Evidence map›Paper›PMID 37126938›Full record

SynthesisCancer treatment reviews2023

Uncertainties and controversies in axillary management of patients with breast cancer.

Walter P Weber, Oreste Davide Gentilini, Monica Morrow, Giacomo Montagna, Jana de Boniface, Florian Fitzal, Lynda Wyld, Isabel T Rubio, Zoltan Matrai, Tari A King and 35 more

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Cancer treatment reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Rare Breast Cancers Review.Healthcare (Basel, Switzerland) · 2024
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

45 authors.

Walter P WeberBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland. Electronic address: walter.weber@usb.ch.
Oreste Davide GentiliniBreast Surgery, San Raffaele University and Research Hospital, Milan, Italy.
Monica MorrowBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Giacomo MontagnaBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jana de BonifaceDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Surgery, Breast Unit, Capio St Göran's Hospital, Stockholm, Sweden.
Florian FitzalDepartment of General Surgery, Division of Visceral Surgery, Medical University Vienna, Austria; Austrian Breast and Colorectal Study Group ABCSG, Vienna, Austria.
Lynda WyldDepartment of Oncology and Metabolism, University of Sheffield, Sheffield, UK; Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
Isabel T RubioBreast Surgical Oncology Unit, Clinica Universidad de Navarra, Madrid, Spain.
Zoltan MatraiHamad Medical Corporation, Dept of Oncoplastic Breast Surgery, Doha, Qatar.
Tari A KingDivision of Breast Surgery, Brigham and Women's Hospital, Dana Farber/Brigham Cancer Center, Boston, MA, USA.
Ramon SaccilottoUniversity of Basel, Basel, Switzerland; Department of Clinical Research, University Hospital Basel, Basel, Switzerland.
Viviana GalimbertiIstituto Europeo di Oncologia, IRCCS, Milan, Italy.
Nadia MaggiBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland.
Mariacarla AndreozziBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland.
Virgilio SacchiniBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Liliana Castrezana LópezInterdisciplinary Breast Center, Cantonal Hospital Baden, Baden, Switzerland.
Julie LoeschGynecology Department, University Hospital Zurich, Zurich, Switzerland.
Fabienne D SchwabBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland.
Ruth EllerBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland.
Martin HeidingerBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland.
Martin HaugBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland.
Christian KurzederBreast Center, University Hospital Basel, Basel, Switzerland; University of Basel, Basel, Switzerland.
Rosa Di MiccoBreast Surgery, San Raffaele University and Research Hospital, Milan, Italy.
Maggie Banys-PaluchowskiDepartment of Gynecology and Obstetrics University Hospital Schleswig-Holstein Campus Lübeck, Lübeck, Germany.
Nina DitschDepartment of Gynaecology and Obstetrics, University Hospital Augsburg, Augsburg, Germany.
Yves HarderDepartment of Plastic, Reconstructive and Aesthetic Surgery, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland; Faculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland.
Régis R PaulinelliFederal University of Goias, Goias, Brazil; Breast Unit, Araújo Jorge Hospital, Goias, Brazil.
Cicero UrbanBreast Unit, Hospital Nossa Senhora Das Graças, Curitiba, Brazil.
John BensonCambridge Breast Unit, Addenbrooke's Hospital Cambridge, Cambridge, UK; Cambridge Breast Unit, Cambridge University Hospitals NHS Foundation TRUST, School of Medicine, Anglia Ruskin University, Cambridge, UK.
Vesna Bjelic-RadisicBreast Unit, University Hospital Helios Wuppertal, University Witten/Herdecke, Wuppertal, Germany; Medical University Graz, Graz, Austria.
Shelley PotterUniversity of Bristol, Medical School, Bristol, UK.
Michael KnauerTumor and Breast Center Eastern Switzerland, St. Gallen, Switzerland.
Marc ThillDepartment of Gynaecology and Gynaecological Oncology, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.
Marie-Jeanne Vrancken PeetersDepartment of Surgery, Netherlands Cancer Institute, Amsterdam, Netherlands; Department of Surgery, University Medical Center, Amsterdam, Netherlands.
Sherko KuemmelBreast Unit, Hospital Essen-Mitte, Germany; Charité - Universitätsmedizin Berlin, Department of Gynecology with Breast Center, Berlin, Germany.
Joerg HeilDepartment of Obstetrics and Gynecology, University of Heidelberg, Medical School, Heidelberg, Germany.
Bahadir M GulluogluMarmara University School of Medicine, Istanbul, Turkey.
Christoph TauschBreast Center Zurich, Zurich, Switzerland.
Ursula Ganz-BlaettlerUniversity of St, Gallen, St. Gallen, Switzerland.
Jane ShawPatient Advocacy Group, Oncoplastic Breast Consortium, Basel, Switzerland.
Peter DubskyUniversity of Lucerne, Faculty of Health Sciences and Medicine, Lucerne, Switzerland; Breast Centre, Hirslanden Clinic St. Anna, Lucerne, Switzerland.
Philip PoortmansIridium Netwerk and University of Antwerp, Wilrijk-Antwerpen, Belgium.
Orit Kaidar-PersonBreast Cancer Radiation Therapy Unit, at Sheba Medical Center, Ramat Gan, Israel; Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel; GROW-School for Oncology and Reproduction, Maastricht University Medical Centre, Dept. Radiation Oncologv (Maastro), Maastricht, Netherlands.
Thorsten KühnDepartment of Gynecology, Hospital Esslingen, Esslingen, Germany.
Michael GnantAustrian Breast and Colorectal Study Group ABCSG, Vienna, Austria; Comprehensive Cancer Center Medical University Vienna, Vienna, Austria.

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

The aims of this Oncoplastic Breast Consortium and European Breast Cancer Research Association of Surgical Trialists initiative were to identify uncertainties and controversies in axillary management of early breast cancer and to recommend appropriate strategies to address them. By use of Delphi methods, 15 questions were prioritized by more than 250 breast surgeons, patient advocates and radiation oncologists from 60 countries. Subsequently, a global virtual consensus panel considered available data, ongoing studies and resource utilization. It agreed that research should no longer be prioritized for standardization of axillary imaging, de-escalation of axillary surgery in node-positive cancer and risk evaluation of modern surgery and radiotherapy. Instead, expert consensus recommendations for clinical practice should be based on current evidence and updated once results from ongoing studies become available. Research on de-escalation of radiotherapy and identification of the most relevant endpoints in axillary management should encompass a meta-analysis to identify knowledge gaps, followed by a Delphi process to prioritize and a consensus conference to refine recommendations for specific trial designs. Finally, treatment of residual nodal disease after surgery was recommended to be assessed in a prospective register.

Indexed as

Breast NeoplasmsFemaleHumansLymphatic MetastasisLymph Node ExcisionSentinel Lymph Node BiopsyAxillary dissectionBreast cancerBreast surgeryRadiotherapy

Identifiers

PMID37126938
PMCPMC10752145

What OpenQuestion holds

Textmetadata
LicenceTDM
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.