Evidence map›Paper›PMID 36213836›Full record

ArticleJournal of oncology2022

Role of High-Dose Adjuvant Chemotherapy Followed by Autologous Stem Cell Transplantation in Locally Advanced Triple-Negative Breast Cancer: A Retrospective Chart Review.

Bayan Al-Share, Hadeel Assad, Judith Abrams, Abhinav Deol, Asif Alavi, Dipenkumar Modi, Andrew Kin, Voravit Ratanatharathorn, Joseph Uberti, Lois Ayash

Open access · hybridAbstract read
In one paragraph

Article in Journal of oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 86% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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 1 institution in 1 country.

Bayan Al-ShareDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.ORCID https://orcid.org/0000-0002-6944-4801
Hadeel AssadDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.ORCID https://orcid.org/0000-0002-1869-0199
Judith AbramsDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Abhinav DeolDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Asif AlaviDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Dipenkumar ModiDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Andrew KinDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Voravit RatanatharathornDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Joseph UbertiDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Lois AyashDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, USA.
Wayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Women with locally advanced/high-risk triple-negative breast cancer treated with the current standard chemotherapy continue to have a poor prognosis. High-dose chemotherapy with autologous stem cell transplant as treatment for locally advanced/high-risk breast cancer remains controversial due to a lack of survival benefit seen in previous phase III trials. However, these trials evaluated a heterogeneous group of patients with different receptor subtypes. A marginal benefit was observed in certain subgroups. We report long-term outcomes of women with stage IIB or III triple-negative breast cancer treated with high-dose chemotherapy followed by autologous stem cell transplant at our institution between 1995 and 2001. Methods: This is a retrospective analysis of stage IIB or stage III triple-negative breast cancer treated with high-dose chemotherapy followed by autologous stem cell transplant. We excluded women with hormone-positive, HER2/neu-positive/unknown, and/or metastatic disease prior to transplant as per updated AJCC 7 Results: Twenty-nine women (2 stage IIB and 27 stage III) were evaluated. The median age at diagnosis was 43 years (IQR: 40, 51). Eleven patients had 4-9 regional lymph nodes (LN) involved and 16 had 10+ involved LNs. Four patients had T4 or inflammatory breast cancer and two had ipsilateral supraclavicular LNs involved. The median follow-up time is 16 years (95% CI: 12, 19, range <1-19 y) posttransplant. The median overall survival was 15 years (95% CI: 3, 19); the median DFS was 14 years (95% CI: 1, 19). Conclusions: This study of locally advanced/high-risk triple-negative breast cancer treated with adjuvant high-dose chemotherapy and autologous stem cell transplant reveals high overall survival rate. With the current improvement in treatment-related mortality, re-evaluating this approach in this subset of high-risk breast cancer in prospective randomized studies may be worthwhile.

Identifiers

PMID36213836
PMCPMC9546640
OpenAlexW4298120931

What OpenQuestion holds

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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.