Evidence map›Paper›PMID 41147992›Full record

ArticleWorld journal of surgery2025

Survival Outcomes in Breast Cancer Patients With Metastatic Bone Disease.

Gerard J Hill, Aisling Hegarty, Gavin P Dowling, Sandra Hembrecht, Gordon R Daly, Trudi Roche, Eithne Downey, Michael Allen, Colm Power, Nuala Healy and 2 more

Abstract read
In one paragraph

Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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.

Gerard J HillDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Aisling HegartyDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0002-4514-3334
Gavin P DowlingDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Sandra HembrechtDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Gordon R DalyDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Trudi RocheDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Eithne DowneyBeaumont RCSI Cancer Centre, Beaumont Hospital, Dublin, Ireland.
Michael AllenDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Colm PowerDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Nuala HealyBeaumont RCSI Cancer Centre, Beaumont Hospital, Dublin, Ireland.
Leonie S YoungDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Arnold D K HillDepartment of Surgery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the survival outcomes of breast cancer patients with metastatic bone disease and to assess whether these patients exhibit different prognoses compared to those with more extensive metastatic involvement.

backgroundSystemic therapy including endocrine therapy, chemotherapy and targeted agents remains the cornerstone of treatment for patients with stage IV breast cancer, particularly those with bone metastases. Palliative radiotherapy also plays a key role in bone metastases, especially for symptom control and managing skeletal and complications. Although these modalities have significantly improved outcomes, the prognostic variation among patients with bone-only disease-ranging from solitary to widespread metastases-warrants further investigation. This study aims to evaluate survival outcomes among breast cancer patients with varying patterns of bone metastases.

methodsThis retrospective cohort study analyzed data from 4000 breast cancer patients treated between 2006 and 2024. Patients were evaluated for bone metastases, which were confirmed through imaging reviewed via the Picture Archiving and Communication System (PACS). Patients with confirmed bone metastases were categorized into solitary, oligometastatic (2-5 sites), or multiple metastases groups. Data on demographics, tumor characteristics, treatment regimens, surgery types, and survival outcomes were collected. Survival analyses were conducted using Kaplan-Meier curves and compared using log-rank tests.

resultsOne hundred and eighty-seven patients with metastatic bone disease were identified. 21 patients had solitary bone metastases only with a mean survival of 14.6 years. Additionally, 30 patients had oligometastatic bone disease only with a mean survival of 7 years. Another 31 patients had multiple bone only metastases, with also a mean survival of 7 years. Finally, 105 of the 187 patients had other metastases alongside bone metastases in other organs including the lung, liver, and brain with a mean survival of 6.3 years.

conclusionThese findings suggest that patients with bone-only metastases, particularly those with solitary lesions, exhibit significantly longer survival. Although systemic therapy remains the standard these findings suggest that patients with bone-only metastases, particularly those with solitary lesions, exhibit significantly longer survival. Although systemic therapy remains the standard, these findings highlight the need for further research into whether selected patients may benefit from integrating local treatment approaches, including surgery, into their management.

Indexed as

Bone NeoplasmsBreast NeoplasmsAdultAgedAged, 80 and overFemaleHumansMiddle AgedPrognosisRetrospective StudiesSurvival Ratebone metastasisbreast cancersurvival

Identifiers

PMID41147992
PMCPMC12690001

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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.