Evidence map›Paper›PMID 34241750›Full record

ArticleAnnals of surgical oncology2021

Discordance in Oncotype DX Breast Recurrence Score

Joshua A Bloom, Yurie Sekigami, Rebekah Young, Lisa Macera, Christy A Russell, Yu Cao, Rachel J Buchsbaum, Stephen P Naber, Abhishek Chatterjee

Abstract read
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In one paragraph

Article in Annals of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 57% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 2 institutions in 1 country.

Joshua A BloomDepartment of Surgery, Tufts Medical Center, Boston, MA, USA. bloomjosha@gmail.com.ORCID http://orcid.org/0000-0001-6413-3986
Yurie SekigamiDepartment of Surgery, Tufts Medical Center, Boston, MA, USA.
Rebekah YoungExact Sciences Corporation, Redwood City, CA, USA.
Lisa MaceraExact Sciences Corporation, Redwood City, CA, USA.
Christy A RussellExact Sciences Corporation, Redwood City, CA, USA.
Yu CaoDivision of Hematology/Oncology, Department of Medicine, Tufts Medical Center, Boston, MA, USA.
Rachel J BuchsbaumDivision of Hematology/Oncology, Department of Medicine, Tufts Medical Center, Boston, MA, USA.
Stephen P NaberDepartment of Pathology and Laboratory Medicine, Tufts Medical Center, Boston, MA, USA.
Abhishek ChatterjeeDepartment of Surgery, Tufts Medical Center, Boston, MA, USA.
Tufts Medical Center · USExact Sciences (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Oncotype DX Breast Recurrence Score

methodsPatients with BBC were identified in US samples submitted to Genomic Health for 21-gene testing between January 2019 and July 2020. The risk categories were defined as 0-25 and 26-100 as well as 0-17, 18-30, and 31-100 for all patients. Subgroup analysis was also performed for node-negative women age ≤ 50 years with Recurrence Score results of 0-15, 16-20, 21-25, and 26-100.

results944 BBC patients with known nodal status (702 node negative, 242 node positive) were identified and included. Among node-negative patients aged > 50 years, the rate of discordance in Recurrence Score by group (0-25 and 26-100) was 4.2% (n = 598). For node-negative patients aged ≤ 50 years, the risk group was discordant in < 3% when considering the risk grouping of 0-25 and 26-100. However, upon subgroup analysis based on TAILORx analysis, the rate of discordance was 48.1% in these younger patients (n = 104).

conclusionsThis study shows that a clinically relevant rate of discordance in Oncotype DX results in patients with BBC may impact medical decision-making regarding chemotherapy.

Indexed as

Breast NeoplasmsFemaleGene Expression ProfilingGenomicsHumansMiddle AgedNeoplasm Recurrence, LocalReceptors, EstrogenReceptors, Estrogen

Identifiers

PMID34241750
OpenAlexW3179262576

What OpenQuestion holds

Textmetadata
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.