Patterns of Use of Docetaxel-Containing Adjuvant Chemotherapy Among Chinese Patients with Operable Breast Cancer: A Multicenter Observational Study

Xie, Hui; Liu, Jinping; Yu, Shiyou; Chen, Yiding; Zheng, Min; Deng, Yongchuan; Wang, Shu; Jiang, Jun; Li, Yafen; Li, Huiping; Kang, Hua; Zhang, Chunhui; Zhang, Guojun; Su, Fengxi; Cheng, Aiqun; Wang, Shui

doi:10.1007/s12325-018-0841-7

Cited by 5 publications

(2 citation statements)

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“…12,13 The main purpose of NACT is to establish a therapeutic strategy based on proven therapeutic efficacy and reduce the size of tumours and improve breast-conserving rates. 14,15 Although a number of NACT regimens have been used to treat the breast cancer, there is no internationally generally accepted NACT regimen for advanced breast carcinoma. 16,17 Therefore, it is necessary to seek some sensitive and effective indicators of breast carcinoma in order to improve the long-term survival and provide better treatment measures.…”

Section: Introductionmentioning

confidence: 99%

“…The application of neoadjuvant chemotherapy in breast cancer has attracted more and more attention as a result of increasing breast‐conserving surgery rate in patients who might have required a mastectomy at initial diagnosis and decreasing tumour stage to achieve surgical operation chance and not increasing post‐operative recurrence risk . The main purpose of NACT is to establish a therapeutic strategy based on proven therapeutic efficacy and reduce the size of tumours and improve breast‐conserving rates . Although a number of NACT regimens have been used to treat the breast cancer, there is no internationally generally accepted NACT regimen for advanced breast carcinoma .…”

Section: Introductionmentioning

confidence: 99%

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Pre‐treatment systemic immune‐inflammation index is a useful prognostic indicator in patients with breast cancer undergoing neoadjuvant chemotherapy

Chen

Kong

Wang

et al. 2020

J Cellular Molecular Medi

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The systemic immune‐inflammation index (SII = N × P/L) based on neutrophil (N), platelet (P) and lymphocyte (L) counts is used to predict the survival of patients with malignant tumours and can fully reflect the balance between host inflammatory and immune status. This study is conducted to explore the potential prognostic significance of SII in patients with breast cancer undergoing neoadjuvant chemotherapy (NACT). A total of 262 patients with breast cancer received NACT were enrolled in this study. According to the receiver operating characteristic curve, the optimal cut‐off value of SII was divided into two groups: low SII group (<602 × 109/L) and high SII group (≥602 × 109/L). The associations between breast cancer and clinicopathological variables by SII were determined by chi‐squared test or Fisher's exact test. The Kaplan‐Meier plots and log‐rank test were used to determine clinical outcomes of disease‐free survival (DFS) and overall survival (OS). The prognostic value of SII was analysed by univariate and multivariate Cox proportional hazards regression models. The toxicity of NACT was accessed by National Cancer Institute Common Toxicity Criteria (NCICTC). According to univariate and multivariate Cox regression survival analyses, the results showed that the value of SII had prognostic significance for DFS and OS. The patients with low SII value had longer DFS and OS than those with high SII value (31.11 vs 40.76 months, HR: 1.075, 95% CI: 0.718‐1.610, P = .006; 44.47 vs 53.68 months, HR: 1.051, 95% CI: 0.707‐1.564, P = .005, respectively). The incidence of DFS and OS in breast cancer patients with low SII value was higher than that in those patients with high SII value in 3‐, 5‐ and 10‐year rates. The common toxicities after NACT were haematological and gastrointestinal reaction, and there were no differences by SII for the assessment of side effects of neoadjuvant chemotherapy. Meanwhile, the results also proved that breast cancer patients with low SII value and high Miller and Payne grade (MPG) survived longer than those breast cancer with high SII value and low MPG grade. In patients without lymph vessel invasion, these breast cancer patients with low SII value had better prognosis and lower recurrence rates than those with high SII value. Pre‐treatment SII with the advantage of reproducible, convenient and non‐invasive was a useful prognostic indicator for breast cancer patients undergoing neoadjuvant chemotherapy and is a promising biomarker for breast cancer on treatment strategy decisions.

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