Evidence map›Paper›PMID 41609730›Full record

Observational studyCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2026

Sociodemographic Disparities in First-Line Treatment and Outcome Patterns in Women with HR+/HER2- Metastatic Breast Cancer.

Gregory A Vidal, Julie Katz, Natalia Sadetsky, Elizabeth C Dabrowski, Peter A Kaufman, Wendy Verret, Brian Stwalley, Kevin Kalinsky

Abstract readObservational Study
In one paragraph

Observational study in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2026. 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

8 authors.

Gregory A VidalClinical Research and Breast Oncology Program, Lee S Schwartzberg Research Center, West Cancer Center and Research Institute, Memphis, Tennessee.ORCID 0000-0003-3325-6224
Julie KatzReal World Evidence Oncology, Gilead Sciences, Inc., Foster City, California.ORCID 0009-0007-5527-2678
Natalia SadetskyReal World Evidence Oncology, Gilead Sciences, Inc., Foster City, California.ORCID 0000-0002-2469-468X
Elizabeth C DabrowskiScientific Engagement, Aetion, Inc., New York, New York.ORCID 0009-0009-0923-072X
Peter A KaufmanBreast Oncology, Division of Hematology/Oncology, University of Vermont Cancer Center, Burlington, Vermont.ORCID 0000-0003-3677-6807
Wendy VerretDepartment of Clinical Development, Gilead Sciences, Inc., Foster City, California.ORCID 0009-0002-8047-2173
Brian StwalleyDepartment of US Medical Affairs, Gilead Sciences, Inc., Foster City, California.ORCID 0009-0005-7313-045X
Kevin KalinskyDepartment of Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0002-3113-7902

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious factors such as race/ethnicity, practice settings, socioeconomic status (SES), and geographic region influence cancer outcomes. We describe treatment patterns and outcomes among women with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) metastatic breast cancer treated in the United States based on these factors.

methodsA retrospective, observational cohort study was conducted using the Flatiron Health Research Database of deidentified electronic health records in women ≥18 years in the United States who received first-line treatment for HR+/HER2- metastatic breast cancer from January 1, 2015, to February 28, 2023. Real-world overall survival (rwOS) and time to next treatment or death (rwTTNTD) were assessed using Kaplan-Meier methods.

resultsThe analysis included 6,974 women, who were most commonly non-Hispanic White (64%), lived in the South (37%), and received treatment in community settings (83%). From 2015 to 2019, the early uptake period of cyclin-dependent kinase 4/6 inhibitors (CDK4/6i), non-Hispanic White women were more likely to receive endocrine therapy (ET) + CDK4/6i compared with non-Hispanic Black and Hispanic/Latino women; ET + CDK4/6i was less common in lower (Q1-Q3) versus higher (Q4-Q5) SES quintiles and in community versus academic settings. These differences were less pronounced from 2020 to 2023. Non-Hispanic White women had significantly longer rwOS compared with non-Hispanic Black women but shorter rwOS compared with Hispanic/Latino women. rwOS was longer in academic versus community settings. No substantial differences in rwTTNTD were observed.

conclusionsWe observed disparities in first-line treatment and outcomes among women with HR+/HER2- metastatic breast cancer during a time of changes to the standard of care across racial/ethnic groups and practice settings. IMPACT: These findings emphasize the need for improved access to evidence-based therapies, particularly in underrepresented populations.

Indexed as

Breast NeoplasmsHealthcare DisparitiesAdultAgedBlack or African AmericanErb-b2 Receptor Tyrosine KinasesFemaleHispanic or LatinoHumansMiddle AgedReceptors, EstrogenReceptors, ProgesteroneRetrospective StudiesSocioeconomic Disparities in HealthUnited StatesWhiteERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID41609730
PMCPMC13040213

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.