Evidence map›Paper›PMID 37878151›Full record

SynthesisBreast cancer research and treatment2024

Biomarkers predictive of a response to extended endocrine therapy in breast cancer: a systematic review and meta-analysis.

Kirsten M Woolpert, Thomas P Ahern, Timothy L Lash, Donna L O'Malley, Alice M Stokes, Deirdre P Cronin-Fenton

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Breast cancer research and treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. Article
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

6 authors at 3 institutions in 2 countries.

Kirsten M WoolpertDepartment of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Aarhus, Denmark. kwoolpert@clin.au.dk.ORCID http://orcid.org/0000-0002-5536-7649
Thomas P AhernDepartment of Surgery, The Robert Larner, M.D. College of Medicine at the University of Vermont, Burlington, VT, USA.ORCID http://orcid.org/0000-0003-0440-8727
Timothy L LashDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Donna L O'MalleyUniversity Libraries, University of Vermont, Burlington, VT, USA.ORCID http://orcid.org/0000-0001-7088-7186
Alice M StokesUniversity Libraries, University of Vermont, Burlington, VT, USA.ORCID http://orcid.org/0000-0002-6122-7335
Deirdre P Cronin-FentonDepartment of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0001-9738-2284
University of Vermont · USAarhus University Hospital · DKEmory University · US

Funding

New and integrated perspectives on modification of tamoxifen effectivenessR01CA166825 · NCI · EMORY UNIVERSITY · PI LASH, TIMOTHY L. · 2013 to 2017
$2.8M
NCI NIH HHS R01 CA166825
6 · The paper itself

Abstract

purposeExtension of adjuvant endocrine therapy beyond five years confers only modest survival benefit in breast cancer patients and carries risk of toxicities. This systematic review investigates the role of biomarker tests in predicting the clinical response to an extension of endocrine therapy.

methodsWe searched Ovid MEDLINE, Ovid Embase, Global Index Medicus, and the Cochrane Central Register of Controlled Trials using an iterative approach to identify full-text articles related to breast cancer, endocrine therapy, and biomarkers.

resultsOf the 1,217 unique reports identified, five studies were deemed eligible. Four investigated the Breast Cancer Index (BCI) assay in three distinct study populations. These studies consistently showed that BCI score was predictive of response to extended endocrine therapy among 1,946 combined patients, who were predominately non-Hispanic white and postmenopausal.

conclusionsEvidence in the setting of predictive tests for extended endocrine therapy is sparse. Most relevant studies investigated the use of BCI, but these study populations were largely restricted to a single age, race, and ethnicity group. Future studies should evaluate a variety of biomarkers in diverse populations. Without sufficient evidence, physicians and patients face a difficult decision in balancing the benefits and risks of endocrine therapy extension.

Indexed as

Breast NeoplasmsAntineoplastic Agents, HormonalBiomarkersChemotherapy, AdjuvantFemaleHumansAntineoplastic Agents, HormonalBiomarkersBreast cancerBreast cancer indexExtended endocrine therapyPredictive biomarkersSystematic review

Identifiers

PMID37878151
PMCPMC10806232
OpenAlexW4387931418

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.