Evidence map›Paper›PMID 41233330›Full record

ArticleNPJ breast cancer2025

Evolving incidence patterns for locally advanced operable breast cancer by receptor status: SEER 2010-2021.

Alexandra Thomas, Anthony Rhoads, Erica L Mayer, Seamus O'Reilly, Nadia Harbeck, Giuseppe Curigliano, Yang Zhou, Virginie Adam, Nancy Chan, Kristin M Conway and 4 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Alexandra ThomasDuke Cancer Institute, Duke University, Durham, NC, USA. alexandra.thomas@duke.edu.
Anthony RhoadsDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
Erica L MayerBreast Oncology Program, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Seamus O'ReillyCancer Trials Ireland, Royal College of Surgeons in Ireland, Dublin, Ireland.
Nadia HarbeckDepartment of OB&GYN and CCC Munich, Breast Center, LMU University Hospital, Munich, Germany.
Giuseppe CuriglianoEuropean Institute of Oncology, IRCCS, Milan, Italy.
Yang ZhouYale Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Virginie AdamBreast International Group, Brussels, Belgium.
Nancy ChanPerlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Kristin M ConwayDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
Michail IgnatiadisBreast Medical Oncology Clinic & Program; Institut Bordet, Hopital Universitaire de Bruxelles, Brussels, Belgium.
Kevin KalinskyWinship Cancer Institute at Emory University, Atlanta, GA, USA.
Angela DeMicheleAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Paul A RomittiDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor biologic risk has replaced anatomic disease burden for guiding chemotherapy use in HR-positive, early-stage breast cancer. Recent surgical trials support less frequent axillary lymph node dissection, potentially impacting incidence of N2-3 diagnoses. As the field considers applying genomic risk assessment tools for locally advanced, operable HR-positive breast cancer, we estimated current incidence of these cancers, focusing on HR-positive/HER2-negative disease. Of 486,031 cases recorded with Stage I-III HR-positive/HER2-negative disease in the U.S. National Cancer Institute Surveillance, Epidemiology, and End Results-17 database (2010-2021), 28,585 (5.9%) and 23,307 (4.8%) had N2-3M0(Any T) and T3-4N0-1M0 disease, respectively. Invasive lobular cancer, observed across all disease stages and receptor-based subtypes, was highest in HR-positive/HER2-negative locally advanced disease. Incidence of N2-3M0(Any T) decreased for each subtype. Incidence of T3-4N0-1M0 increased for HR-positive/HER2-negative disease but not for the other subtypes. Defining chemotherapy benefit for patients with locally advanced, operable HR-positive breast cancer remains an important clinical question.

Identifiers

PMID41233330
PMCPMC12615583

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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.