Evidence map›Paper›PMID 33689016›Full record

ArticleArchives of gynecology and obstetrics2021

Influences on pathologic complete response in breast cancer patients after neoadjuvant chemotherapy.

Carolin Müller, Gilda Schmidt, Ingolf Juhasz-Böss, Lisa Jung, Sarah Huwer, Erich-Franz Solomayer, Stephanie Juhasz-Böss

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Breast care (Basel, Switzerland) · 2024
    Article
  7. Review
  8. Article
  9. 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

7 authors at 2 institutions in 1 country.

Carolin MüllerDepartment of Gynecology, Obstetrics and Reproductive Medicine, Saarland University Medical Center, Kirrbergerstraße 100, 66424, Homburg/Saar, Germany. carolin.mueller@uks.eu.ORCID http://orcid.org/0000-0003-3488-5073
Gilda SchmidtDepartment of Gynecology, Obstetrics and Reproductive Medicine, Saarland University Medical Center, Kirrbergerstraße 100, 66424, Homburg/Saar, Germany.
Ingolf Juhasz-BössDepartment of Gynecology, Obstetrics and Reproductive Medicine, University Medical Center Freiburg, Freiburg, Germany.
Lisa JungDepartment of Gynecology, Obstetrics and Reproductive Medicine, University Medical Center Freiburg, Freiburg, Germany.
Sarah HuwerDepartment of Gynecology, Obstetrics and Reproductive Medicine, University Medical Center Freiburg, Freiburg, Germany.
Erich-Franz SolomayerDepartment of Gynecology, Obstetrics and Reproductive Medicine, Saarland University Medical Center, Kirrbergerstraße 100, 66424, Homburg/Saar, Germany.
Stephanie Juhasz-BössDepartment of Gynecology, Obstetrics and Reproductive Medicine, Saarland University Medical Center, Kirrbergerstraße 100, 66424, Homburg/Saar, Germany.
Saarland University · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePathologic complete response is associated with longer disease-free survival and better overall survival after neoadjuvant chemotherapy in breast cancer patients. We, therefore, evaluated factors influencing pathologic complete response.

methodsPatients receiving neoadjuvant chemotherapy from 2015 to 2018 at the Saarland University Hospital were included. Patients' age, tumor stage, tumor biology, genetic mutation, recurrent cancer, discontinuation of chemotherapy, and participation in clinical trials were extracted from electronic medical records. Binary logistic regression was performed to evaluate the influence of these factors on pathologic complete response.

resultsData of 183 patients were included. The median patient's age was 54 years (22-78). The median interval between diagnosis and onset of chemotherapy was 28 days (14-91); between end of chemotherapy and surgery 28 days (9-57). Sixty-two patients (34%) participated in clinical trials for chemotherapy. A total of 86 patients (47%) achieved pathologic complete response. Patient's age, genetic mutation, recurrent cancers, or discontinuation of chemotherapy (due to side effects) and time intervals (between diagnosis and onset of chemotherapy, as well as between end of chemotherapy and surgery) did not influence pathologic complete response. Patients with high Ki67, high grading, Her2 positive tumors, as well as patients participating in clinical trials for chemotherapy had a higher chance of having pathologic complete response. Patients with Luminal B tumors had a lower chance for pathologic complete response.

conclusionParticularly patients with high risk cancer and patients, participating in clinical trials benefit most from chemotherapy. Therefore, breast cancer patients can be encouraged to participate in clinical trials for chemotherapy.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedNeoplasm Recurrence, LocalTreatment OutcomeYoung AdultErb-b2 Receptor Tyrosine KinasesBreast cancerClinical trialsNeo-adjuvant therapyPathologic complete response

Identifiers

PMID33689016
PMCPMC8429372
OpenAlexW3135634509

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.