Evidence map›Paper›PMID 36037108›Full record

SynthesisAsian Pacific journal of cancer prevention : APJCP2022

Comparing Early-Stage Breast Cancer Patients with Sentinel Lymph Node Metastasis with and without Completion Axillary Lymph Node Dissection: A Systematic Review and Meta-Analysis.

Naeimeh Heiranizadeh, Mohammad Rafiei Shahamabadi, Hamid Reza Dehghan, Jamal Jafari-Nedooshan, Saeid Kargar, Mohammad Zare, Abdolhamid Amooei, Seyed Mostafa Shiryazdi, Mohammad Ali Broomand, Mohammad Taghi Moravej and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Asian Pacific journal of cancer prevention : APJCP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 13 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

11 authors at 1 institution in 1 country.

Naeimeh HeiranizadehDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Mohammad Rafiei ShahamabadiDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Hamid Reza DehghanResearch Center for Health Technology Assessment and Medical Informatics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Jamal Jafari-NedooshanDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Saeid KargarDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Mohammad ZareDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Abdolhamid AmooeiDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Seyed Mostafa ShiryazdiDepartment of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Mohammad Ali BroomandDepartment of Radiation Oncology, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
Mohammad Taghi MoravejResearch Center for Health Technology Assessment and Medical Informatics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Zahra SadriClinical Research Development Center of Shahid Sadoughi University of Medical Sciences, Yazd.
Shahid Sadoughi University of Medical Sciences and Health Services · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, the standard method for staging and treatment of axillary lymph nodes for early-stage breast cancer is sentinel lymph node biopsy (SLNB), while axillary lymph node dissection (ALND) is used in cases with palpable axillary lymph nodes or positive SLNB cases. The aim of this review was to compare overall survival (OS), disease-free survival (DFS), and axillary recurrence in early-stage breast cancer patients underwent SLNB or SLNB and completion ALND.

methodsThe databases of PubMed, Scopus, and Cochrane Library were searched using the key words of "breast cancer", "axillary lymph node dissection", and "sentinel lymph node dissection". In addition, other sources were searched for ongoing studies (i.e., clinicaltrials.gov). The clinical trials were evaluated based on the Jadad quality criteria, and cohort studies were evaluated according to the STROBE criteria. At the end of the search, the articles were screened independently by two reviewers to check their eligibility to be included in the study. Afterwards, the data were extracted independently by two researchers.

resultsAfter searching the databases, 169 papers were retrieved. However, after removing the duplicates and studying the titles and abstracts of these papers, only ten ones underwent further investigation. After reading full-text of each article, four studies were finalized. Following a manual search, 27 papers were entered into the study for the final evaluation, 11 of which were included in the meta-analysis based on the inclusion and exclusion criteria. The findings showed no significant differences in OS, DFS, and axillary recurrence in early-stage breast cancer patients underwent SLNB or SLNB and completion ALND.

conclusionThe findings did not confirm that ALND improved OS, DFS, and axillary recurrence in patients who were clinically node-negative and positive SLNB.

Indexed as

Breast NeoplasmsSentinel Lymph NodeAxillaFemaleHumansLymphatic MetastasisLymph Node ExcisionLymph NodesNeoplasm StagingSentinel Lymph Node Biopsyaxillary lymph node dissectionearly-stage breast cancersentinel lymph node biopsysurvival

Identifiers

PMID36037108
PMCPMC9741898
OpenAlexW4293483894

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.