Evidence map›Paper›PMID 40654322›Full record

ArticleJournal of surgical oncology2025

Clinical Use of Liquid Biopsy in Metastatic Breast Cancer-An ESSO-EYSAC International Survey.

Ina Suppan, Dara Lundon, Pankaj Kumar Garg, Carmella Caballero, Ellen Heitzer, Andreas Brandl, EYSAC Research Academy

Abstract read
In one paragraph

Article in Journal of surgical oncology, 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. 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

7 authors.

Ina SuppanKrankenhaus der Barmherzigen Brüder, Graz, Austria.ORCID https://orcid.org/0000-0002-8934-0284
Dara LundonIcahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.
Pankaj Kumar GargShri Guru Ram Rai Institute of Medical & Health Sciences and Shri Mahant Indiresh Hospital, Dehradun, India.ORCID https://orcid.org/0000-0001-9760-5484
Carmella CaballeroBreast International Group, Brussels, Belgium.
Ellen HeitzerInstitute of Human Genetics, Medical University of Graz, Graz, Austria.
Andreas BrandlDepartment of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany.
EYSAC Research Academy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough recommendations for using Liquid Biopsy (LB) approaches to guide therapeutic decisions in metastatic breast cancer (mBC) have been embedded in various guidelines, uptake in clinical practice is slow. Here, we aimed to assess the utilization and key issues for implementation of LB across Europe. MATERIALS AND

methodsUsing the Redcap platform, we developed an online questionnaire including nineteen questions investigating three principal areas: respondent demographics; awareness, knowledge, and access to LB approaches; as well as future perspectives of LB. The survey was distributed to networks of surgical oncologists, via email, social media, and the ESSO-EYSAC website from March 2023 to May 2023.

resultsA total of 292 breast cancer experts from 39 different countries completed the survey. Only 58 participants (20%) reported implementation of guidelines regarding LB testing. Overall, 119 participants (40.7%) indicated current use of liquid biopsy. The top three indications for LB utilization were "clinical studies" (n = 107, 36.8%), the "evaluation of therapeutic possibilities" (n = 109, 37.5%) and "prognostication" (n = 59, 20.3%). The major reasons for not using LB testing in the treatment of mBC patients were high costs and lack of reimbursement (n = 133, 38.7%) followed by lack of access (n = 126, 36.6%) and lack of evidence of the clinical utility (n = 62, 18.0%).

conclusionLB testing is slowly becoming more popular in clinical practice, but still faces major difficulties such as high costs, and lack of reimbursement. More evidence is needed to show that individualization of treatment by utilization of LB leads to better outcome in mBC patients.

Indexed as

Breast NeoplasmsPractice Patterns, Physicians'EuropeFemaleHumansLiquid BiopsyMiddle AgedPrognosisSurveys and QuestionnairesCTCctDNAliquid biopsymetastatic breast cancer

Identifiers

PMID40654322
PMCPMC12455556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.