Evidence map›Paper›PMID 34472719›Full record

ArticleCancer medicine2021

Profile, treatment patterns, and influencing factors of anthracycline use in breast cancer patients in China: A nation-wide multicenter study.

Fengzhu Guo, Zongbi Yi, Wenna Wang, Yiqun Han, Pei Yu, Su Zhang, Quchang Ouyang, Min Yan, Xiaojia Wang, Xichun Hu and 20 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03047889 (A Nation-wide Multicenter Clinical Epidemiologic Study of Chinese Females With Advanced Breast), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-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.

NCT03047889 unknown statusnot on this map

A Nation-wide Multicenter Clinical Epidemiologic Study of Chinese Females With Advanced Breast

TypeobservationalSponsorChinese Academy of Medical SciencesRan2016 to 2017Enrolled4,200ConditionsAdvanced Breast CancerArmsstandard therapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

30 authors at 19 institutions in 1 country.

Fengzhu GuoDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0002-0478-9315
Zongbi YiDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-9432-1902
Wenna WangDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Yiqun HanDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-5338-3058
Pei YuDepartment of Cancer Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Su ZhangDepartment of Cancer Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0003-4887-6733
Quchang OuyangDepartment of Breast Cancer Medical Oncology, Hunan Cancer Hospital, Changsha, China.
Min YanDepartment of Breast Disease, Henan Breast Cancer Center, The affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Xiaojia WangDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, China.
Xichun HuDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Zefei JiangDepartment of Breast Cancer, The Fifth Medical Centre of Chinese PLA General Hospital, Beijing, China.
Tao HuangDepartment of Breast and Thyroid Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Zhongsheng TongDepartment of Breast Oncology, Key Laboratory of Breast Cancer Prevention and Therapy, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Shusen WangDepartment of Medical Oncology, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID 0000-0003-0139-5780
Yongmei YinDepartment of Medical Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0003-0225-1471
Hui LiDepartment of Breast Surgery, Sichuan Province Tumor Hospital, Chengdu, Sichuan, China.
Runxiang YangDepartment of Medical Oncology, Yunnan Cancer Hospital, Kunming Medical University, Kunming, China.
Huawei YangDepartment of Breast Surgery, Cancer Hospital, Guangxi Medical University, Guangxi, China.
Yuee TengDepartments of Medical Oncology and Thoracic Surgery, The First Hospital of China Medical University, Shenyang, China.
Tao SunDepartment of Medical Oncology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, Key Laboratory of Liaoning Breast Cancer Research, Shenyang, China.ORCID 0000-0001-5931-386X
Li CaiThe 4th Department of Internal Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, China.
Hongyuan LiDepartment of the Endocrine and Breast Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Xi ChenDepartment of Medicine Oncology, 900 Hospital of the Joint Logistics Team, Fuzhou, China.
Jianjun HeDepartment of Breast Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Xinlan LiuDepartment of Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.
Shune YangDepartment of Breast Cancer and Lymphoma, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, China.
Jinhu FanDepartment of Cancer Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Youlin QiaoDepartment of Cancer Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-6380-0871
Jiayu WangDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Binghe XuDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0002-0234-2747
Chinese Academy of Medical Sciences & Peking Union Medical College · CNSichuan Cancer Hospital · CNChinese PLA General Hospital · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CNFirst Hospital of China Medical University · CNFudan University Shanghai Cancer Center · CNGuangxi Medical University · CNHarbin Medical University · CNHunan Cancer Hospital · CNJiangsu Province Hospital · CNKunming Medical University · CNLiaoning Cancer Hospital & Institute · CNNingxia Medical University · CNSun Yat-sen University · CNTianjin Medical University Cancer Institute and Hospital · CNUnion Hospital · CNXinjiang Medical University · CNZhejiang Cancer Hospital · CNZhengzhou University · CN

Funding

the Investigator-initiated program of the National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College CH-BC-045
6 · The paper itself

Abstract

backgroundAnthracycline-based chemotherapy (ABC) is one of the standard therapies against breast cancer. However, few guidelines are currently available to optimize the use of ABC. Therefore, the present analysis aimed at determining the profile and treatment patterns of ABC and the association of clinicopathological characteristics with ABC selection.

methodsWe retrospectively analyzed the data of a nation-wide multicenter epidemiological study, which collected the medical records of breast cancer patients receiving chemotherapy in different settings from seven geographic regions in China (NCT03047889).

resultsIn total, 3393 patients were included, with 2917 treated with ABC. Among them, 553 (89.8%), 2165 (81.7%), and 814 (25.7%) were subjected to ABC as neoadjuvant, adjuvant, and advanced chemotherapy, respectively. The most frequently used regimens were anthracycline-taxane-based combinations for neo- and adjuvant chemotherapy, along with taxanes and oral fluorouracils for the palliative stages. In the overall cohort, patients aged < 40 or 40-65 (p < 0.001), in premenopause (p < 0.001), without comorbidities (p = 0.016), with invasive ductal carcinoma (p= 0.001), high lymph node involvement (p < 0.001), in the pTNM stage II, III, or IV versus stage I (p < 0.001), subjected to mastectomy (p < 0.001) or subjected to sentinel lymph node biopsy combined with axillary lymph node dissection (p = 0.044), or with a decreased disease-free survival (p < 0.001) were more likely to be recommended to ABC.

conclusionTaken together, ABC remained the mainstay of breast cancer treatment, especially in neo and adjuvant therapy. ABC was mainly used as a combination therapy, and the correlation between influencing factors and ABC choice varied during different settings, indicating the preference and different perspectives of medication considered by medical oncologists regarding the use ABC in China.

Indexed as

AdultAgedAnthracyclinesBreast NeoplasmsChinaFemaleHumansMiddle AgedRetrospective StudiesAnthracyclinesanthracyclinebreast cancerchemotherapyepidemiological studynation-wide

Identifiers

PMID34472719
PMCPMC8495288
OpenAlexW3197801759

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LicenceCC BY
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Registered trials

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.