Evidence map›Paper›PMID 36806718›Full record

ArticleCancer reports (Hoboken, N.J.)2023

The impact of obesity and endocrine therapy on the prognosis of premenopausal women with hormone receptor-positive breast cancer: A single-institute retrospective study.

Yukinori Ozaki, Jun Masuda, Akemi Kataoka, Takahiro Kogawa, Tomomi Abe, Hidetomo Morizono, Lina Inagaki, Fumikata Hara, Toshimi Takano, Takayuki Ueno and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 10 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.

Yukinori OzakiBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Jun MasudaBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Akemi KataokaBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.ORCID 0000-0002-3156-2474
Takahiro KogawaDivision of Early Clinical Development for Cancer, Advanced Medical Development Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Tomomi AbeBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Hidetomo MorizonoBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Lina InagakiBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Fumikata HaraBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Toshimi TakanoBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Takayuki UenoBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Shinji OhnoBreast Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
The Cancer Institute Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigher body mass index (BMI) is associated with worse prognosis in pre- and postmenopausal patients with breast cancer (BC). However, there is insufficient evidence regarding the optimal adjuvant endocrine therapy for obese premenopausal women with hormone receptor (HR)-positive BC.

aimTo evaluate the impact of obesity and adjuvant endocrine therapy on prognosis in premenopausal patients with BC. METHODS AND

resultsWe retrospectively reviewed the medical record of premenopausal women who received curative surgery for clinical stage I-III HR-positive BC from 2007 to 2017. Patients were classified into five groups according to BMI: underweight (UW), normal weight (NW), obese 1 degree (OB1), obese 2 degree (OB2), and obese 3 degree (OB3) categories. The primary analysis was a comparison of BC-specific survival (BCSS) according to BMI (UW/NW vs. OB1-3) and adjuvant endocrine therapy (with or without ovarian function suppression [OFS]). Of 13 021 patients, the data of 3380 patients were analyzed. BCSS in OB1-3 patients was significantly worse than that in patients with UW/NW (hazard ratio [HR] 2.37; 95% confidence interval [CI], 1.40-4.02: p = .0009). In OB1-3 patients who received tamoxifen (TAM), BCSS was significantly worse than that in UW/NW patients (p = .0086); however, a significant difference was not shown in patients who received TAM and OFS (p = .0921).

conclusionHigh BMI was associated with worse prognosis in premenopausal patients with HR-positive BC who received adjuvant TAM. The role of OFS as adjuvant endocrine therapy remains unclear, and further studies are required to explore the adequate management of obese premenopausal patients.

Indexed as

Breast NeoplasmsAntineoplastic Agents, HormonalFemaleHumansObesityPrognosisRetrospective StudiesTamoxifenAntineoplastic Agents, HormonalTamoxifenbody mass indexbreast cancerovarian function suppressionpremenopausal

Identifiers

PMID36806718
PMCPMC9940008
OpenAlexW4292457985

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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.