Evidence map›Paper›PMID 40925271›Full record

SynthesisAmerican journal of surgery2025

Risk assessment tools for women with breast atypia: A systematic review.

Tori C Nierenberg, Juliet C Dalton, Rylan Howell, Samantha Kaplan, Akiko Chiba, Ton Wang, Jennifer K Plichta

Abstract readSystematic Review
In one paragraph

Synthesis in American journal of surgery, 2025. 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. Review
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.

Tori C NierenbergDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Juliet C DaltonDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Rylan HowellUniversity of Nevada, Reno School of Medicine, Reno, NV, USA.
Samantha KaplanMedical Center Library, Duke University, Durham, NC, USA.
Akiko ChibaDepartment of Surgery, Duke University Medical Center, Durham, NC, USA; Duke Cancer Institute, Durham, NC, USA.
Ton WangDepartment of Surgery, Duke University Medical Center, Durham, NC, USA; Duke Cancer Institute, Durham, NC, USA.
Jennifer K PlichtaDepartment of Surgery, Duke University Medical Center, Durham, NC, USA; Duke Cancer Institute, Durham, NC, USA; Department of Population Health Sciences, Duke University Medical Center, Durham, NC, USA. Electronic address: Jennifer.Plichta@duke.edu.

Funding

Building Interdisciplinary Research Careers in Women's Health (K12) - Administrative SupplementK12AR084231 · NIAMS · DUKE UNIVERSITY · PI Cindy Amundsen · 2023 to 2026
$2.5M
NIAMS NIH HHS K12 AR084231
6 · The paper itself

Abstract

backgroundBreast atypia is a benign breast disease found in a minority of percutaneous biopsies and is associated with an increased risk of breast cancer. Risk assessment calculators/tools have variable performance in this subgroup. We systematically reviewed tools developed or validated for women with breast atypia to guide clinicians and inform future model development.

methodsWe searched three databases for original studies published prior to November 13, 2023, that investigated the development or validation of risk assessment tools in atypia patients. PROBAST was used to assess the risk of bias and applicability.

resultsFrom 6252 records, 12 studies (1993-2022) were included (91.6 ​% U.S.-based; median sample size 540). The Gail model (C-index 0.5) and Tyrer-Cuzick model (0.49-0.54) performed poorly. Newer models demonstrated improved calibration (0.59-0.68), though 41.6 ​% had high risk of bias.

conclusionsCurrent tools inadequately predict breast cancer risk in atypia patients. Novel, population-specific models are needed.

Indexed as

BreastBreast NeoplasmsFemaleHumansRisk AssessmentAtypiaBreast cancerRisk assessmentSystematic reviewTool

Identifiers

PMID40925271
PMCPMC12441980

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.