Evidence map›Paper›PMID 41869667›Full record

ArticleFrontiers in oncology2026

Association between baseline hemoglobin levels and pathological complete response in 404 female breast cancer patients undergoing neoadjuvant therapy in Western Guangdong region: a retrospective cohort study.

Lixia Li, Jiacheng Yang, Huijie Deng, Biyao Zhang, Guangyu Zheng, Yuzhi Wu, Ziheng Yang, Yuzhou Wang, Zhongcheng Liang, Yuanqi Zhang

Abstract read
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Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Lixia Li *Cancer Hospital, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Jiacheng Yang *Cancer Hospital, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Huijie DengCancer Hospital, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Biyao ZhangCancer Hospital, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Guangyu ZhengCancer Hospital, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Yuzhi WuMedical Oncology Department II, Central Hospital of Guangdong Nongken, Zhanjiang, China.
Ziheng YangDepartment of Oncology, Maoming People's Hospital, Maoming, China.
Yuzhou WangCancer Hospital, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Zhongcheng LiangDepartment of Breast Surgery, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Yuanqi ZhangDepartment of Breast Surgery, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer is the most common female malignancy globally and a leading cause of cancer-related death. In China, an estimated 350,000 new cases were reported in 2022, with more than 65% of patients aged ≤35 years diagnosed at stage II or higher. Neoadjuvant therapy (NAT) is recommended by NCCN guidelines for operable breast cancer with clinical stage ≥T2, node-positive, HER2-positive, or triple-negative disease. Achieving pathological complete response (pCR) after NAT is associated with improved event-free survival (EFS), but benefits vary widely, underscoring the need for predictive biomarkers. Objective: To evaluate the association between baseline hemoglobin (Hb) levels and pCR and EFS in female breast cancer patients from Western Guangdong, China. Method: This retrospective study included 404 invasive breast cancer patients who received NAT between 2014 and 2024. Multivariate logistic regression and Cox models were used to assess Hb's relationship with pCR and EFS. Dose-response was analyzed using restricted cubic splines. Patients were stratified by Hb tertiles: Q1 (<123 g/L), Q2 (123-133 g/L), Q3 (>133 g/L). Kaplan-Meier curves were generated for survival analysis. Results: The pCR rate was 37.1%. Each 1 g/L increase in Hb was associated with a 2% increase in pCR probability (OR = 1.02, 95% CI: 1.01-1.04). Subgroup analyses confirmed consistency across molecular subtypes, menopausal status, and BMI. Multivariate Cox analysis showed each 1 g/L Hb increase reduced event risk by 2% (HR = 0.98, 95% CI: 0.97-0.99). During median follow-up, 83 (20.5%) patients had events; EFS differed significantly across Hb tertiles (log-rank P < 0.001). Conclusion: Baseline Hb demonstrates a significant linear positive correlation with pCR and EFS, supporting its potential as a simple, low-cost biomarker for predicting NAT benefit in breast cancer patients.

Indexed as

breast cancerhemoglobinneoadjuvant therapypathological complete responseprognosis

Identifiers

PMID41869667
PMCPMC13002421

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