Evidence map›Paper›PMID 33093581›Full record

ArticleScientific reports2020

Role of locoregional surgery in patients with de novo stage IV breast cancer: analysis of real-world data from China.

Li Ma, Yunzhe Mi, Shude Cui, Haibo Wang, Peifen Fu, Yongmei Yin, Feng Jin, Jianbin Li, Yinhua Liu, Zhimin Fan and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07586319 (Effectiveness of Primary Tumour Surgery in Oligometastatic Breast Cancer for Improving Overall Survival), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.6field-weighted citation impact, top 38% 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.

NCT07586319 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Primary Tumour Surgery in Oligometastatic Breast Cancer for Improving Overall Survival: A Quasi-Experimental Study

TypeinterventionalSponsorSharif Medical Research CenterRan2026 to 2031Enrolled110ConditionsSurvival OutcomesArmssurgery in accordance with current clinical guidelines, modified radical mastectomy or breast conservation surgery
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. HRDrugs in context · 2023
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. 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 11 institutions in 1 country.

Li MaBreast Center Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Yunzhe MiBreast Center Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Shude CuiBreast Center Department, Henan Cancer Hospital, Zhengzhou, China.
Haibo WangBreast Center Department, Affiliated Hospital of Qingdao University, Qingdao, China.
Peifen FuBreast Center Department, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
Yongmei YinDepartment of Oncology, Jiangsu Province Hospital, Nanjing, China.
Feng JinDepartment of Breast Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China.
Jianbin LiDepartment of Breast Cancer, The Fifth Medical Center of the General Hospital of the Chinese People's Liberation Army, Beijing, China.
Yinhua LiuDepartment of General Surgery, The First Hospital of Peking University, Beijing, China.
Zhimin FanDepartment of Breast Surgery, The First Hospital of Jilin University, Jilin, China.
Haiqing ZhangDepartment of Breast and Thyroid, Dalian Central Hospital, Dalian, China.
Cuizhi GengBreast Center Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China. gengcuizhi@outlook.com.
Zefei JiangDepartment of Breast Cancer, The Fifth Medical Center of the General Hospital of the Chinese People's Liberation Army, Beijing, China. jiangzefei@csco.org.cn.
Chinese People's Liberation Army · CNHebei Medical University · CNAffiliated Hospital of Qingdao University · CNChina Medical University · CNDalian Municipal Central Hospital · CNFirst Affiliated Hospital Zhejiang University · CNFourth Hospital of Hebei Medical University · CNHenan Cancer Hospital · CNJiangsu Province Hospital · CNJilin University · CNPeking University First Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stage IV breast cancer is metastatic breast cancer (MBC). Because real-world data are lacking in China, our research attempts to explore the effect of locoregional surgery on the prognosis of patients with MBC. A total of 987 patients from 10 hospitals and 2 databases in East China (2004-2018) were included in this study. Overall, 47% of patients underwent locoregional surgery, and 53% did not. Surgeons tended to perform surgery on patients with small tumours (T1/T2), positive hormone receptor (HR) markers, and metastatic sites confined to a single organ and non-visceral sites (bone only/others) (each p < 0.05). Kaplan-Meier survival curves and the log-rank test showed that median survival was longer for patients who had locoregional surgery than for those who did not (45.00 vs. 28.00 months; p < 0.001). Patients who underwent surgery after systemic treatment had better survival than those who underwent surgery immediately (p < 0.001). In most subgroups, overall survival (OS) was significantly longer in the surgery group than in the no-surgery group (each p < 0.05), except for brain metastases and triple negative breast cancer. Therefore, we concluded that locoregional surgery for the primary tumour in MBC patients was associated with a marked reduction in risk of dying except for patients with brain metastases or triple-negative subtype.

Indexed as

AdultAgedAged, 80 and overBone NeoplasmsBreast NeoplasmsChinaErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesHumansLymphatic MetastasisMiddle AgedNeoplasm Recurrence, LocalPrognosisReceptors, EstrogenReceptors, ProgesteroneERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID33093581
PMCPMC7582173
OpenAlexW3093769792

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.