Evidence map›Paper›PMID 42405610›Full record

ReviewJournal of breast cancer2026

2025 Update of the Taiwan Expert Consensus on Hormone Receptor-Positive Metastatic Breast Cancer Management.

Jiun-I Lai, Chih-Chiang Hung, Chin-Yao Lin, Chung-Liang Li, Wei-Pang Chung, Ching-Hung Lin, Cheng-Ping Yu, Ming-Yang Wang, Sung-Chao Chu, Chen-Teng Wu and 36 more

Abstract readReview
In one paragraph

Review in Journal of breast cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

46 authors.

Jiun-I LaiInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-8233-5466
Chih-Chiang HungDivision of Breast Surgery, Taichung Veterans General Hospital, Taichung City, Taiwan.ORCID https://orcid.org/0000-0002-7164-9179
Chin-Yao LinBreast Medicine Center, Taichung Tzu Chi Hospital, Taichung City, Taiwan.ORCID https://orcid.org/0000-0001-9670-5571
Chung-Liang LiDivision of Breast Surgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung City, Taiwan.ORCID https://orcid.org/0000-0001-5805-3859
Wei-Pang ChungDepartment of Oncology, National Cheng Kung University Hospital, Tainan City, Taiwan.ORCID https://orcid.org/0000-0001-8485-270X
Ching-Hung LinDepartment of Oncology, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0003-2403-4056
Cheng-Ping YuDepartment of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-0693-5056
Ming-Yang WangDepartment of Surgery, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0001-8941-010X
Sung-Chao ChuDivision of Hematology-Oncology, Department of Internal Medicine, Hualien Tzu Chi Hospital, Hualien City, Taiwan.ORCID https://orcid.org/0000-0002-2737-0787
Chen-Teng WuDivision of Breast Surgery, Department of Surgery, China Medical University Hospital, Taichung City, Taiwan.ORCID https://orcid.org/0000-0002-6086-3540
Kuo-Ting LeeDepartment of Surgery, National Cheng Kung University Hospital, Tainan City, Taiwan.ORCID https://orcid.org/0000-0001-8651-523X
Shyr-Ming Sheen-ChenTaipei Medical University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-6204-3706
Jyh-Cherng YuDivision of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.ORCID https://orcid.org/0009-0004-8298-0790
Zhi-Jie HongDivision of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-8414-2297
Chao-Ming HungDepartment of General Surgery, E-Da Cancer Hospital, Kaohsiung City, Taiwan.ORCID https://orcid.org/0000-0001-8524-2807
Chin-Sheng HungTaipei Cancer Center, Taipei Medical University, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-9515-2036
King-Jen ChangDepartment of Surgery, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0001-9811-3422
Chen-Hsiang ChangDepartment of Surgery, Tainan Sin-Lau Hospital, Tainan City, Taiwan.ORCID https://orcid.org/0009-0005-7486-0032
Yuan-Ching ChangBreast Medicine Center, MacKay Memorial Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0001-7625-606X
Hsien-Kun ChangDivision of Hematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan City, Taiwan.ORCID https://orcid.org/0000-0001-5767-0396
Dwan-Ying ChangDepartment of Oncology, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-3226-863X
Yao-Jen ChangDepartment of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.ORCID https://orcid.org/0009-0005-0891-7416
Wen-Hung KuoDepartment of Surgery, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-9881-4605
Wen-Ling KuoBreast Medicine Center, Chang Gung Memorial Hospital, Linkou, Taoyuan City, Taiwan.ORCID https://orcid.org/0000-0002-1145-8514
Shou-Tung ChenDivision of General Surgery, Changhua Christian Hospital, Changhua County, Taiwan.ORCID https://orcid.org/0000-0003-0638-6963
I-Chun ChenDepartment of Oncology, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0001-9342-7596
Fang-Ming ChenDivision of Breast Surgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung City, Taiwan.ORCID https://orcid.org/0000-0002-5192-2748
Shin-Cheh ChenCollege of Medicine, Chang Gung University, Taoyuan City, Taiwan.ORCID https://orcid.org/0000-0002-0177-0045
Wei-Wu ChenDepartment of Oncology, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0003-4112-4029
Dar-Ren ChenDivision of General Surgery, Changhua Christian Hospital, Changhua County, Taiwan.ORCID https://orcid.org/0000-0002-0897-4374
Ling-Ming TsengDivision of Breast Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-4648-6646
Yen-Dun TzengDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan.ORCID https://orcid.org/0000-0003-1502-0840
Chi-Cheng HuangDivision of Breast Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0003-4378-4776
Chiun-Sheng HuangDepartment of Surgery, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-6557-211X
Hsien-Tang YehDepartment of Surgery, Lotung Poh-Ai Hospital, Yilan County, Taiwan.ORCID https://orcid.org/0000-0003-2602-6463
Guo-Shiou LiaoDivision of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.ORCID https://orcid.org/0000-0003-1082-679X
Ta-Chung ChaoDivision of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0003-1451-1939
Tsu-Yi ChaoTaipei Cancer Center, Taipei Medical University, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-2850-5137
Liang-Chih LiuDivision of Breast Surgery, Department of Surgery, China Medical University Hospital, Taichung City, Taiwan.ORCID https://orcid.org/0009-0006-6148-5736
Chun-Yu LiuDepartment of Hematology & Oncology, Taipei Veterans General Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0003-2336-4731
Ching-Hua TsaiDivision of Breast Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan.ORCID https://orcid.org/0009-0005-4398-7225
Fiona Tsui-Fen ChengDepartment of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-3342-3291
Yen-Shen LuDepartment of Oncology, National Taiwan University Hospital, Taipei City, Taiwan.ORCID https://orcid.org/0000-0001-7461-1291
Ming-Shen DaiSchool of Medicine, National Defense Medical Center, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-3953-5243
Chi-Feng ChungDepartment of Medical Oncology, Koo Foundation Sun Yat-Sen Cancer Center, Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-1424-9822
Kun-Ming RauDivision of Hematology & Oncology, Department of Internal Medicine, E-Da Cancer Hospital, Kaohsiung City, Taiwan.ORCID https://orcid.org/0000-0002-1209-3043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hormone receptor-positive metastatic breast cancer remains a major clinical burden and is characterized by sequential endocrine resistance over the disease course. In 2023, the Taiwan Breast Cancer Society (TBCS) published an expert consensus to support real-world decision-making in Taiwan. Subsequently, rapid advances in biomarker-informed strategies (e.g., estrogen receptor 1 and PI3K/AKT pathway alterations), endocrine partners, estrogen receptor (ER)-targeting agents (including oral selective ER degraders and emerging protein degraders), and the expanding role of antibody-drug conjugates based on human epidermal growth factor receptor 2 expression categories have materially increased the complexity of treatment selection and sequencing. Therefore, TBCS convened an expert panel to update the previous consensus while preserving its foundational framework and eight-chapter structure: risk evaluation and biomarker testing (I/II), first-line treatment selection (I/II), second-line treatment selection (I/II), and treatment options other than endocrine-based approaches (I/II). A multidisciplinary panel conducted a systematic literature review and iterative discussions using a modified Delphi process to identify the key clinical questions, update and refine statements where new evidence was practice-changing, and maintain continuity with the 2023 Consensus. The panel formulated updated recommendations, assigned levels of evidence and strengths of recommendations, and the key updates were integrated into practical treatment algorithms reflecting Taiwan's practice considerations. This updated consensus provides a continuity-based, yet evidence-responsive framework to facilitate the integration of emerging therapies into clinical practice in Taiwan and the Asia-Pacific region.

Indexed as

Breast NeoplasmsImmunoconjugatesMolecular Targeted TherapyNeoplasm MetastasisTaiwan

Identifiers

PMID42405610
PMCPMC13338616

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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.