Evidence map›Paper›PMID 40597856›Full record

ArticleBMC cancer2025

De Novo bone metastasis in breast cancer: tumor biology and survival outcomes in a retrospective study from Pakistan.

Eman Anwar, Aqsa Amjad, Akbar Jaleel Zubairi, Muhammad Maisam Ali, Sana Zeeshan

Abstract read
In one paragraph

Article in BMC 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. External validation of a nomogram for de novo bone metastasis in breast cancer: a single-center Mexican cohort.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  2. Article
  3. 3D bioprinting innovations: a new frontier in breast cancer research.Medical oncology (Northwood, London, England) · 2025
    Review
  4. 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

5 authors.

Eman AnwarMedical Student, Aga Khan University Hospital, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-0378-570X
Aqsa AmjadMedical Student, Aga Khan University Hospital, Karachi, Pakistan.ORCID http://orcid.org/0009-0002-7706-6342
Akbar Jaleel ZubairiSection of Orthopedic Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-0236-4700
Muhammad Maisam AliDivision of Surgical Oncology, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID http://orcid.org/0009-0004-0839-5163
Sana ZeeshanSection of Breast Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. sana.zeeshan@aku.edu.ORCID http://orcid.org/0000-0003-1645-400X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer is the leading cause of cancer-related deaths among women, with 20-30% of early-stage patients eventually developing metastases, often in bones. Despite the high incidence, risk factors for de novo bone metastasis are understudied in local populations.

methodsThis single-center, retrospective study was conducted at Aga Khan University Hospital, Karachi. Patient demographics, tumor characteristics, and risk factors were assessed. Patients with de novo bone metastasis were compared to non-stage IV cases using binary univariate and multivariate logistic regression, with significance set at p < 0.05.

resultsAmong 2565 patients, 93 (3.6%) presented with bone only metastasis (BOM) and 135 (5.3%) presented with bone and visceral metastasis together. The median age was 51 years, with females predominating. Multivariate analysis revealed that triple-negative breast carcinoma had lower odds (OR 0.36, 95% CI (0.16-0.79) p < 0.001). Advanced T and N stages and tumor grade II were linked to higher odds of bone-only metastasis. The 2-year overall survival of participants with BOM was 93% (CI: 83.7-97%).

conclusionThis study identifies key risk factors that provide the basis for early detection and intervention strategies. While it has a few limitations, these findings can guide future research and inform risk assessment models for more diverse populations.

Indexed as

Bone NeoplasmsBreast NeoplasmsAdultAgedFemaleHumansMiddle AgedNeoplasm StagingPakistanPrognosisRetrospective StudiesRisk FactorsBone metastasisBreast cancerOverall survivalStage IV

Identifiers

PMID40597856
PMCPMC12211809

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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.