Evidence map›Paper›PMID 39792239›Full record

ReviewClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2025

Strategies to enhance management of HER2-positive breast cancer in the elderly: an expert consensus perspective.

Sonia Del Barco, Almudena Cotes-Sanchís, Mercedes Cavanagh, Regina Gironés-Sarrió, Borja López de San Vicente, Elena Galve-Calvo, Sonia Servitja

Abstract readReviewConsensus Statement
In one paragraph

Review in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Inequities in enrollment across clinical trial phases and the need for a Spanish perspective.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    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

7 authors.

Sonia Del BarcoDepartment of Medical Oncology, Spanish Society of Medical Oncology (SEOM) Oncogeriatrics Section, Catalan Institute of Oncology (ICO), Doctor Josep, Trueta University Hospital, Avinguda de França, S/N, 17007, Girona, Spain. sdelbarco@iconcologia.net.ORCID http://orcid.org/0000-0002-4951-6871
Almudena Cotes-SanchísMedical Oncology Department Alicante, Spanish Society of Medical Oncology (SEOM) Oncogeriatrics Section, Elda Virgen de la Salud General University Hospital, Elda, Spain.
Mercedes CavanaghMedical Oncology Department, Faculty of Biomedical and Health Sciences, Spanish Society of Medical Oncology (SEOM) Oncogeriatrics Section, Getafe University Hospital, Madrid European University, Madrid, Spain.
Regina Gironés-SarrióMedical Oncology Department, Spanish Society of Medical Oncology (SEOM) Oncogeriatrics Section, La Fe University and Polytechnic Hospital, Valencia, Spain.
Borja López de San VicenteMedical Oncology Department, Spanish Society of Medical Oncology (SEOM) Oncogeriatrics Section, Basurto University Hospital, Bilbao, Spain.
Elena Galve-CalvoMedical Oncology Department, Spanish Group of Study, Treatment and Other Experimental Strategies in Solid Tumours (SOLTI), Basurto University Hospital, Bilbao, Spain.
Sonia ServitjaMedical Oncology Department, Hospital del Mar, Parc de Salut Mar, Spanish Group for Breast Cancer Research (GEICAM), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Therapeutic decision-making for older patients with human epidermal growth factor receptor 2 (HER2)-positive breast cancer highlights the importance of a comprehensive geriatric assessment (CGA). This assessment considers the functional status, comorbidities, and relevant conditions of the patient, and allows for an estimation of life expectancy, but it does not facilitate individualized treatment plans. There are also other challenges to consider related to the cardiac toxicity of the treatments and the under-representation of older patients in clinical trials. The Oncogeriatrics Section of the Spanish Society of Medical Oncology (Sociedad Española de Oncología Médica, SEOM), the Spanish Group for Breast Cancer Research (Grupo Español de Investigación en Cáncer de Mama, GEICAM) and the Spanish Group of Study, Treatment and other Experimental Strategies in Solid Tumours (Grupo Español de Estudio, Tratamiento y otras Estrategias Experimentales en Tumores Sólidos, SOLTI) have gathered an expert committee to evaluate the scientific evidence on the management of older patients with HER2-positive breast cancer and to establish recommendations based on a comprehensive review of the existing literature. These recommendations underscore the importance of individualizing treatment plans based on the patient's physical status and tolerability to maximize efficacy while minimizing toxicity. Emphasis is placed on adapting neoadjuvant and adjuvant therapies according to geriatric assessment and specific patient needs. A careful selection of treatment schedules for advanced stages is needed to improve survival and quality of life, assuming that scientific evidence in this age group is limited.

Indexed as

Breast NeoplasmsErb-b2 Receptor Tyrosine KinasesAgedAged, 80 and overConsensusFemaleGeriatric AssessmentHumansERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesBreast cancerElderly patientGeriatric assessmentHER2-positiveToxicity

Identifiers

PMID39792239
PMCPMC12179235

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.