treatment parameters were similar between groups. We estimated the adjusted hazard ratios (aHR) for local and distant recurrences (LR and DR), using multivariable regression models, accounting for important therapeutic and prognostic parameters. LR rate with MRI use was 7.9 vs. 8.2% without MRI, aHR = 1.03 (95% CI 0.53-1.99). DR rate was 6.4 vs. 6.6%, aHR = 0.89 (95% CI 0.43-1.84). In 119 women aged ≤40, results were similar to LR aHR = 1.82 (95% CI 0.43-7.76) and DR aHR = 0.93 (95% CI 0.26-3.34). Sensitivity analyses showed similar results. The use of preoperative MRI in women aged ≤50 years should be reconsidered until there is proof of benefit.

Indexed as

Breast cancerOutcomes research

Identifiers

PMID33083528
PMCPMC7532157
OpenAlexW3089484565

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.