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Cited by 295

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Measures of Outcome in Metastatic Breast Cancer: Insights From a Real-World Scenario

Open access
Bonotto, Marta, Gerratana, Lorenzo, Poletto, Elena, Driol, Pamela, Giangreco, Manuela, Russo, Stefania, Minisini, Alessandro M., Andreetta, Claudia, Mansutti, Mauro, Pisa, Federica E., Fasola, Gianpiero, Puglisi, Fabio·2014·The Oncologist

Abstract

No gold standard treatment exists for metastatic breast cancer (MBC). Clinical decision making is based on knowledge of prognostic and predictive factors that are extrapolated from clinical trials and, sometimes, are not reliably transferable to a real-world scenario. Moreover, misalignment between endpoints used in drug development and measures of outcome in clinical practice has been noted. The roles of overall survival (OS) and progression-free survival (PFS) as primary endpoints in the context of clinical trials are the subjects of lively debate. Information about these parameters in routine clinical practice is potentially useful to design new studies and/or to interpret the results of clinical research. This study analyzed the impact of patient and tumor characteristics on the major measures of outcome across different lines of treatment in a cohort of 472 patients treated for MBC. OS, PFS, and postprogression survival (PPS) were analyzed. The study showed how biological and clinical characteristics may have different prognostic value across different lines of therapy for MBC. After first-line treatment, the median PPS of luminal A, luminal B, and human epidermal growth factor receptor 2 (HER2)-positive groups was longer than 12 months. The choice of OS as a primary endpoint for clinical trials could not be appropriate with these subtypes. In contrast, OS could be an appropriate endpoint when PPS is expected to be low (e.g., triple-negative subtype after the first line; other subtypes after the third line). The potential implications of these findings are clinical and methodological.

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Metadata

Authors
Bonotto, M., Gerratana, L., Poletto, E., Driol, P., Giangreco, M., Russo, S., Minisini, A. M., Andreetta, C., Mansutti, M., Pisa, F. E., Fasola, G., & Puglisi, F.
Venue
The Oncologist
Published
2014-05-02
Volume
19
Issue
6
Pages
608-615
ISSN
  • 1083-7159 (ISSN-L)
  • 1549-490X
OpenAlex
W2111495238
Cited by
295
References
38
FWCI
3.40
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Measures of Outcome in Metastatic Breast Cancer: Insights From a Real-World Scenario. https://app.cochat.ai/papers/10.1634/theoncologist.2014-0002
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Bonotto, M., Gerratana, L., Poletto, E., Driol, P., Giangreco, M., Russo, S., Minisini, A. M., Andreetta, C., Mansutti, M., Pisa, F. E., Fasola, G., & Puglisi, F. (2014). Measures of Outcome in Metastatic Breast Cancer: Insights From a Real-World Scenario. The Oncologist. https://doi.org/10.1634/theoncologist.2014-0002

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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