Evidence map›Paper›PMID 36278891›Full record

SynthesisBioengineered2022

Platinum-based adjuvant therapy was efficient for triple-negative breast cancer: a meta-analysis from randomized controlled trials.

Kaigang Xie, Xuanlei Ren, Xiaoming Hong, Shuiyin Zhu, Dongjie Wang, Xiaoming Ye, Xiaoting Ren

Expression of concernAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Bioengineered, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kaigang XieDepartment of General Surgery, the Yinzhou Second Hospital, Ningbo, China.
Xuanlei RenDepartment of General Surgery, the Yinzhou Second Hospital, Ningbo, China.
Xiaoming HongDepartment of General Surgery, the Yinzhou Second Hospital, Ningbo, China.
Shuiyin ZhuDepartment of General Surgery, the Yinzhou Second Hospital, Ningbo, China.
Dongjie WangDepartment of General Surgery, the Yinzhou Second Hospital, Ningbo, China.
Xiaoming YeDepartment of General Surgery, the Yinzhou Second Hospital, Ningbo, China.
Xiaoting RenDepartment of General Surgery, the Yinzhou Second Hospital, Ningbo, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC) is the most aggressive breast cancer. Neoadjuvant chemotherapy was widely accepted for treating TNBC. This systematic review and meta-analysis aimed to evaluate the efficacy, safety, and survival benefit of platinum-based adjuvant therapy (PBAT) in treating TNBC. The keywords were searched in Medline, Embase, Pubmed, and Cochrane Library database up to July 24, 2022. All the randomized control trials (RCTs) comparing PBAT and non-PBAT in treating TNBC were included in our study. The pathological complete remission (pCR) and complications were compared by odds ratio (OR) and 95% confidence intervals (CIs). The overall survival (OS) and relapse-free survival (RFS) were compared by hazard ratio (HR) and 95% CIs. A total of 19 RCTs were included in our meta-analysis, among which 2,501 patients were treated with PBAT and 2,290 with non-PBAT. The patients treated with PBAT combined a significantly higher pCR rate compared to those patients treated with non-PBAT (49.8% versus 36.4%, OR = 1.27, 95%CI = 1.14-1.43, P < 0.001). Besides, patients treated with PBAT had a significantly better RFS (HR = 0.78, 95%CI = 0.63-0.95, P = 0.016), but not in OS (HR = 0.84, P = 0.304). Although the occurrence of neutropenia and nausea were slightly different between the PBAT group (51.5% and 24.4%) and the non-PBAT group (47.0% and 29.4%), the complications were acceptable in the two treatments groups. Our results demonstrated that TNBC patients treated with PBAT could achieve a higher pCR rate and better RFS benefit without a higher complication rate.

Indexed as

NeutropeniaTriple Negative Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsHumansNauseaPlatinumRandomized Controlled Trials as TopicPlatinumneoadjuvant therapyplatinumsurvivaltriple-negative breast cancer

Identifiers

PMID36278891
PMCPMC9601551

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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.