Evidence map›Paper›PMID 33252836›Full record

ArticleInternational journal of cancer2021

Comprehensive trends in incidence, treatment, survival and mortality of first primary invasive breast cancer stratified by age, stage and receptor subtype in the Netherlands between 1989 and 2017.

Daniël J van der Meer, Iris Kramer, Marissa C van Maaren, Paul J van Diest, Sabine C Linn, John H Maduro, Luc J A Strobbe, Sabine Siesling, Marjanka K Schmidt, Adri C Voogd

Abstract readHistorical Article
In one paragraph

Article in International journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

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

  1. The effectiveness of personalised surveillance and aftercare in breast cancer follow-up: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  14. Long-term health-related quality of life among adolescent and young adult breast cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

10 authors.

Daniël J van der MeerDivision of Molecular Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-3297-3734
Iris KramerDivision of Molecular Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-0747-3762
Marissa C van MaarenDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht.ORCID 0000-0002-5708-2559
Paul J van DiestDepartment of Pathology, University Medical Center Utrecht, Utrecht.ORCID 0000-0003-0658-2745
John H MaduroDepartment of radiation Oncology, University of Groningen, University Medical Center Groningen, Groningen.ORCID 0000-0003-2458-8702
Luc J A StrobbeDepartment of Surgery, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.ORCID 0000-0002-3840-3003
Sabine SieslingDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht.ORCID 0000-0002-0273-824X
Marjanka K SchmidtDivision of Molecular Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-2228-429X
Adri C VoogdDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht.ORCID 0000-0002-8041-2720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our study aimed to provide a comprehensive overview of trends in incidence, survival, mortality and treatment of first primary invasive breast cancer (BC), according to age, stage and receptor subtype in the Netherlands between 1989 and 2017. Data from all women diagnosed with first primary stage I to IV BC (N = 320 249) were obtained from the Netherlands Cancer Registry. BC mortality and general population data were retrieved from Statistics Netherlands. Age-standardised incidence and mortality rates were calculated with annual percentage change (APC) and average annual percentage change (AAPC) statistics. The relative survival (RS) was used as estimator for disease-specific survival. The BC incidence for all BC patients combined significantly increased until 2013 from 126 to 158 per 100 000 person-years, after which a declining trend was observed. Surgery became less extensive, but (neo-)adjuvant systemic treatments and their combinations were given more frequently. The RS improved for all age groups and for most stages and receptor subtypes, but remained stable for all subtypes since 2012 to 2013 and since 2000 to 2009 for Stage IV BC at 15 years of follow-up. Overall, the 5- and 10-year RS increased from 76.8% (95% confidence interval [CI]: 76.1, 77.4) and 55.9% (95% CI: 54.7, 57.1) in 1989 to 1999 to 91.0% (95% CI: 90.5, 91.5) and 82.9% (95% CI: 82.2, 83.5), respectively, in 2010 to 2016. BC mortality improved regardless of age and overall decreased from 57 to 35 per 100 000 person-years between 1989 and 2017. In conclusion, the BC incidence in the Netherlands has steadily increased since 1989, but the latest trends show promising declines. Survival improved markedly for most patients and the mortality decreased regardless of age.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsBreast NeoplasmsFemaleHistory, 20th CenturyHistory, 21st CenturyHumansIncidenceMiddle AgedNeoplasm StagingNetherlandsSurvival AnalysisYoung Adultbreast cancerincidencemortalitysurvivaltreatment

Identifiers

PMID33252836
PMCPMC8048677

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LicenceCC BY-NC-ND
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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.