Evidence map›Paper›PMID 40361425›Full record

ArticleCancers2025

Negative Effect of Intravenous Antibiotics on Survival in Patients with Triple-Negative Breast Cancer.

Stefan Lukac, Visnja Fink, Davut Dayan, Brigitte Rack, Wolfgang Janni, Krisztian Lato, Kristina Veselinovic, Sabine Heublein, Thomas Wolfram Paul Friedl, Elena Leinert

Abstract read
In one paragraph

Article in Cancers, 2025. 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
–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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Stefan LukacDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
Visnja FinkDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
Davut DayanDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.ORCID 0000-0003-1589-2016
Brigitte RackDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
Wolfgang JanniDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
Krisztian LatoDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
Kristina VeselinovicDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
Sabine HeubleinDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
Thomas Wolfram Paul FriedlDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.ORCID 0000-0002-4773-8067
Elena LeinertDepartment of Obstetrics and Gynecology, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.ORCID 0000-0001-5795-3417

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe anti-tumor response of the immune system is pivotal for treating triple-negative breast cancer (TNBC), particularly as targeted therapies are limited. However, the impact of immune-modulating factors such as the application of granulocyte-stimulating factors (G-CSFs) or infections, including febrile neutropenia, prophylactic or therapeutical application of oral antibiotics (OABs), and the need for intravenous antibiotics (IABs), on survival outcomes remains unclear.

methods1583 patients with early-stage TNBC enrolled in the SUCCESS A or C study underwent primary surgery, adjuvant chemotherapy, and radiotherapy if indicated. All patients had Eastern Cooperative Oncology Group (ECOG) status ≤ 2. The effects of G-CSF, OAB, and IAB application on overall survival (OS), invasive disease-free survival (iDFS), breast cancer-specific survival (BCSS), and distant disease-free survival (DDFS) were assessed.

resultsOnly IAB treatment was significantly associated with decreased survival in univariable analyses (OS:

conclusionsIn summary, IABs during adjuvant chemotherapy seems to be a risk factor for inferior OS, BCSS, and DDFS in TNBC patients, possibly by affecting microbiome-related immune response modulation. Hence, preventive measures to avoid the need for IABs should be considered in these patients.

Indexed as

antibioticsdose reductiondose shiftECOGfebrile neutropeniaG-CSFtriple-negative breast cancer

Identifiers

PMID40361425
PMCPMC12071010

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.