Evidence map›Paper›PMID 33597716›Full record

ArticleBritish journal of cancer2021

Survival from breast cancer in women with a BRCA2 mutation by treatment.

D Gareth Evans, Kelly-Anne Phillips, Roger L Milne, Robert Fruscio, Cezary Cybulski, Jacek Gronwald, Jan Lubinski, Tomasz Huzarski, Zerin Hyder, Claire Forde and 9 more

Erratum issuedOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Prevalence of germlineThe Lancet regional health. Western Pacific · 2025
    Article
  3. Observational
  4. Estrogens and breast cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Review
  5. Review
  6. ER-positive and BRCA2-mutated breast cancer: a literature review.European journal of medical research · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Barriers to gJournal of personalized medicine · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 20 institutions in 8 countries.

D Gareth EvansGenomic Medicine, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Kelly-Anne PhillipsSir Peter MacCallum Department of Oncology, University of Melbourne, Parkville, Australia.ORCID http://orcid.org/0000-0002-0475-1771
Roger L MilneCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Robert FruscioDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Cezary CybulskiDepartment of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Jacek GronwaldDepartment of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Jan LubinskiDepartment of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Tomasz HuzarskiDepartment of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
Zerin HyderGenomic Medicine, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Claire FordeGenomic Medicine, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Kelly MetcalfeWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Leigha SenterDivision of Human Genetics, the Ohio State University Medical Center, Comprehensive Cancer Center, Columbus, OH, USA.
Jeffrey WeitzelDivision of Clinical Cancer Genomics, Department of Population Sciences, City of Hope, Duarte, CA, USA.
Nadine TungBeth Israel Deaconess Medical Center, Boston, MA, USA.
Dana ZakalikNancy and James Grosfeld Cancer Genetics Center, Beaumont Cancer Institute, Beaumont Health, Royal Oak, MI, USA.
Maria EkholmManchester Academic Health Science Centre, Department of Medical Oncology, The Christie, Manchester, UK.
Ping SunWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Steven A NarodUniversity of Zielona Góra, Zielona Góra, Poland. steven.narod@wchospital.ca.ORCID http://orcid.org/0000-0001-5798-0626
kConFab Investigators, Polish Hereditary Breast Cancer Consortium, Hereditary Breast Cancer Clinical Study Group
The Maria Sklodowska-Curie National Research Institute of Oncology · PLInternational Hereditary Cancer Center · PLManchester Academic Health Science Centre · GBPeter MacCallum Cancer Centre · AUPomeranian Medical University · PLUniversity of Vermont · USWomen's College Hospital · CACity Of Hope National Medical Center · USCopernicus Memorial Hospital · PLGreater Poland Cancer Center · PLHoly Cross University · PLMedical University of Lodz · PLNorwegian Cancer Society · NOPoznan University of Medical Sciences · PLSunnybrook Health Science Centre · CAThe University of Melbourne · AUUniversity Health Network · CABeaumont Health · USBeth Israel Deaconess Medical Center · USCity of Hope · US

Funding

Genes, environment and breast cancer risk: The 15 year follow-up of the Prof-SC (Diversity Supplement)R01CA159868 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HOPPER, JOHN L, TERRY, MARY BETH · 2011 to 2015
$9.0M
NCI NIH HHS R01 CA159868
6 · The paper itself

Abstract

backgroundThe impact of various breast-cancer treatments on patients with a BRCA2 mutation has not been studied. We sought to estimate the impact of bilateral oophorectomy and other treatments on breast cancer-specific survival among patients with a germline BRCA2 mutation.

methodsWe identified 664 women with stage I-III breast cancer and a BRCA2 mutation by combining five different datasets (retrospective and prospective). Subjects were followed for 7.2 years from diagnosis to death from breast cancer. Tumour characteristics and cancer treatments were patient-reported and derived from medical records. Predictors of survival were determined using Cox proportional hazard models, adjusted for other treatments and for prognostic features.

resultsThe 10-year breast-cancer survival for ER-positive patients was 78.9% and for ER-negative patients was 82.3% (adjusted HR = 1.23 (95% CI, 0.62-2.45, p = 0.55)). The 10-year breast-cancer survival for women who had a bilateral oophorectomy was 89.1% and for women who did not have an oophorectomy was 59.0% (adjusted HR = 0.45; 95% CI, 0.28-0.72, p = 0.001). The adjusted hazard ratio for chemotherapy was 0.83 (95% CI, 0.65-1.53: p = 0.56).

conclusionsFor women with breast cancer and a germline BRCA2 mutation, positive ER status does not predict superior survival. Oophorectomy is associated with a reduced risk of death from breast cancer and should be considered in the treatment plan.

Indexed as

Germ-Line MutationAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsCombined Modality TherapyErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesHumansMastectomyMiddle AgedOvariectomyBiomarkers, TumorBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID33597716
PMCPMC8076275
OpenAlexW3131950767

What OpenQuestion holds

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LicenceCC BY
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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.