Evidence map›Paper›PMID 36051281›Full record

ArticleFrontiers in cardiovascular medicine2022

Left ventricular ejection fraction and cardiac biomarkers for dynamic prediction of cardiotoxicity in early breast cancer.

Florian Posch, Tobias Niedrist, Theresa Glantschnig, Saskia Firla, Florian Moik, Ewald Kolesnik, Markus Wallner, Nicolas Verheyen, Philipp J Jost, Andreas Zirlik and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-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

12 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

13 authors at 2 institutions in 3 countries.

Florian PoschDivision of Haematology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Tobias NiedristClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Theresa GlantschnigDivision of Cardiology, University Heart Center, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Saskia FirlaDepartment of Cardiology, Rhythmology, and Intensive Care Medicine, KRH Klinikum Siloah, Klinikum Region Hannover GmbH, Hanover, Germany.
Florian MoikDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Ewald KolesnikDivision of Cardiology, University Heart Center, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Markus WallnerDivision of Cardiology, University Heart Center, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Nicolas VerheyenDivision of Cardiology, University Heart Center, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Philipp J JostDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Andreas ZirlikDivision of Cardiology, University Heart Center, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Martin PichlerDivision of Cardiology, University Heart Center, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Marija BalicDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Peter P RainerDivision of Cardiology, University Heart Center, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATKlinikum Region Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Purpose: This study aims to quantify the utility of monitoring LVEF, hs-cTnT, and NT-proBNP for dynamic cardiotoxicity risk assessment in women with HER2+ early breast cancer undergoing neoadjuvant/adjuvant trastuzumab-based therapy. Materials and methods: We used joint models of longitudinal and time-to-event data to analyze 1,136 echocardiography reports and 326 hs-cTnT and NT-proBNP measurements from 185 women. Cardiotoxicity was defined as a 10% decline in LVEF below 50% and/or clinically overt heart failure. Results: Median pre-treatment LVEF was 64%, and 19 patients (10%) experienced cardiotoxicity (asymptomatic Conclusion: Cardiotoxicity risk is low in two thirds of women with HER2+ early breast cancer who have pre-treatment LVEF ≥ 60% and no early LVEF decline > 5% during trastuzumab-based therapy. The longitudinal LVEF trajectory but not hs-cTnT or NT-proBNP allows for a dynamic assessment of cardiotoxicity risk in this setting.

Indexed as

breast cancercardiac biomarkerscardiotoxicityleft ventricular ejection fractionrisk assessmenttrastuzumab

Identifiers

PMID36051281
PMCPMC9424929
OpenAlexW4291926440

What OpenQuestion holds

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LicenceCC BY
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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.