Evidence map›Paper›PMID 41612655›Full record

ArticleJournal of breast cancer2026

Prognostic Evaluation of the Charlson Comorbidity Index for Breast Cancer Patients by Propensity Score Matching Analysis.

Yoshiaki Shinden, Yuka Eguchi, Hiroko Toda, Ayako Nagata, Akinori Oyabu, Rio Nakao, Naoki Hayashi, Yuki Nomoto, Koji Minami, Tadahiro Hirashima and 7 more

Abstract read
In one paragraph

Article in Journal of breast cancer, 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

17 authors.

Yoshiaki ShindenDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. yoshinden@gmail.com.ORCID https://orcid.org/0000-0003-1545-3697
Yuka EguchiDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-3993-4455
Hiroko TodaDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0009-0008-3827-2235
Ayako NagataDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0001-8735-3383
Akinori OyabuDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0009-0001-7668-0976
Rio NakaoDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0009-0003-3158-1557
Naoki HayashiDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-8471-1584
Yuki NomotoDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-1065-7124
Koji MinamiDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0009-0008-4799-8652
Tadahiro HirashimaDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0009-0003-3720-5763
Yota KawasakiDepartment of Digestive Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-2264-3619
Ken SasakiDepartment of Digestive Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-7305-0354
Heiji YoshinakaDepartment of Breast Surgery, Kagoshima City Hospital, Kagoshima, Japan.ORCID https://orcid.org/0009-0006-7335-3677
Tetsuhiro OwakiDepartment of Community-based Medicine Education Center for Doctors in Remote Island and Rural Areas, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-7394-2061
Akihide TanimotoDepartment of Pathology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0001-7508-1624
Takao OhtsukaDepartment of Digestive Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-2946-1092
Akihiro NakajoDepartment of Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-4322-9484

Funding

JSPS KAKENHI 23K08094
6 · The paper itself

Abstract

purposeThe Charlson Comorbidity Index (CCI) is associated with the prognosis of patients with breast cancer. However, comorbidities are often confounded by both age and treatment course; therefore, it is essential to eliminate the influence of these factors. We analyzed the relationship between CCI scores and breast cancer prognosis using propensity score matching (PSM).

methodsWe retrospectively analyzed 1,403 patients with primary breast cancer who underwent curative surgery. After PSM, 764 patients were selected for analysis of clinicopathological and prognostic factors.

resultsAfter PSM, prognosis was compared between groups according to several CCI cutoff values. No significant differences in disease-free survival or breast cancer-specific overall survival (OS) were observed according to the CCI score. Similarly, no significant differences in OS were observed between the high- and low-CCI groups at CCI cutoff values of 1 and 2. However, at a CCI cutoff value of 3, OS was significantly worse in patients with higher CCI scores.

conclusionAmong patients with breast cancer, those with CCI scores ≥ 3 often experience mortality due to diseases other than breast cancer.

Indexed as

Breast NeoplasmsComorbidityPrognosisPropensity Score

Identifiers

PMID41612655
PMCPMC12961321

What OpenQuestion holds

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Registered trials

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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.