Evidence map›Paper›PMID 35584347›Full record

ArticleJCO global oncology2022

Relative Dose Intensity and Pathologic Response Rates in Patients With Breast Cancer and With and Without HIV Who Received Neoadjuvant Chemotherapy.

Yehoda M Martei, Mohan Narasimhamurthy, Dipho I Setlhako, Gezahen Ayane, Tlotlo Ralefala, Sebathu Chiyapo, Robert Gross, Lawrence N Shulman, Surbhi Grover, Angela DeMichele

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Navigating the Nexus: HIV and Breast Cancer-A Critical Review.International journal of molecular sciences · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

10 authors at 3 institutions in 2 countries.

Yehoda M MarteiDepartment of Medicine (Hematology-Oncology), University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-5631-1567
Mohan NarasimhamurthyDepartment of Pathology, University of Pennsylvania, Philadelphia, PA.
Dipho I SetlhakoPrincess Marina Hospital, Gaborone, Botswana.ORCID 0000-0003-0036-8764
Gezahen AyanePrincess Marina Hospital, Gaborone, Botswana.
Tlotlo RalefalaPrincess Marina Hospital, Gaborone, Botswana.ORCID 0000-0003-1150-3722
Sebathu ChiyapoGaborone Private Hospital, Gaborone, Botswana.ORCID 0000-0001-9800-1455
Robert GrossUniversity of Pennsylvania, Department of Medicine (Infectious Diseases), Philadelphia, PA.ORCID 0000-0001-6066-1159
Lawrence N ShulmanDepartment of Medicine (Hematology-Oncology), University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-8661-473X
Surbhi GroverBotswana University of Pennsylvania Partnership, Gaborone, Botswana.ORCID 0000-0001-7443-5937
Angela DeMicheleDepartment of Medicine (Hematology-Oncology), University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-1297-4251
University of Pennsylvania · USBotswana Harvard AIDS Institute Partnership · BWUniversity of Botswana · BW

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Prognostic value of quantitative HPV viral load in determining cervical cancer treatment response and recurrenceK08CA230170 · NCI · UNIVERSITY OF PENNSYLVANIA · PI GROVER, SURBHI · 2019 to 2023
$1.4M
Fidelity and adaptation of breast cancer resource-stratified treatment guidelines in BotswanaK01TW011481 · FIC · UNIVERSITY OF PENNSYLVANIA · PI MARTEI, YEHODA MARTEKI · 2020 to 2023
$548k
FIC NIH HHS K01 TW011481NCI NIH HHS K08 CA230170NCI NIH HHS L30 CA242579NIAID NIH HHS P30 AI045008
6 · The paper itself

Abstract

purposePatients who are HIV-positive and have breast cancer have worse overall survival (OS) compared with patients who are HIV-negative. Pathologic complete response (pCR) and relative dose intensity (RDI) of chemotherapy are associated with survival. We assessed whether pCR and RDI rates were lower for patients who are HIV-positive and received neoadjuvant chemotherapy (NACT).

methodsThis was a prospective cohort analysis of patients initiating NACT in Botswana (February 2017 to September 2019). Primary outcomes were pCR and RDI; secondary outcomes were OS and toxicity. HIV status and zidovudine (ZDV) treatment were stratification factors. Multivariable analysis was used to control for confounding.

resultsIn total, 26 of 110 enrolled individuals were HIV-positive. In univariable analysis, HIV-positive (odds ratio [OR] = 0.2;

conclusionPatients who are HIV-positive and have breast cancer in Botswana have lower pCR rates and also receive lower dose intensity therapy, which may contribute to worse OS. Patients who are HIV-positive on ZDV-containing regimens received even lower dose intensity of NACT. Administering optimal dose intensity in patients who are HIV-positive remains a challenge, and targeted interventions that address modifiable risk factors are needed to improve therapy delivery and outcomes.

Indexed as

Breast NeoplasmsHIV InfectionsAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansNeoadjuvant TherapyProspective Studies

Identifiers

PMID35584347
PMCPMC9173574
OpenAlexW4280565996

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.