Evidence map›Paper›PMID 39738902›Full record

ArticleAnnals of surgical oncology2025

Recurrence Patterns and Long-Term Results After Curative Surgery for Patients With Breast Cancer.

Zhen Yang, Tianhao Wu, Pengyu Chen, Luan Li, Kaiming Leng, Ruipeng Dong, Guangjun Shi

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Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. 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

7 authors.

Zhen YangQingdao Municipal Hospital, Qingdao University, Qingdao, People's Republic of China.
Tianhao WuQingdao Hiser Hospital Affiliated of Qingdao University, Shibei District, Qingdao, Shandong Province, China.
Pengyu ChenDepartment of Hepatobiliary Surgery, Linyi People's Hospital, Linyi, China.
Luan LiQingdao Municipal Hospital, Qingdao University, Qingdao, People's Republic of China.
Kaiming LengQingdao Municipal Hospital, Qingdao University, Qingdao, People's Republic of China.
Ruipeng DongQingdao Municipal Hospital, Qingdao University, Qingdao, People's Republic of China. drpeng1988@163.com.
Guangjun ShiQingdao Municipal Hospital, Qingdao University, Qingdao, People's Republic of China. sgjzp2023@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current study aimed to examine second breast cancer (SBC) risks associated with breast-conserving surgery (BCS) and unilateral mastectomy among breast cancer (BC) survivors.

methodsThe study enrolled patients with diagnoses of stages I to III BC who underwent surgery between 2000 and 2019. Fine-Gray competing risk regression models were used to estimate the cumulative incidence of SBC and to evaluate the associations between clinical factors and SBC development. Poisson regression analysis was performed to assess the risk for SBC after BCS compared with mastectomy by age and latency period. The Kaplan-Meier method was applied to examine survival between patients undergoing breast-conserving therapy (BCT) and those undergoing mastectomy for SBC.

resultsAmong 740,349 patients, 467,480 underwent BCS, and 272,869 underwent mastectomy. The 10-year cumulative incidence of mastectomy was 3.77% for SBC and 2.11% for BCS. Compared with mastectomy, BCS was associated with a significantly higher risk of LR and a modestly elevated risk of contralateral breast cancer (CBC). The significant risk factors for SBC were age at initial BC diagnosis, race, marital status, year of diagnosis, tumor size, histology, molecular subtype, cancer stage, metropolitan status, type of surgery, and radiotherapy. Dynamic risk assessments showed that the relative risk of SBC after BCS versus mastectomy decreased with advancing age, but increased with longer follow-up periods.

conclusionsThis cohort study showed that BC survivors undergoing BCS have a higher risk of SBC than those undergoing mastectomy. With the ongoing evolution of surgical options, achieving optimal long-term outcomes necessitates a more comprehensive assessment that balances oncologic efficacy with patient-centered outcomes.

Indexed as

Breast NeoplasmsMastectomyMastectomy, SegmentalNeoplasm Recurrence, LocalNeoplasms, Second PrimaryAdultAgedFemaleFollow-Up StudiesHumansIncidenceMiddle AgedPrognosisRisk FactorsSurvival RateBreast cancerBreast-conserving surgeryContralateral breast cancerLocal recurrenceMastectomySecond breast cancer

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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.