Evidence map›Paper›PMID 39696477›Full record

ArticleEuropean journal of medical research2024

Does T1c-2N0-1M0 triple negative breast cancer derive a benefit from neoadjuvant chemotherapy?

Ruiliang Chen, Yushuai Yu, Weiwei Chen, Wenfen Fu, Chuangui Song, Jie Zhang

Abstract read
In one paragraph

Article in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Ruiliang Chen *Department of Breast Surgery, Fujian Medical University Union Hospital, No.29, Xin Quan Road, Gulou District, Fuzhou, 350001, Fujian Province, China.
Yushuai Yu *Department of Breast Surgery, Clinical Oncology School, Fujian Medical University, Fujian Cancer Hospital, No.420, Fu Ma Road, Jinan District, Fuzhou, 350014, Fujian Province, China.
Weiwei Chen *Department of Thyroid and Breast Surgery, The First Hospital of Nanping City affiliated to Fujian Medical University, Fuzhou, 353000, Fujian Province, China.
Wenfen FuDepartment of Breast Surgery, Fujian Medical University Union Hospital, No.29, Xin Quan Road, Gulou District, Fuzhou, 350001, Fujian Province, China.
Chuangui SongDepartment of Breast Surgery, Clinical Oncology School, Fujian Medical University, Fujian Cancer Hospital, No.420, Fu Ma Road, Jinan District, Fuzhou, 350014, Fujian Province, China. Songcg1971@hotmail.com.
Jie ZhangDepartment of Breast Surgery, Fujian Medical University Union Hospital, No.29, Xin Quan Road, Gulou District, Fuzhou, 350001, Fujian Province, China. zjie1979@fjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough neoadjuvant chemotherapy (NCT) is a standard approach for operable triple negative breast cancer (TNBC), the potential risks brought by it should also be noticed. Is the expanding indication of NCT to T1cN0M0 population appropriate? We conducted an investigation to compare the long-term survival of small tumor TNBC between NCT and adjuvant chemotherapy (ACT).

methodsFor this propensity-matched analysis, we used data from Surveillance, Epidemiology, and End Results (SEER) database. We enrolled 1183 cases with NCT and 2550 cases with ACT who are AJCC clinical T1c-T2 N0-N1, diagnosed with invasive triple-negative breast cancer, from 2016 to 2017. The propensity score matching was utilized to minimize baseline characteristics bias. Hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated by the Cox proportional hazard regression model.

resultsCompared with patients receiving ACT, patients with NCT in this study presented a higher proportion of younger age, T2 stage, N1 stage, and underwent more mastectomy. Multivariate analysis in matched patients showed that NCT had no significant survival benefit compared with ACT in T1c-2N0-1M0 TNBC patients. Stratified analyses by T stage and N stage demonstrated NCT mainly presented a survival advantage in patients with N1 stage. Further investigation found that NCT didn't improve BCSS (HR, 0.472; 95% CI 0.135-1.647; P = 0.239) and OS (HR, 0.392; 95% CI 0.147-1.047; P = 0.062) for patients with T1cN0M0 TNBC; however, it was associated with improved OS (HR, 1.951; 95% CI 1.003-3.797; P = 0.049) only for patients with T2N1M0 TNBC.

conclusionsIn this study, we did not find any profit brought by NCT in the stage I and stage IIa cohorts, but even more unfavorable outcomes appeared in the T1cN0M0 cohort. Therefore, whether the candidates of NCT should be extended to T1cN0M0 still need to be cautious.

Indexed as

Neoadjuvant TherapyNeoplasm StagingTriple Negative Breast NeoplasmsAdultAgedChemotherapy, AdjuvantFemaleHumansMiddle AgedPropensity ScoreSEER ProgramBreast cancerChemotherapyNeoadjuvantSurvivalTriple negative

Identifiers

PMID39696477
PMCPMC11656945

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.