Evidence map›Paper›PMID 37300985›Full record

ArticleBreast (Edinburgh, Scotland)2023

Does age affect outcome with breast cancer?

Emily B Jackson, Lovedeep Gondara, Caroline Speers, Rekha Diocee, Alan M Nichol, Caroline Lohrisch, Karen A Gelmon

Open access · goldAbstract read
In one paragraph

Article in Breast (Edinburgh, Scotland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 25 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

7 authors at 1 institution in 1 country.

Emily B JacksonBC Cancer Vancouver Centre, Vancouver, BC, Canada; University of British Columbia, Canada. Electronic address: Emily.Jackson@bccancer.bc.ca.
Lovedeep GondaraBreast Cancer Outcomes Unit, BC Cancer, Vancouver, BC, Canada.
Caroline SpeersBreast Cancer Outcomes Unit, BC Cancer, Vancouver, BC, Canada.
Rekha DioceeBreast Cancer Outcomes Unit, BC Cancer, Vancouver, BC, Canada.
Alan M NicholBC Cancer Vancouver Centre, Vancouver, BC, Canada; University of British Columbia, Canada.
Caroline LohrischBC Cancer Vancouver Centre, Vancouver, BC, Canada; University of British Columbia, Canada.
Karen A GelmonBC Cancer Vancouver Centre, Vancouver, BC, Canada; University of British Columbia, Canada.
BC Cancer Agency · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prior data about the influence of age at diagnosis of breast cancer on patient outcomes and survival has been conflicting. Using the Breast Cancer Outcomes Unit database at BC Cancer, this retrospective population-based study identified a cohort of 24,469 patients diagnosed with invasive breast cancer between 2005 and 2014. Median follow-up was 11.5 years. We analyzed clinical and pathological features at diagnosis and treatment specific variables compared across the following age cohorts: <35, 35-39, 40-49, 50-59, 60-69, 70-79, and 80 years of age and older. We assessed the impact of age on breast cancer specific survival (BCSS) and overall survival (OS) by age and subtype. There were distinct clinical-pathological and treatment pattern differences at both extremes of age at diagnosis. Patients <35 and 35-39 years old were more likely to present with higher risk features, HER2 positive or triple-negative biomarkers, and more advanced TNM stage at diagnosis. They were more likely to undergo treatment with mastectomy, axillary lymph node dissection, radiotherapy and chemotherapy. Conversely, patients ≥80 years old were generally more likely to have hormone-sensitive HER2-negative disease, and lower TNM stage at diagnosis. They were less likely to undergo surgery or be treated with radiotherapy and chemotherapy. Both younger and elderly age at breast cancer diagnosis were independent risk factors for poorer prognosis after controlling for subtype, LVI, stage, and treatment factors. This work will help clinicians to more accurately estimate patient outcomes, patterns of relapse, and provide evidence-based treatment recommendations.

Indexed as

Breast NeoplasmsAgedAged, 80 and overChemotherapy, AdjuvantFemaleHumansLymph Node ExcisionMastectomyNeoplasm Recurrence, LocalRetrospective StudiesAdjuvant endocrine therapyAgeBreast cancerChemotherapyOutcomes

Identifiers

PMID37300985
PMCPMC10382954
OpenAlexW4379229810

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.