Evidence map›Paper›PMID 33389409›Full record

ReviewBreast cancer research and treatment2021

A clinical calculator to predict disease outcomes in women with triple-negative breast cancer.

Mei-Yin C Polley, Roberto A Leon-Ferre, Samuel Leung, Angela Cheng, Dongxia Gao, Jason Sinnwell, Heshan Liu, David W Hillman, Abraham Eyman-Casey, Judith A Gilbert and 10 more

Open access · greenAbstract readReview
In one paragraph

Review in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

25 citing papers in PubMed, 37 citations in OpenAlex.

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  9. Network Pharmacology andCurrent pharmaceutical design · 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

20 authors at 4 institutions in 2 countries.

Mei-Yin C PolleyDepartment of Public Health Sciences, University of Chicago, Chicago, IL, USA. mcpolley@uchicago.edu.
Roberto A Leon-FerreDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Samuel LeungDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, Canada.
Angela ChengDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, Canada.
Dongxia GaoDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, Canada.
Jason SinnwellDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Heshan LiuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
David W HillmanDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Abraham Eyman-CaseyDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Judith A GilbertDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Vivian NegronDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Judy C BougheyDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Minetta C LiuDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
James N IngleDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Krishna KalariDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Fergus CouchDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Jodi M CarterDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Daniel W VisscherDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Torsten O NielsenDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, Canada.
Matthew P GoetzDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USUniversity of British Columbia · CAUniversity of Chicago · US

Funding

The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI PETER C LUCAS · 2005 to 2026
$49.9M
ZESTRIL VS. VERAPAMIL IN THE TREATMENT OF HYPERTENSIONM01RR000585 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 1985 to 2006
$30.4M
Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
NCATS NIH HHS KL2 TR002379NCI NIH HHS P50 CA116201NCRR NIH HHS M01 RR000585
6 · The paper itself

Abstract

purposeTriple-negative breast cancer (TNBC) is the most aggressive subtype of breast cancer, characterized by substantial risks of early disease recurrence and mortality. We constructed and validated clinical calculators for predicting recurrence-free survival (RFS) and overall survival (OS) for TNBC.

methodsData from 605 women with centrally confirmed TNBC who underwent primary breast cancer surgery at Mayo Clinic during 1985-2012 were used to train risk models. Variables included age, menopausal status, tumor size, nodal status, Nottingham grade, surgery type, adjuvant radiation therapy, adjuvant chemotherapy, Ki67, stromal tumor-infiltrating lymphocytes (sTIL) score, and neutrophil-to-lymphocyte ratio (NLR). Final models were internally validated for calibration and discrimination using ten-fold cross-validation and compared with their base-model counterparts which include only tumor size and nodal status. Independent external validation was performed using data from 478 patients diagnosed with stage II/III invasive TNBC during 1986-1992 in the British Columbia Breast Cancer Outcomes Unit database.

resultsFinal RFS and OS models were well calibrated and associated with C-indices of 0.72 and 0.73, as compared with 0.64 and 0.62 of the base models (p < 0.001). In external validation, the discriminant ability of the final models was comparable to the base models (C-index: 0.59-0.61). The RFS model demonstrated greater accuracy than the base model both overall and within patient subgroups, but the advantages of the OS model were less profound.

conclusionsThis TNBC clinical calculator can be used to predict patient outcomes and may aid physician's communication with TNBC patients regarding their long-term disease outlook and planning treatment strategies.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsBritish ColumbiaDisease-Free SurvivalFemaleHumansNeoplasm Recurrence, LocalPrognosisClinical calculatorPrognosisPrognostic factorsTriple-negative breast cancer

Identifiers

PMID33389409
PMCPMC7925385
OpenAlexW3119592225

What OpenQuestion holds

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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.