Evidence map›Paper›PMID 35194143›Full record

ArticleScientific reports2022

Gini's mean difference and the long-term prognostic value of nodal quanta classes after pre-operative chemotherapy in advanced breast cancer.

Vincent Vinh-Hung, Hilde Van Parijs, Olena Gorobets, Christel Fontaine, Nam P Nguyen, Bhumsuk Keam, Dung Minh Nguyen, Mark De Ridder

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 5 institutions in 7 countries.

Vincent Vinh-HungOncologisch Centrum, Universitair Ziekenhuis (UZ) Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium. vh@onco.be.ORCID 0000-0002-6403-6120
Hilde Van ParijsOncologisch Centrum, Universitair Ziekenhuis (UZ) Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Olena GorobetsUniversity Hospital of Martinique, Fort-de-France, Martinique, France.
Christel FontaineOncologisch Centrum, Universitair Ziekenhuis (UZ) Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Nam P NguyenRadiation Oncology, Howard University, Washington, DC, USA.
Bhumsuk KeamDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Dung Minh NguyenHospital of Orthopedics and Rehabilitation, Ho Chi Minh City, Vietnam.
Mark De RidderOncologisch Centrum, Universitair Ziekenhuis (UZ) Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Vrije Universiteit Brussel · BEHCMC Hospital of Dermato Venereology · VNHoward University · USSeoul National University Hospital · KRUkrainian Military Medical Academy · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gini's mean difference (GMD, mean absolute difference between any two distinct quantities) of the restricted mean survival times (RMSTs, expectation of life at a given time limit) has been proposed as a new metric where higher GMD indicates better prognostic value. GMD is applied to the RMSTs at 25 years time-horizon to evaluate the long-term overall survival of women with breast cancer who received neoadjuvant chemotherapy, comparing a classification based on the number (pN) versus a classification based on the ratio (LNRc) of positive nodes found at axillary surgery. A total of 233 patients treated in 1980-2009 with documented number of positive nodes (npos) and number of nodes examined (ntot) were identified. The numbers were categorized into pN0, npos = 0; pN1, npos = [1,3]; pN2, npos = [4,9]; pN3, npos ≥ 10. The ratios npnx = npos/ntot were categorized into Lnr0, npnx = 0; Lnr1, npnx = (0,0.20]; Lnr2, npnx = (0.20,0.65]; Lnr3, npnx > 0.65. The GMD for pN-classification was 5.5 (standard error: ± 0.9) years, not much improved over a simple node-negative vs. node-positive that showed a GMD of 5.0 (± 1.4) years. The GMD for LNRc-classification was larger, 6.7 (± 0.8) years. Among other conventional metrics, Cox-model LNRc's c-index was 0.668 vs. pN's c = 0.641, indicating commensurate superiority of LNRc-classification. The usability of GMD-RMSTs warrants further investigation.

Indexed as

Neoadjuvant TherapyAgedAntineoplastic AgentsBreast NeoplasmsFemaleHumansLymphatic MetastasisMiddle AgedPreoperative PeriodPrognosisSurvival RateTime FactorsAntineoplastic Agents

Identifiers

PMID35194143
PMCPMC8863879
OpenAlexW4212765244

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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.