Evidence map›Paper›PMID 41832363›Full record

ArticleAnnals of surgical oncology2026

Impact of Age on Use of Neoadjuvant Chemoimmunotherapy and Outcomes for Patients with Triple-Negative Breast Cancer.

Zachary Schrank, Kelsey Landrum, Chris B Agala, Kristalyn K Gallagher, David W Ollila, Philip M Spanheimer, Julia M Selfridge

Abstract read
In one paragraph

Article in Annals of surgical 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

7 authors.

Zachary SchrankDivision of Surgical Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Kelsey LandrumDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Chris B AgalaDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Kristalyn K GallagherDivision of Surgical Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
David W OllilaDivision of Surgical Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Philip M SpanheimerDivision of Surgical Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Julia M SelfridgeDivision of Surgical Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA. Julia_Selfridge@med.unc.edu.ORCID http://orcid.org/0000-0002-7001-223X

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
UNC Integrated Translational Oncology Program (UNC-iTOP)T32CA244125 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WILLIAM Y. KIM, Jen Jen Yeh · 2019 to 2026
$3.9M
Repurposing RET Inhibitors for Endocrine Resistant Breast CancerK08CA280388 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Philip M. Spanheimer · 2023 to 2026
$812k
NCI NIH HHS K08 CA280388NCI NIH HHS P30 CA016086NCI NIH HHS T32 CA244125NIH HHS K08CA280388NIH HHS T32-CA244125
6 · The paper itself

Abstract

backgroundFollowing KEYNOTE-522, there is limited population-level data regarding the use and outcomes of neoadjuvant chemoimmunotherapy (NACI) for triple-negative breast cancer (TNBC) management across patient ages. We examined trends in the use of NACI and neoadjuvant chemotherapy (NAC) without immunotherapy in TNBC patients stratified by age groups and impact on pathological complete response (pCR) and overall survival (OS).

methodsAdult women with nonmetastatic TNBC who underwent NAC/NACI between 2012 and 2022 were selected from the National Cancer Database. These patients were compared overall and stratified by age group (< 50 years, 50-70 years, and >70 years) based on receipt of NACI or NAC.

resultsA total of 56,606 patients were included. Use of NACI significantly increased from 2012 to 2022 with a concomitant decrease in NAC (p < 0.0001), although women >70 years received significantly less NACI in 2022 than other age groups (p < 0.0001). Women had greater pCR rates in the breast and axillary lymph nodes with NACI compared with NAC overall (relative risk 1.405, p < 0.0001), with women >70 years receiving the greatest benefit (relative risk 1.56, p < 0.0001). All women had greater OS with NACI over NAC (hazard ratio 0.704, p < 0.0001), especially women 50-70 years.

conclusionsUse of NACI for TNBC patients has increased over the past decade. NACI was associated with higher pCR rates and greater OS over NAC in all women, especially > 70 years. These data suggest that older TNBC patients may achieve significant clinical benefit from this regimen.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsImmunotherapyNeoadjuvant TherapyTriple Negative Breast NeoplasmsAdultAgedAge FactorsChemotherapy, AdjuvantFemaleFollow-Up StudiesHumansMiddle AgedPathologic Complete ResponsePrognosisSurvival RateAgeImmune checkpointNeoadjuvantTriple-negative breast cancer

Identifiers

PMID41832363
PMCPMC13153786

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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.