Evidence map›Paper›PMID 35908122›Full record

ArticleBreast cancer research and treatment2022

Risk of recurrence and pregnancy outcomes in young women with breast cancer who do and do not undergo fertility preservation.

Ying Wang, Megan E Tesch, Chloe Lim, Ying Hui Xu, Shaina Lee, Kirstin Perdizet, Dan Yokom, Ellen Warner, Jeffery Roberts, Caroline A Lohrisch

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Article 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

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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

10 authors at 7 institutions in 1 country.

Ying Wang *Department of Medical Oncology, British Columbia Cancer, 600 West 10th Avenue, Vancouver, BC, V5Z 4E6, Canada.
Megan E Tesch *Department of Medical Oncology, British Columbia Cancer, 600 West 10th Avenue, Vancouver, BC, V5Z 4E6, Canada.
Chloe LimCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Ying Hui XuFaculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Shaina LeeDivision of Oncology and Department of Gynecology, Allan Blair Cancer Centre, Regina, SK, Canada.
Kirstin PerdizetWilliam Osler Health System, Brampton, ON, Canada.
Dan YokomTrillium Health Partners, Credit Valley Hospital, Mississauga, ON, Canada.
Ellen WarnerDivision of Medical Oncology, Sunnybrook Odette Cancer Centre, Toronto, ON, Canada.
Jeffery RobertsPacific Centre for Reproductive Medicine, Vancouver, BC, Canada.
Caroline A LohrischDepartment of Medical Oncology, British Columbia Cancer, 600 West 10th Avenue, Vancouver, BC, V5Z 4E6, Canada. clohrisch@bccancer.bc.ca.ORCID http://orcid.org/0000-0003-0478-5987
BC Cancer Agency · CAPacific Centre for Reproductive Medicine · CASunnybrook Health Science Centre · CATrillium Health Centre · CAUniversity of British Columbia · CAUniversity of Calgary · CAWilliam Osler Health System · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the impact of fertility preservation (FP) requiring ovarian stimulation on breast cancer outcomes and pregnancy after breast cancer.

methodsWomen aged ≤ 40 years diagnosed with stage I-III breast cancer between 2007 and 2018 and referred for FP consultation prior to systemic therapy were identified from a British Columbia fertility center database. The primary endpoint was invasive breast cancer-free survival (iBCFS) and secondary endpoints were overall survival (OS) and achievement of pregnancy. Survival and pregnancy endpoints were compared using Cox and logistic regression analyses, respectively, for patients who did and did not undergo FP.

resultsThe study included 153 patients, with 71 (46%) in the FP group and 82 (54%) in the non-FP group. Patients who underwent FP were more likely to be ECOG 0 (99% vs. 88%, p = 0.011) and receive chemotherapy (93% vs. 67%, p < 0.001), but had similar ER positivity status to non-FP patients (70% vs. 79%, p = 0.21). Over a median follow-up of 4.1 years, there were no differences in iBCFS (HR 1.006, 95% CI 0.416-2.438, p = 0.988) or OS (HR 0.789, 95% CI 0.210-2.956, p = 0.725) between FP and non-FP groups. Patients who underwent FP had higher odds of conceiving at least once (OR 3.024, 95% CI 1.312-6.970, p = 0.008).

conclusionAt a median follow-up of 4.1 years, FP did not impact iBCFS or OS, supporting its safety in young women with breast cancer. In addition, patients who underwent FP were more likely to become pregnant after breast cancer, highlighting the value of pre-oncologic treatment FP in survivorship family planning.

Indexed as

Breast NeoplasmsFertility PreservationFemaleFertilityHumansOvulation InductionPregnancyPregnancy OutcomeAdolescent and young adult (AYA) cancer patientsBreast cancerFertility preservationOvarian stimulationPregnancyRecurrence

Identifiers

PMID35908122
OpenAlexW4288902525

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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.