Evidence map›Paper›PMID 34391660›Full record

ArticleClinical breast cancer2022

Invasive Breast Cancer Treatment Patterns in Women Age 80 and Over: A Report from the National Cancer Database.

Julia Frebault, Carmen Bergom, Chandler S Cortina, Monica E Shukla, Yiwen Zhang, Chiang-Ching Huang, Amanda L Kong

Open access · greenAbstract read
In one paragraph

Article in Clinical breast cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 3 institutions in 1 country.

Julia FrebaultDepartment of Surgery, Division of Surgical Oncology, Medical College of Wisconsin, Milwaukee, WI 53226.
Carmen BergomDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI 53226; Alvin J. Siteman Cancer Center, Washington University School of Medicine, St Louis, MO.
Chandler S CortinaDepartment of Surgery, Division of Surgical Oncology, Medical College of Wisconsin, Milwaukee, WI 53226.
Monica E ShuklaDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI 53226.
Yiwen ZhangUniversity of Wisconsin-Milwaukee Zilber School of Public Health, Milwaukee, WI 53201.
Chiang-Ching HuangUniversity of Wisconsin-Milwaukee Zilber School of Public Health, Milwaukee, WI 53201.
Amanda L KongDepartment of Surgery, Division of Surgical Oncology, Medical College of Wisconsin, Milwaukee, WI 53226. Electronic address: akong@mcw.edu.
Medical College of Wisconsin · USUniversity of Wisconsin–Milwaukee · USAlvin J. Siteman Cancer Center

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
NCATS NIH HHS UL1 TR001436
6 · The paper itself

Abstract

backgroundThere are no established treatment guidelines for women with breast cancer aged ≥80 despite increasing representation in the US population. Here we identify national treatment patterns and survival outcomes in women with stage I-III invasive breast cancer. PATIENTS AND

methodsWomen age ≥80 diagnosed with stage I-III invasive breast cancer (IBC) were identified from 2005-2014 in the National Cancer Database. χ

resultsA total of 62,575 women with IBC met inclusion criteria, of which the majority received surgery (94%). Receipt of surgery was associated with White race, age <90, lower stage, and fewer comorbidities. OS was higher for those who received surgery compared to those who did not (HR 3.3 [3.18-3.46] P < .001). Molecular subtype analysis demonstrated improved survival with receipt of surgery or radiation for all subtypes, as well as improved survival with chemotherapy for those with triple negative breast cancer.

conclusionThe vast majority of breast cancer patients aged ≥80 in the National Cancer Database with IBC received primary surgical management, which was associated with a significant OS benefit. Due to this finding, surgical resection should be considered for all patients ≥80 who are suitable operative candidates.

Indexed as

Clinical Decision-MakingDatabases, FactualAged, 80 and overBreast NeoplasmsChemotherapy, AdjuvantFemaleHumansRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsUnited StatesBreast surgeryGeriatric oncologyInvasive breast cancerSurvivalTreatment patternsTriple negative breast cancer

Identifiers

PMID34391660
PMCPMC9003119
OpenAlexW3185804881

What OpenQuestion holds

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LicenceTDM
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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.