Evidence map›Paper›PMID 34613502›Full record

SynthesisBreast cancer research and treatment2022

Prognostic significance of receptor expression discordance between primary and recurrent breast cancers: a meta-analysis.

Sho Shiino, Graham Ball, Binafsha M Syed, Sasagu Kurozumi, Andrew R Green, Hitoshi Tsuda, Shin Takayama, Akihiko Suto, Emad A Rakha

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Breast cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  10. Review
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  14. Receptor discordance after nipple-sparing mastectomy.Surgery in practice and science · 2024
    Article
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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

9 authors at 6 institutions in 3 countries.

Sho ShiinoDivision of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.
Graham BallSchool of Science & Technology, John Van Geest Cancer Research Centre, Nottingham Trent University, Clifton Campus, Clifton Lane, Nottingham, UK.
Binafsha M SyedHead of Clinical Research Division, Medical Research Centre, Liaquat University of Medical & Health Sciences, Jamshoro, Pakistan.
Sasagu KurozumiDepartment of Breast Surgery, International University of Health and Welfare, Narita, Japan.
Andrew R GreenDivision of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.
Hitoshi TsudaDepartment of Basic Pathology, National Defense Medical College Hospital, Tokorozawa, Japan.
Shin TakayamaDepartment of Breast Surgery, National Cancer Center Hospital, Tokyo, Japan.
Akihiko SutoDepartment of Breast Surgery, National Cancer Center Hospital, Tokyo, Japan.
Emad A RakhaDivision of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK. mrzear1@exmail.nottingham.ac.uk.ORCID http://orcid.org/0000-0002-5009-5525
University of Nottingham · GBTokyo National Hospital · JPGunma University · JPLiaquat University of Medical & Health Sciences · PKNational Defense Medical College Hospital · JPNottingham Trent University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis meta-analysis aimed to investigate whether receptor (estrogen receptor [ER], progesterone receptor [PR], and human epidermal growth factor receptor 2 [HER2]) discordances between primary and recurrent breast cancers affect patients' survival.

methodsSearch terms contained ER, PR, and HER2 status details in both primary and recurrent tumors (local recurrence or distant metastasis) in addition to survival outcome data (overall survival [OS] or post-recurrence survival [PRS]).

resultsLoss of ER or PR in recurrent tumors was significantly associated with shorter OS as compared with receptor-positive concordance (hazard ratio [HR], 1.67; 95% confidence interval [% CI] 1.37-2.04; p < 0.00001 and HR, 1.45; 95% CI 1.21-1.75; p < 0.0001, respectively). Similar trends were observed in groups with only distant metastasis. Gain of ER was a significant predictor of longer PRS as compared with receptor-negative concordance (HR, 0.76; 95% CI 0.59-0.97; p = 0.03). Gain of PR was not a significant predictor of longer survival compared with receptor-negative concordance, but it could be related to better OS at distant metastasis. Both HER2 of loss and gain could be related to poor outcomes.

conclusionThis meta-analysis showed that receptor conversion in recurrent tumors may affect patient survival as compared with receptor concordance.

Indexed as

Breast NeoplasmsBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesFemaleGene ExpressionHumansNeoplasm Recurrence, LocalPrognosisReceptors, EstrogenReceptors, ProgesteroneBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneBreast cancerEstrogen receptorHuman epidermal growth factor receptor 2Progesterone receptorPrognosisReceptor discordance

Identifiers

PMID34613502
PMCPMC8758639
OpenAlexW3204434365

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.