Evidence map›Paper›PMID 36895447›Full record

ArticleThe Lancet regional health. Europe2023

Real-world time trends in overall survival, treatments and patient characteristics in HR+/HER2- metastatic breast cancer: an observational study of the SONABRE Registry.

Marissa Meegdes, Sandra M E Geurts, Frans L G Erdkamp, M Wouter Dercksen, Birgit E P J Vriens, Kirsten N A Aaldering, Manon J A E Pepels, Linda M H van de Winkel, Natascha A J B Peters, Jolien Tol and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Europe, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03577197 (Southeast Netherlands Advanced Breast Cancer Registry), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% 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.

NCT03577197 recruitingnot on this map

Southeast Netherlands Advanced Breast Cancer Registry

Typeobservational_patient_registrySponsorAcademisch Ziekenhuis MaastrichtRan2007 to 2027Enrolled7,000ConditionsAdvanced Breast Cancer, Metastatic Breast Cancer
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  8. Camizestrant in Combination with Three Globally Approved CDK4/6 Inhibitors in Women with ER+, HER2- Advanced Breast Cancer: Results from SERENA-1.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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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

15 authors at 10 institutions in 1 country.

Marissa MeegdesDepartment of Medical Oncology, GROW School for Oncology and Reproduction, Maastricht University Medical Center, Maastricht, the Netherlands.
Sandra M E GeurtsDepartment of Medical Oncology, GROW School for Oncology and Reproduction, Maastricht University Medical Center, Maastricht, the Netherlands.
Frans L G ErdkampDepartment of Internal Medicine, Zuyderland Medical Center, Sittard-Geleen, the Netherlands.
M Wouter DercksenDepartment of Medical Oncology, Máxima Medical Center, Eindhoven, the Netherlands.
Birgit E P J VriensDepartment of Internal Medicine, Catharina Hospital, Eindhoven, the Netherlands.
Kirsten N A AalderingDepartment of Internal Medicine, Laurentius Hospital, Roermond, the Netherlands.
Manon J A E PepelsDepartment of Internal Medicine, Elkerliek Hospital, Helmond, the Netherlands.
Linda M H van de WinkelDepartment of Internal Medicine, St Anna Hospital, Geldrop, the Netherlands.
Natascha A J B PetersDepartment of Internal Medicine, St. Jans Gasthuis, Weert, the Netherlands.
Jolien TolDepartment of Internal Medicine, Jeroen Bosch Ziekenhuis, Den Bosch, the Netherlands.
Joan B HeijnsDepartment of Internal Medicine, Amphia Hospital Breda, the Netherlands.
Agnes J van de WouwDepartment of Internal Medicine, Viecuri Medical Centre, Venlo, the Netherlands.
Aude J O de FalloisDepartment of Medical Oncology, GROW School for Oncology and Reproduction, Maastricht University Medical Center, Maastricht, the Netherlands.
Maartje A C E van KatsDepartment of Medical Oncology, GROW School for Oncology and Reproduction, Maastricht University Medical Center, Maastricht, the Netherlands.
Vivianne C G Tjan-HeijnenDepartment of Medical Oncology, GROW School for Oncology and Reproduction, Maastricht University Medical Center, Maastricht, the Netherlands.
Maastricht University · NLRadboud University Nijmegen · NLAmphia Ziekenhuis · NLElkerliek Ziekenhuis · NLJeroen Bosch Ziekenhuis · NLLaurentius Ziekenhuis · NLSt. Anna Ziekenhuis · NLSt.Jans Gasthuis Weert · NLVieCuri Medisch Centrum · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aims to evaluate whether changes in therapeutic strategies have improved survival of patients diagnosed with hormone receptor positive (HR+), HER2 negative (HER2-) advanced breast cancer (ABC) in real-world. Methods: All 1950 patients systemically treated for HR+/HER2- ABC and diagnosed between 2008 and 2019 in eight hospitals were retrieved from the SONABRE Registry (NCT-03577197). Patients were categorized per three-year cohorts based on year of ABC diagnosis. Tests for trend were used to examine differences in baseline characteristics, Kaplan-Meier methods and Cox proportional hazards for survival analyses, and competing-risk methods for 3-year use of systemic therapy. Findings: Over time, patients were older (≥70 years, 37%, n = 169/456 in 2008-2010, 47%, n = 233/493 in 2017-2019, p = 0.004) and more often had multiple metastatic sites at ABC diagnosis (48%, n = 220/456 in 2008-2010, 56%, n = 275/493 in 2017-2019, p = 0.002). Among patients with metachronous metastases the prior exposure to (neo-) adjuvant therapies increased over time (chemotherapy, 38%, n = 138/362 in 2008-2010, 48%, n = 181/376 in 2017-2019, p = <0.001; endocrine therapy, 64%, n = 231/362 in 2008-2010, 72%, n = 271/376 in 2017-2019, p = <0.001). Overall survival significantly improved from median 31.1 months (95% CI:28.2-34.3) for patients diagnosed in 2008-2010 to 38.4 months (95% CI:34.0-41.1) in 2017-2019 (adjusted hazard ratio = 0.76, 95% CI:0.64-0.90; p = 0.001). Three-year use of CDK4/6 inhibitors increased from 0% for patients diagnosed in 2008-2010 to 54% for diagnosis in 2017-2019. Conversely, three-year use of chemotherapy was 50% versus 36%, respectively. Interpretation: Over time, patients diagnosed with HR+/HER2- ABC presented with less favourable patient characteristics. Nevertheless, we observed that overall survival of ABC increased between 2008 and 2019, with increased use of endocrine/targeted therapies. Funding: The SONABRE Registry is supported by the Netherlands Organization for Health Research and Development (ZonMw: 80-82500-98-8003); Novartis BV; Roche; Pfizer; and Eli Lilly & Co. Funding sources had no role in the writing of the manuscript.

Indexed as

CDK4/6 inhibitorsMetastatic breast cancerReal-worldRegistrySurvival

Identifiers

PMID36895447
PMCPMC9989628
OpenAlexW4313648242

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LicenceCC BY-NC-ND
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Registered trials

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.