Evidence map›Paper›PMID 40938309›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2025

Impact of Postpartum Diagnosis on Survival of Women with Inflammatory Breast Cancer.

Jennifer H Chen, Rebecca S Slack Tidwell, Megumi Kai, Anthony Lucci, Wendy A Woodward, Helen M Johnson, MDACC Inflammatory Breast Cancer Team

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive 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.

Jennifer H ChenDepartment of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-5281-3036
Rebecca S Slack TidwellMorgan Welch Inflammatory Breast Cancer Research Program and Clinic, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-3041-8582
Megumi KaiMorgan Welch Inflammatory Breast Cancer Research Program and Clinic, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-2270-8793
Anthony LucciDepartment of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-4039-174X
Wendy A WoodwardMorgan Welch Inflammatory Breast Cancer Research Program and Clinic, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-7935-739X
Helen M JohnsonDepartment of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-7841-5298
MDACC Inflammatory Breast Cancer Team

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
TRAINING OF ACADEMIC SURGICAL ONCOLOGISTST32CA009599 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Ashley M Holder, Jennifer A. Wargo · 1988 to 2026
$13.2M
Molecular Determinants of Inflammatory Breast CancerR01CA264529 · NCI · DUKE UNIVERSITY · PI DEVI, GAYATHRI · 2021 to 2025
$2.5M
National Cancer Institute (NCI) 1R01CA264529-03National Institutes of Health (NIH) NIH T32 CA 009599NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA264529NCI NIH HHS T32 CA009599Susan G. Komen (SGK) OG220001U.S. Department of Defense (DOD) W81XWH2110177
6 · The paper itself

Abstract

backgroundPostpartum diagnosis of breast cancer confers increased risk of metastasis and death, possibly because of protumorigenic pathways that occur after weaning. We sought to evaluate the impact of postpartum diagnosis on survival in patients with inflammatory breast cancer (IBC).

methodsWe performed a retrospective analysis of patients with nonmetastatic IBC enrolled in a prospective registry (2007-2023). Kruskal-Wallis, χ2, and Fisher exact tests were used to compare between postpartum groups. The Kaplan-Meier method and log-rank tests were used for survival estimates.

resultsAmong 320 patients with IBC, 25 (7.8%) were nulliparous, 31 (9.7%) were 0 to 5 years postpartum, 26 (8.1%) were 6 to 10 years postpartum, 56 (17.5%) were 11 to 20 years postpartum, and 182 (56.9%) were >20 years postpartum. Groups were similar with respect to race/ethnicity, body mass index, grade, receptor subtype, stage, trimodality therapy receipt, and pathologic complete response rate. At a median follow-up of 77 months (95% confidence interval, 69.3-86.5), there were no significant differences in overall survival, progression-free survival, and locoregional and distant recurrence-free survival by postpartum status. On multivariable analysis, parity status and years postpartum were not significantly associated with survival outcomes after controlling for age, stage, and receptor subtype.

conclusionsIn this cohort of patients with IBC with a high proportion of childbearing, postpartum diagnosis did not significantly affect survival outcomes. The aggressive biology of IBC may override any additional risks imposed by a postpartum diagnosis. IMPACT: Unlike in noninflammatory invasive breast cancer, postpartum diagnosis did not negatively affect prognosis in IBC. These findings highlight the continuing need to identify unique drivers of aggressive biology in IBC.

Indexed as

Inflammatory Breast NeoplasmsPostpartum PeriodAdultFemaleHumansMiddle AgedPrognosisProspective StudiesRetrospective Studies

Identifiers

PMID40938309
PMCPMC12536895

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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.