Evidence map›Paper›PMID 36263206›Full record

ArticleFrontiers in oncology2022

Impact of changing treatment strategy based on circulating tumor cells on postoperative survival of breast cancer.

Zihan Wang, Wei Xu, Yanlian Yang, Guoxuan Gao, Changsheng Teng, Zhicheng Ge, Huiming Zhang, Zhu Yuan, Guoqian Ding, Yang Wang and 6 more

Abstract read
In one paragraph

Article in Frontiers in 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
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. Recent Advancements of Nanomedicine in Breast Cancer Surgery.International journal of nanomedicine · 2024
    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

16 authors.

Zihan WangDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Wei XuDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yanlian YangChinese Academy of Sciences (CAS) Key Laboratory of Biological Effects of Nanomaterials and Nanosafety, National Center for Nanoscience and Technology, Beijing, China.
Guoxuan GaoDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Changsheng TengDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Zhicheng GeDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Huiming ZhangDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Zhu YuanDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Guoqian DingDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yang WangDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Peixin LiDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yaqian XuDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Ping LiChinese Academy of Sciences (CAS) Key Laboratory of Biological Effects of Nanomaterials and Nanosafety, National Center for Nanoscience and Technology, Beijing, China.
Zhiyuan HuChinese Academy of Sciences (CAS) Key Laboratory of Biological Effects of Nanomaterials and Nanosafety, National Center for Nanoscience and Technology, Beijing, China.
Zhongtao ZhangDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Xiang QuDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We sought to explore the impact of changing treatment strategy based on circulating tumor cells (CTC) on postoperative survival of breast cancer. Methods: We retrospectively analyzed records of patients who underwent surgery for early-stage breast cancer at Beijing Friendship Hospital from January 2016 to January 2018 and regularly underwent CTC examination after surgery. During the regular examination and CTC monitoring, the patients with positive CTC results and without distant metastasis had their treatment regimen changed. Results: Of 109 patients who received CTC examination regularly after surgery, 61 (56.0%) were CTC-positive during postoperative follow-up, including 33 ER or PR-positive, and 28 ER and PR-negative patients. Of the 33 ER or PR-positive patients, 20 changed endocrine therapy drugs. Compared with those without replacement, those with changed endocrine therapy strategy had higher CTC clearance rates (90.0% vs. 53.8%, p=0.04) and significantly lower CTC-positive values (1.70 ± 1.72 vs. 0.62 ± 0.65, p = 0.04). Among the 28 patients who were CTC positive and ER and PR-negative, 11 used capecitabine. Compared with non-users, the capecitabine users had higher CTC clearance rates (100.0% vs. 52.9%, p=0.01) and more significant decrease in CTC-positive values (2.09 ± 1.14 vs. 0.82 ± 1.67, p=0.04). Disease-free survival (DFS) at 1, 3, and 5 years was significantly longer in those who changed treatment than in those who did not (respectively, 96.6% vs. 89.6%, 92.8% vs. 56.9%, 69.0% vs. 47.8%, p<0.01). By changing the treatment strategy, CTC-positive patients achieved DFS that was not significantly different from CTC-negative patients (95.0% vs. 97.7%, 77.5% vs. 82.9%, 57.6% vs. 59.9%, p=0.20). Conclusion: Timely change of treatment strategy for breast cancer patients with positive CTC results after surgery may improve CTC clearance rate and DFS.

Indexed as

breast cancercirculating tumor cellsprognosissurgerytreatment

Identifiers

PMID36263206
PMCPMC9573986

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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.