Evidence map›Paper›PMID 41034805›Full record

ArticleBMC cancer2025

Epidemiology and outcomes associated with brain metastases among patients with metastatic breast cancer - a cohort study in US electronic health record data.

Della Varghese, Jenna Collins, Beth Nordstrom, Miguel Miranda, Brian Murphy, David Harland

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Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Della VargheseEpidemiology, Vaccines & Immune Therapies, AstraZeneca, Gaithersburg, MD, USA.
Jenna Collins, Evidera, Waltham, MA, USA.
Beth Nordstrom, Evidera, Waltham, MA, USA. beth.nordstrom@evidera.com.
Miguel MirandaStatistical Sciences, AstraZeneca, Cambridge, UK.
Brian Murphy, Evidera, Waltham, MA, USA.
David HarlandOncology Medical Affairs, AstraZeneca, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited real-world data on the prevalence of brain metastases (BM) in metastatic breast cancer (mBC) across the treatment pathway, especially when stratified by human epidermal growth factor receptor 2-positive (HER2+) or HER2-negative (HER2-) status. The goals of this study were to estimate the prevalence of BM at metastatic diagnosis and at the start of each line of systemic therapy (LOT), and to describe treatment patterns and overall survival (OS) in patients with and without BM.

methodsThis retrospective cohort study included adult patients in the US with mBC diagnosed between January 2013 - May 2020, with known HER2 status from an electronic health record-derived, deidentified database. Patients were followed from mBC diagnosis to last activity date or death. Descriptive statistics were used for BM prevalence, patient characteristics, and treatment patterns. OS was estimated using the Kaplan-Meier method.

resultsOf 12,644 patients with mBC in the database, 1923 (HER2+) and 9693 (HER2-) were included. The prevalence of BM at mBC diagnosis was 12.5% (HER2+) and 1.7% (HER2-). An NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines

conclusionsIn this real-world study of patients receiving care in US oncology clinics, the prevalence of BM in patients with mBC increased by LOT, and most were not receiving NCCN Guideline

Indexed as

Brain NeoplasmsBreast NeoplasmsAdultAgedAged, 80 and overElectronic Health RecordsErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedPrevalenceRetrospective StudiesUnited StatesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesBrain metastasesHER2-negativeHER2-positiveHuman epidermal growth factor receptor 2Metastatic breast cancerOutcomesPrevalenceReal worldSystemic therapy

Identifiers

PMID41034805
PMCPMC12486881

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