Evidence map›Paper›PMID 40063309›Full record

ArticleJournal of epidemiology and global health2025

Molecular Subtypes of Breast Cancer in Arab Women: Distribution and Prognostic Insights.

Naser Elkum, Abdelilah Aboussekhra, Mouad Aboussekhra, Hanin Aldalham, Lama Alshehri, Saleh Alessy, Taher Al-Tweigeri, Ali Saeed Al-Zahrani

Abstract read
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Article in Journal of epidemiology and global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

8 authors.

Naser ElkumResearch and Innovation, GCC Cancer Control and Prevention, King Faisal Specialist Hospital and Research Center, PO BOX 3354, Riyadh, KSA, 11211, Saudi Arabia. nelkum@kfshrc.edu.sa.
Abdelilah AboussekhraCancer Biology and Experimental Therapeutics Section, Department of Molecular Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, KSA, Saudi Arabia.
Mouad AboussekhraResearch and Innovation, GCC Cancer Control and Prevention, King Faisal Specialist Hospital and Research Center, PO BOX 3354, Riyadh, KSA, 11211, Saudi Arabia.
Hanin AldalhamResearch and Innovation, GCC Cancer Control and Prevention, King Faisal Specialist Hospital and Research Center, PO BOX 3354, Riyadh, KSA, 11211, Saudi Arabia.
Lama AlshehriResearch and Innovation, GCC Cancer Control and Prevention, King Faisal Specialist Hospital and Research Center, PO BOX 3354, Riyadh, KSA, 11211, Saudi Arabia.
Saleh AlessyResearch and Innovation, GCC Cancer Control and Prevention, King Faisal Specialist Hospital and Research Center, PO BOX 3354, Riyadh, KSA, 11211, Saudi Arabia.
Taher Al-TweigeriBreast Cancer, Medical Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, KSA, Saudi Arabia.
Ali Saeed Al-ZahraniResearch and Innovation, GCC Cancer Control and Prevention, King Faisal Specialist Hospital and Research Center, PO BOX 3354, Riyadh, KSA, 11211, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the ethnic molecular subtype characteristics of breast cancer (BC) in Saudi women is crucial for providing comprehensive prognostic information and optimizing patient outcomes, making it essential to study their distribution and impact on survival.

methodsThis hospital-based cohort study analyzed clinic-pathological data from 1,035 Saudi women diagnosed with invasive BC and followed for 12 years, at King Faisal Specialist Hospital & Research Center. Cancers were classified into four molecular subtypes: luminal A, luminal B, human epidermal growth factor receptor 2 (HER2)-enriched, and triple-negative. Survival outcomes were assessed using Kaplan-Meier survival curves and Cox proportional hazard models.

resultsLuminal A was the most common molecular subtype (41.7%), followed by luminal B (23.4%), triple-negative (19.5%), and HER2-enriched (15.4%). Age at diagnosis, menopause, and tumor grade were significantly associated with subtypes (p < 0.05). Survival outcomes varied significantly (p = 0.0202), with luminal A and B showing the highest 5-year survival rates (~ 83%), triple-negative at 76.4% (hazard ratio: 1.55), and HER2-enriched tumors had the lowest at 69.1%, with a 1.75-fold higher risk of death. Advanced-stage cancers (III and IV) were strongly associated with increased mortality, with hazard ratios of 2.5 and 7.6, respectively, compared to early-stage disease.

conclusionsMolecular subtypes and stage at diagnosis are key predictors of mortality in Saudi women with BC. The poor outcomes for HER2-enriched and TNBC subtypes highlight the need for timely diagnosis and targeted treatments, emphasizing the importance of personalized care and addressing ethnic variations in BC diagnosis.

Indexed as

ArabsBreast NeoplasmsAdultAgedCohort StudiesErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedPrognosisSaudi ArabiaErb-b2 Receptor Tyrosine KinasesArab womenBreast cancerBreast cancer survivalCancer epidemiologyHistopathological stageMolecular subtypes

Identifiers

PMID40063309
PMCPMC11893967

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LicenceCC BY-NC-ND
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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.