Evidence map›Paper›PMID 40883313›Full record

ArticleNPJ breast cancer2025

The association between young age at metastatic breast cancer diagnosis and overall survival in the EMBRACE study.

Kristen D Brantley, Gregory J Kirkner, Melissa E Hughes, Leticia Varella, Georgia Suggs, Olivia M Cunningham, Sanjana Ravikumar, Craig Snow, Sara M Tolaney, Sarah Sammons and 2 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 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

12 authors.

Kristen D BrantleyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. kristen_brantley@dfci.harvard.edu.
Gregory J KirknerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Melissa E HughesDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Leticia VarellaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Georgia SuggsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Olivia M CunninghamDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Sanjana RavikumarDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Craig SnowDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Sara M TolaneyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Sarah SammonsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ann H PartridgeDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Nancy U LinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

Funding

Training Program in Cancer EpidemiologyT32CA009001 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI A. Heather Eliassen, Meir Stampfer · 1985 to 2026
$17.3M
NCI NIH HHS T32 CA009001
6 · The paper itself

Abstract

The influence of young age at diagnosis on prognosis of patients with metastatic breast cancer (MBC) remains unclear. We examined overall survival (OS) within a single-institution prospective study of patients with de novo or recurrent MBC. Kaplan-Meier curves assessed OS by age (≤35 or ≤40 years as the youngest category) and inferred metastatic tumor subtype. Multivariable Cox regression models estimated hazard ratios (HRs) and 95% CIs for OS by age adjusting for clinical factors. Of 4189 women <75 years, 571 were ≤40 years at MBC diagnosis, of whom 260 were ≤35 years. Over half (52%) died during follow-up (median = 5.3 years, IQR = 2.1-9.8 years). Compared to patients 45-55 years, those ≤35 years at diagnosis experienced worse OS (HR = 1.22, 95%CI 1.00-1.48, p = 0.05). This association was driven by HER2-negative/luminal B-like and hormone receptor-positive/HER2-positive tumors. These findings highlight the need to develop more effective therapies for young patients with this metastatic subtype.

Identifiers

PMID40883313
PMCPMC12397373

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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.