Evidence map›Paper›PMID 37795003›Full record

ArticleEuropean journal of breast health2023

Assessment High-Risk Breast Cancer in Older Patients: A Comparative Analysis of PREDICT Scores and TAILORx Risk Categorization.

Çağlar Ünal, Tolga Özmen, Çetin Ordu, Cihan Uras, Halil Kara, Erhan Gökmen, Mustafa Özdoğan, Orhan Demircan, Kezban Nur Pilancı, Tomris Duymaz and 1 more

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Article in European journal of breast health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 52% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 10 institutions in 2 countries.

Çağlar ÜnalDivision of Medical Oncology, Department of Internal Medicine, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-3245-1570
Tolga ÖzmenDepartment of Gastrointestinal and Oncologic Surgery, Harvard Medical School, Massachusetts, USA.ORCID https://orcid.org/0000-0002-7136-6195
Çetin OrduDivision of Medical Oncology, Department of Internal Medicine, Gayrettepe Florence Nightingale Hospital, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-4423-8005
Cihan UrasDepartment of General Surgery, Acıbadem University Faculty of Medicine, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-6838-2311
Halil KaraDepartment of General Surgery, Acıbadem University Faculty of Medicine, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-1527-7155
Erhan GökmenDivision of Medical Oncology, Department of Internal Medicine, Ege University Faculty of Medicine, İzmir, Turkey.ORCID https://orcid.org/0000-0003-4596-2986
Mustafa ÖzdoğanDivision of Medical Oncology, Department of Internal Medicine, Akdeniz University Faculty of Medicine, Antalya, Turkey.ORCID https://orcid.org/0000-0002-4297-3607
Orhan DemircanDepartment of General Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.ORCID https://orcid.org/0000-0002-1667-5438
Kezban Nur PilancıDivision of Medical Oncology, Department of Internal Medicine, Bahçelievler Memorial Hospital, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-0901-819X
Tomris DuymazDepartment of Physiotherapy and Rehabilitation, İstanbul Bilgi University Faculty of Health Sciences, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-0917-2098
Vahit ÖzmenDepartment of General Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-2973-8247
Acıbadem University · TRAkdeniz University · TRCukurova University · TRDr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi · TREge University · TRHarvard University · USIstanbul Bilgi University · TRIstanbul Florence Nightingale Hospital · TRIstanbul University · TRMemorial Sisli Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the relationship between PREDICT tool overall survival (OS) scores and high-risk patients according to TAILORx risk categorization in elderly hormone reseptor (HR) positive human epidermal growth factor negative early breast-cancer patients. Materials and Methods: We conducted a retrospective study, extracting data from medical records of 64 patients diagnosed with breast cancer. A retrospective analysis was performed on all patients who had Oncotype Dx Recurrence Scores across five medical centers between 2017 and 2022. PREDICT scores were defined as calculated 10-year OS rates via PREDICT tool. Results: The median age of the patients was 67, with a range between 65-75 years. Low-risk patients had a slightly higher two PREDICT scores compared to high-risk patients (78% vs. 73%), (81% vs. 77%), which were statistically significant. The progesterone receptor (PR) level was significantly lower in the high-risk group (3.5% vs. 80%). A unit decrease in the PREDICT scores was associated with a 11% increase in the odds of being in the high-risk group. However, these effects weren't statistically significant in the multivariate analysis. A unit decrease in the PR level was significantly associated with increased odds (by 5% in the multivariate analysis) of being in the high-risk group. Conclusion: Our study underscores the importance of using a combination of tools, including the PREDICT tool, PR levels, and TAILORx risk categorization, for a comprehensive risk assessment in these patients, especially in the older population. Accurate risk assessment is crucial for tailoring the treatment and optimizing outcomes in this vulnerable population. Future studies are warranted to further validate these findings in larger cohorts and to explore additional biomarkers and genomic signatures that may aid in the risk assessment and management of breast cancer in older patients.

Indexed as

Breast canceroncotype DX recurrence scorePREDICT toolTAILORx risk categorization

Identifiers

PMID37795003
PMCPMC10546806
OpenAlexW4387136136

What OpenQuestion holds

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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.