Evidence map›Paper›PMID 39979277›Full record

ArticleNPJ breast cancer2025

Temporal evolution of breast cancer brain metastases treatments and outcomes.

Michele Bottosso, Gaia Griguolo, Severine Guiu, Maria Cristina Guarascio, Caroline Bailleux, Federica Miglietta, Anna Chiara Cattelan, Christian Zurlo, Jean-Marc Ferrero, Vittoria Aldegheri and 10 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Proactive Brain Screening Using Contrast-Enhanced Brain CT Scans in HER2+ Metastatic Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  3. Article
  4. 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

20 authors.

Michele Bottosso *Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.
Gaia Griguolo *Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.
Severine GuiuMedical Oncology Department, Institut du Cancer de Montpellier, University of Montpellier, Montpellier, FR, Italy.
Maria Cristina GuarascioDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.
Caroline BailleuxDepartment of Medical Oncology, Centre Antoine Lacassagne, Nice, FR, Italy.
Federica MigliettaDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.
Anna Chiara CattelanDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.
Christian ZurloDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.
Jean-Marc FerreroDepartment of Medical Oncology, Centre Antoine Lacassagne, Nice, FR, Italy.
Vittoria AldegheriRadiology Department, Istituto Oncologico Veneto IRCCS, Padova, IT, Italy.
Cristina FalciDivision of Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, IT, Italy.
Francesca ZanghìDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.
Carlo Alberto GiorgiDivision of Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, IT, Italy.
Alessandro ParisiDepartment of Radiation Therapy, Istituto Oncologico Veneto IRCCS, Padova, IT, Italy.
Grazia Maria VernaciDivision of Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, IT, Italy.
Fabio GirardiDivision of Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, IT, Italy.
William JacotMedical Oncology Department, Institut du Cancer de Montpellier, University of Montpellier, Montpellier, FR, Italy.
Maria Vittoria DieciDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy. mariavittoria.dieci@unipd.it.
Amélie DarlixMedical Oncology Department, Institut du Cancer de Montpellier, University of Montpellier, Montpellier, FR, Italy.
Valentina GuarneriDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, IT, Italy.

Funding

Università degli Studi di Padova DOR funding 2023
6 · The paper itself

Abstract

Brain metastases (BMs) are a common complication of advanced breast cancer (BC), and their management has significantly evolved. We evaluated the clinical impact of these changes dividing patients diagnosed with BCBMs at three Institutions according to year of BMs diagnosis: 2000-2007 (group A), 2008-2014 (group B) and 2015-2022 (group C). Stereotactic radiotherapy increased (p < 0.001), and WBRT decreased (p = 0.010) over time. Among HER2+ BC patients, more received anti-HER2 therapy after BM diagnosis in recent years (p < 0.011). Overall survival (OS) did not improve in the entire cohort (p = 0.260); however, OS improved in patients with HR-/HER2+ BC (median OS 8.7, 10.1, 23.7 months in group A, B, C, respectively; p = 0.002). HER2-positivity, not prognostic in group A, became prognostic in group C (p < 0.001). While therapy for patients with BCBMs significantly changed over two decades, an OS improvement was observed only in HR-/HER2+ patients, potentially due to increased availability of anti-HER2 therapies with intracranial activity.

Identifiers

PMID39979277
PMCPMC11842824

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.