Evidence map›Paper›PMID 36819793›Full record

ArticleEcancermedicalscience2022

Breast cancer in elderly patients: a clinicopathological review of a Nigerian database.

Funmilola Olanike Wuraola, Olalekan Olasehinde, Matteo Di Bernardo, Akinbolaji A Akinkuolie, Adewale O Adisa, Adewale A Aderounmu, Tajudeen O Mohammed, Oluwatosin Z Omoyiola, Thomas P Kingham, Olusegun I Alatise

Open access · goldAbstract read
In one paragraph

Article in Ecancermedicalscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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 4 institutions in 2 countries.

Funmilola Olanike WuraolaDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, PMB 13, Nigeria.
Olalekan OlasehindeDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, PMB 13, Nigeria.
Matteo Di BernardoAfrican Research Group for Oncology, Ile-Ife, Nigeria.
Akinbolaji A AkinkuolieDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, PMB 13, Nigeria.
Adewale O AdisaDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, PMB 13, Nigeria.
Adewale A AderounmuDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, PMB 13, Nigeria.
Tajudeen O MohammedDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, PMB 13, Nigeria.
Oluwatosin Z OmoyiolaDepartment of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
Thomas P KinghamAfrican Research Group for Oncology, Ile-Ife, Nigeria.
Olusegun I AlatiseDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, PMB 13, Nigeria.
French Institute for Research in Africa · NGObafemi Awolowo University · NGObafemi Awolowo University Teaching Hospitals Complex · NGMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: Breast cancer in the elderly population has not been evaluated in the Nigerian context. With the rising incidence of breast cancer and the changing demographics, it is likely that an increasing number of elderly patients will be managed in the coming years in Nigeria. This review describes the clinicopathological profile of elderly patients with breast cancer in a Nigerian database. Method: From a prospective institutional database, elderly patients (65 years and above) managed for breast cancer over a 9-year period were reviewed. Details of their socio-demographic characteristics, patterns of presentation, pathology, treatment and outcome were obtained and analysed. Results: Of the 607 patients managed during the study period, there were 87 older patients accounting for 14.3% of the total. There was a progressive rise in the number of patients with breast cancer towards the latter part of the study. Expectedly, they were all post-menopausal, with their ages ranging from 65 to 92 years, with a mean of 71 ± 6.58 years. Systemic hypertension was the commonest co-morbidity (29.8%). The mean tumour size at presentation was 10 cm, with the majority presenting with stage 3 disease. Invasive ductal carcinoma was the predominant histological type 83 (95.4%); 44.4% of those who had immunohistochemistry were oestrogen receptor-positive. Approximately half underwent mastectomy (52.8%), 63 (72.4%) had chemotherapy, 8 (44.4%) had hormonal therapy and only 6 (6.9%) had combined multimodal therapy in addition to surgery. Overall 5-year survival was 42.1%. Conclusion: The pattern of presentation and outcomes of care in this elderly cohort is similar to the general population. Early presentation and use of multimodal treatment is still the mainstay of survival.

Indexed as

breast cancerelderlylow middle income country

Identifiers

PMID36819793
PMCPMC9934965
OpenAlexW4311875250

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.