Evidence map›Paper›PMID 33777733›Full record

ArticleFrontiers in oncology2021

A Clinical Decision Support System for Predicting Invasive Breast Cancer Recurrence: Preliminary Results.

Raffaella Massafra, Agnese Latorre, Annarita Fanizzi, Roberto Bellotti, Vittorio Didonna, Francesco Giotta, Daniele La Forgia, Annalisa Nardone, Maria Pastena, Cosmo Maurizio Ressa and 6 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
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  17. Cancer Detection and Prediction Using Genetic Algorithms.Computational intelligence and neuroscience · 2022
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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

16 authors.

Raffaella MassafraStruttura Semplice Dipartimentale di Fisica Sanitaria, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Agnese LatorreUnitá Opertiva Complessa di Oncologia Medica, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Annarita FanizziStruttura Semplice Dipartimentale di Fisica Sanitaria, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Roberto BellottiDipartimento di Fisica, Universitá degli Studi "Aldo Moro" e Istituto Nazionale di Fisica Nucleare - Sezione di Bari, Bari, Italy.
Vittorio DidonnaStruttura Semplice Dipartimentale di Fisica Sanitaria, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Francesco GiottaUnitá Opertiva Complessa di Oncologia Medica, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Daniele La ForgiaStruttura Semplice Dipartimentale di Radiologia Senologica, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Annalisa NardoneUnitá Opertiva Complessa di Radioterapia, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Maria PastenaUnitá Opertiva Complessa di Anatomia Patologica, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Cosmo Maurizio RessaUnitá Opertiva Complessa di Chirurgia Plastica e Ricostruttiva, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Lucia RinaldiStruttura Semplice Dipartimentale di Oncologia Per la Presa in Carico Globale del Paziente, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Anna Orsola Maria RussoDipartimento di Oncologia Medica, Universitá degli Studi di Napoli, Napoli, Italy.
Pasquale TamborraStruttura Semplice Dipartimentale di Fisica Sanitaria, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Sabina TangaroDipartimento di Scienze del Suolo, della Pianta e degli Alimenti, Universitá degli Studi "Aldo Moro" e Istituto Nazionale di Fisica Nucleare - Sezione di Bari, Bari, Italy.
Alfredo ZitoUnitá Opertiva Complessa di Anatomia Patologica, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Vito LorussoUnitá Opertiva Complessa di Oncologia Medica, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The mortality associated to breast cancer is in many cases related to metastasization and recurrence. Personalized treatment strategies are critical for the outcomes improvement of BC patients and the Clinical Decision Support Systems can have an important role in medical practice. In this paper, we present the preliminary results of a prediction model of the Breast Cancer Recurrence (BCR) within five and ten years after diagnosis. The main breast cancer-related and treatment-related features of 256 patients referred to Istituto Tumori "Giovanni Paolo II" of Bari (Italy) were used to train machine learning algorithms at the-state-of-the-art. Firstly, we implemented several feature importance techniques and then we evaluated the prediction performances of BCR within 5 and 10 years after the first diagnosis by means different classifiers. By using a small number of features, the models reached highly performing results both with reference to the BCR within 5 years and within 10 years with an accuracy of 77.50% and 80.39% and a sensitivity of 92.31% and 95.83% respectively, in the hold-out sample test. Despite validation studies are needed on larger samples, our results are promising for the development of a reliable prognostic supporting tool for clinicians in the definition of personalized treatment plans.

Indexed as

cancer recurrencefeature importanceinvasive breast cancerlate recurrencemachine learningprognosis

Identifiers

PMID33777733
PMCPMC7991309

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.