Evidence map›Paper›PMID 35326590›Full record

ArticleCancers2022

Prediction of Short and Long Survival after Surgery for Breast Cancer Brain Metastases.

Anna Michel, Marvin Darkwah Oppong, Laurèl Rauschenbach, Thiemo Florin Dinger, Lennart Barthel, Daniela Pierscianek, Karsten H Wrede, Jörg Hense, Christoph Pöttgen, Andreas Junker and 5 more

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. 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

15 authors.

Anna MichelDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Marvin Darkwah OppongDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Laurèl RauschenbachDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Thiemo Florin DingerDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Lennart BarthelDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Daniela PierscianekDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Karsten H WredeDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Jörg HenseDepartment of Medical Oncology, University Hospital Essen, 45147 Essen, Germany.
Christoph PöttgenDepartment of Radiotherapy, University Hospital Essen, 45147 Essen, Germany.ORCID 0000-0002-9224-9318
Andreas JunkerDepartment of Neuropathology, University Hospital Essen, 45147 Essen, Germany.ORCID 0000-0002-8063-9765
Teresa SchmidtDepartment of Neurooncology, University Hospital Essen, 45147 Essen, Germany.
Antonella IannacconeDepartment of Obstetrics and Gynecology, University Hospital Essen, 45147 Essen, Germany.
Rainer KimmigDepartment of Obstetrics and Gynecology, University Hospital Essen, 45147 Essen, Germany.
Ulrich SureDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.
Ramazan JabbarliDepartment of Neurosurgery and Spine Surgery, University Hospital Essen, 45147 Essen, Germany.ORCID 0000-0002-8356-6629

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Brain metastases requiring surgical treatment determine the prognosis of patients with breast cancer. We aimed to develop the scores for the prediction of short (<6 months) and long (≥3 years) survival after BCBM surgery. Methods: Female patients with BCBM surgery between 2008 and 2019 were included. The new scores were constructed upon independent predictors for short and long postoperative survival. Results: In the final cohort (n = 95), 18 (18.9%) and 22 (23.2%) patients experienced short and long postoperative survival, respectively. Breast-preserving surgery, presence of multiple brain metastases and age ≥ 65 years at breast cancer diagnosis were identified as independent predictors of short postoperative survival. In turn, positive HER2 receptor status in brain metastases, time interval ≥ 3 years between breast cancer and brain metastases diagnosis and KPS ≥ 90% independently predicted long survival. The appropriate short and long survival scores showed higher diagnostic accuracy for the prediction of short (AUC = 0.773) and long (AUC = 0.775) survival than the breast Graded Prognostic Assessment score (AUC = 0.498/0.615). A cumulative survival score (total score) showed significant association with overall survival (p = 0.001). Conclusion: We identified predictors independently impacting the prognosis after BCBM surgery. After external validation, the presented scores might become useful tools for the selection of proper candidates for BCBM surgery.

Indexed as

brain metastasisbreast cancerHER2score

Identifiers

PMID35326590
PMCPMC8946189

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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.