Evidence map›Paper›PMID 35076871›Full record

ArticleIrish journal of medical science2022

Breast cancer recurrence: factors impacting occurrence and survival.

Donald Courtney, Matthew G Davey, Brian M Moloney, Michael K Barry, Karl Sweeney, Ray P McLaughlin, Carmel M Malone, Aoife J Lowery, Michael J Kerin

Abstract read
In one paragraph

Article in Irish journal of medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–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

45 citing papers in PubMed, 2 syntheses or guidelines 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

9 authors.

Donald Courtney *Department of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.
Matthew G Davey *Department of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland. m.davey7@nuigalway.ie.ORCID http://orcid.org/0000-0002-9892-9920
Brian M MoloneyDepartment of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.
Michael K BarryDepartment of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.
Karl SweeneyDepartment of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.
Ray P McLaughlinDepartment of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.
Carmel M MaloneDepartment of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.
Aoife J LoweryDepartment of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.
Michael J KerinDepartment of Surgery, National University of Ireland, Galway, H91YR71, Republic of Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer mortality has decreased due to improved screening and treatment options. Nevertheless, 25-30% of patients develop disease recurrence and die from the disease dissemination. Patients who develop metastatic disease represent a heterogeneous group and management plans are dependent on molecular subtype, disease burden and metastatic site.

aimTo determine predictive clinicopathological factors of disease recurrence and their impact on survival in the molecular era.

methodsConsecutive patients who breast cancer developed recurrence at our tertiary referral centre between 2000 and 2015 were included. Clinicopathological and treatment data were assessed using descriptive statistics. Oncological outcome was assessed using Cox regression and Kaplan Meier analyses.

resultsTwo hundred sixty-five consecutive patients who developed breast cancer recurrence were included; median age at metastasis was 59.3 years (range 27-87 years), and median time to recurrence (TTR) was 47.7 ± 38.5 months (range 3.0-194.3 months). Survival was 24.2% (64/265) 53.2% were luminal A (LABC) (141/265), 18.5% were luminal B (LBBC) (49/265), 18.5% were triple negative (TNBC) (49/265), and 9.8% were human epidermal growth factor receptor-2 overexpressing (HER2 +) (26/265). TTR for patients with LABC was 56.0 ± 41.3 months, LBBC was 48.4 ± 41.1 months, TNBC was 26.9 ± 28.5 months and HER2 + was 34.3 ± 21.8 months. Increased grade (P < 0.001), Nottingham Prognostic Indices (P < 0.001), TNBC (P < 0.001), HER2 + subtype (P < 0.001) and receiving targeted therapy (P = 0.006) predicted shorted TTR. Estrogen receptor positivity (P < 0.001), progesterone receptor positivity (P = 0.010), invasive lobular carcinoma (P = 0.009) and receiving endocrine therapy (P = 0.001) predicted longer TTR.

conclusionReadily available clinicopathological factors predict risk of metastatic dissemination. Developing a tailored program to identify patients at risk of recurrence is crucial in controlling metastatic dissemination of breast cancer.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsAdultAgedAged, 80 and overBiomarkers, TumorBreastErb-b2 Receptor Tyrosine KinasesFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm Recurrence, LocalPrognosisReceptors, ProgesteroneRetrospective StudiesBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesReceptors, ProgesteroneBreast cancerMetastasisPersonalized medicineRecurrence

Identifiers

PMID35076871
PMCPMC9671998

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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.