Evidence map›Paper›PMID 34376532›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Prognostic Utility of Breast Cancer Index to Stratify Distant Recurrence Risk in Invasive Lobular Carcinoma.

Raquel Nunes, Tal Sella, Kai Treuner, Jennifer M Atkinson, Jenna Wong, Yi Zhang, Pedro Exman, David Dabbs, Andrea L Richardson, Catherine A Schnabel and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Response to Maltoni, Puccetti, Poli, et al.Journal of the National Cancer Institute · 2023
    Article
  8. Article
  9. Genomic assays for lobular breast carcinoma.Journal of clinical and translational research · 2022
    Review
  10. Review
  11. Article
  12. Review
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.

Raquel Nunes *Johns Hopkins University, The Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Tal Sella *Dana-Farber Cancer Institute, Boston, Massachusetts.
Kai TreunerBiotheranostics, Inc., San Diego, California.
Jennifer M AtkinsonUPMC Hillman Cancer Center, University of Pittsburgh, Magee-Womens Research Institute, Pittsburgh, Pennsylvania.ORCID 0000-0001-5164-5114
Jenna WongBiotheranostics, Inc., San Diego, California.
Yi ZhangBiotheranostics, Inc., San Diego, California.
Pedro ExmanHospital Alemao Oswaldo Cruz, São Paulo, Brazil.
David DabbsUPMC Hillman Cancer Center, University of Pittsburgh, Magee-Womens Research Institute, Pittsburgh, Pennsylvania.
Andrea L RichardsonJohns Hopkins University, The Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Catherine A SchnabelBiotheranostics, Inc., San Diego, California.
Dennis C SgroiMassachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0003-4052-6659
Steffi OesterreichUPMC Hillman Cancer Center, University of Pittsburgh, Magee-Womens Research Institute, Pittsburgh, Pennsylvania.ORCID 0000-0002-2537-6923
Ashley Cimino-MathewsJohns Hopkins University, The Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.ORCID 0000-0002-0638-7969
Otto MetzgerDana-Farber Cancer Institute, Boston, Massachusetts. otto_metzger@dfci.harvard.edu.

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
Tissue and Pathology CoreP50CA168504 · NCI · DANA-FARBER CANCER INST · PI MYLES A BROWN · 2013 to 2026
$30.1M
NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA168504
6 · The paper itself

Abstract

purposeThe prognostic utility of Breast Cancer Index (BCI) for risk assessment of overall (0-10 years), early (0-5 years), and late (5-10 years) distant recurrence (DR) in hormone receptor-positive (HR+) invasive lobular carcinoma (ILC) was evaluated. EXPERIMENTAL

designBCI gene expression analysis was performed blinded to clinical outcome utilizing tumor specimens from patients with HR+ ILC from a multi-institutional cohort. The primary endpoint was time to DR. Kaplan-Meier analyses of overall, early, and late DR risk were performed, and statistical significance was evaluated by log-rank test and Cox proportional hazards regression. The prognostic contribution of BCI in addition to clinicopathologic factors was evaluated by likelihood ratio analysis.

resultsAnalysis of 307 patients (99% ER+, 53% T1, 42% N+, 70% grade II) showed significant differences in DR over 10 years based on BCI risk categories. BCI low- and intermediate-risk patients demonstrated similar DR rates of 7.6% and 8.0%, respectively, compared with 27.0% for BCI high-risk patients. BCI was a significant independent prognostic factor for overall 10-year DR [HR = 4.09; 95% confidence interval (CI), 2.00-8.34;

conclusionsBCI is an independent prognostic factor for ILC and significantly stratified patients for cumulative risk of 10-year, early, and late DR. BCI added prognostic value beyond clinicopathologic characteristics in this distinct subtype of breast cancer.

Indexed as

Breast NeoplasmsCarcinoma, LobularCohort StudiesFemaleHumansMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalPrognosisRetrospective StudiesRisk Assessment

Identifiers

PMID34376532
PMCPMC9401569

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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.