Evidence map›Paper›PMID 33304851›Full record

SynthesisFrontiers in oncology2020

Platinum-Based Neoadjuvant Chemotherapy for Breast Cancer With BRCA Mutations: A Meta-Analysis.

Chang-Jun Wang, Ying Xu, Yan Lin, Han-Jiang Zhu, Yi-Dong Zhou, Feng Mao, Xiao-Hui Zhang, Xin Huang, Ying Zhong, Qiang Sun and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
1.4field-weighted citation impact, top 20% 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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  9. Low testing rates and highWorld journal of clinical oncology · 2024
    Article
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  11. Mutations ofGenes · 2023
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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

11 authors at 4 institutions in 2 countries.

Chang-Jun WangDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Ying XuDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Yan LinDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Han-Jiang ZhuDepartment of Dermatology, University of California, San Francisco, CA, United States.
Yi-Dong ZhouDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Feng MaoDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Xiao-Hui ZhangDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Xin HuangDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Ying ZhongDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Qiang SunDepartment of Breast Surgery, Peking Union Medical College Hospital, Beijing, China.
Cheng-Gang LiState Key Laboratory of Medicinal Chemical Biology, Nankai University, Tianjin, China.
Peking Union Medical College Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNNankai University · CNUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriple-negative breast cancer (TNBC) is one of the most aggressive subtypes of breast cancer and the major phenotype of BRCA related hereditary breast cancer. Platinum is a promising chemotherapeutic agent for TNBC. However, its efficacy for breast cancer with BRCA germline mutation remains inconclusive. Here we present a meta-analysis to evaluate the effect of platinum agents for breast cancer patients with BRCA mutation in neoadjuvant setting. MATERIALS AND

methodsPubmed, Embase, and Cochrane Central Register of Controlled Trials databases were searched for relevant studies on neoadjuvant platinum treatment and BRCA related breast cancer. Fixed- and random-effect models were adopted for meta-analyses. Heterogeneity investigation was conducted by sensitivity and subgroup analyses. Publication bias was evaluated by funnel plot and Begg's test.

resultsIn all, five studies with 363 patients were included for meta-analysis. The pooled pathological complete response (pCR) rates were 43.4% (59/136) and 33.9% (77/227) for platinum and control groups, respectively. Adding platinum to neoadjuvant regimen did not significantly improved pCR rate (odds ratio [OR]: 1.340, 95% confidence interval [CI] = 0.677-2.653,

conclusionsOur meta-analysis suggested that the addition of platinum to neoadjuvant chemotherapy did not significantly improve pCR rate for patients with BRCA mutations. Further large-scale randomized control trial with survival data may provide more robust evidence on therapeutic value of platinum for breast cancer neoadjuvant treatment.

Indexed as

BRCA genebreast cancerneoadjuvant chemotherapypathological complete responseplatinum

Identifiers

PMID33304851
PMCPMC7693629
OpenAlexW3098467821

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.