Evidence map›Paper›PMID 33948122›Full record

ArticleTherapeutic advances in medical oncology2021

Hormone receptor status influences the impact of body mass index and hyperglycemia on the risk of tumor relapse in early-stage HER2-positive breast cancer patients.

Francesca Ligorio, Luca Zambelli, Achille Bottiglieri, Lorenzo Castagnoli, Emma Zattarin, Riccardo Lobefaro, Arianna Ottini, Andrea Vingiani, Serenella M Pupa, Giulia V Bianchi and 4 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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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

14 authors at 1 institution in 1 country.

Francesca LigorioFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Luca ZambelliFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Achille BottiglieriFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.ORCID https://orcid.org/0000-0002-4345-3355
Lorenzo CastagnoliFondazione IRCCS Istituto Nazionale dei Tumori, Molecular Targeting Unit, Department of Research, Milan, Italy.
Emma ZattarinFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Riccardo LobefaroFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.ORCID https://orcid.org/0000-0003-3484-9718
Arianna OttiniFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Andrea VingianiFondazione IRCCS Istituto Nazionale dei Tumori, Department of Pathology, Milan, Italy.
Serenella M PupaFondazione IRCCS Istituto Nazionale dei Tumori, Molecular Targeting Unit, Department of Research, Milan, Italy.
Giulia V BianchiFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Giuseppe CapriFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Giancarlo PruneriFondazione IRCCS Istituto Nazionale dei Tumori, Department of Pathology, Milan, Italy.
Filippo de BraudFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Claudio VernieriFondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, Milan, 20133, Italy.ORCID https://orcid.org/0000-0003-3484-9718
University of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh body mass index (BMI) has been associated with worse clinical outcomes in patients with early-stage breast cancer (BC), and its negative effects could be mediated by hyperglycemia/diabetes. However, the prognostic impact of high BMI in early-stage HER2-positive (HER2+) BC patients remains controversial.

methodsWe conducted a retrospective study to investigate the impact of baseline BMI or glycemia on relapse-free survival (RFS) and overall survival (OS) in patients with surgically resected, stage I-III HER2+ BC treated with standard-of-care, trastuzumab-containing adjuvant biochemotherapy. The optimal BMI and glycemia cut-off values for RFS were identified through maximally selected rank statistics. Cox regression models were used to assess the impact of BMI, glycemia and other relevant variables on clinical outcomes.

resultsAmong 505 patients included in the study, a BMI cut-off of 27.77 kg/m

conclusionsHigh BMI is associated with worse clinical outcomes in early-stage HR-/HER2+ BC patients treated with trastuzumab-containing adjuvant biochemotherapy, while baseline hyperglycemia could be a predictor of worse RFS in HR+/HER2+ BC patients. Prospective studies are needed to investigate if modifying patient BMI/glycemia during treatment can improve clinical outcomes.

Indexed as

body mass indexearly-stage breast cancerHER2-positive breast cancerrelapse-free survivaltrastuzumab

Identifiers

PMID33948122
PMCPMC8053837
OpenAlexW3158719079

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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.