Is Nottingham prognostic index useful after induction chemotherapy in operable breast cancer?
2003

Nottingham Prognostic Index After Chemotherapy in Breast Cancer

Sample size: 451 publication 10 minutes Evidence: high

Author Information

Author(s): Chollet P, Amat S, Belembaogo E, Curé H, de Latour M, Dauplat J, Le Bouëdec G, Mouret-Reynier M-A, Ferrière J-P, Penault-Llorca F

Primary Institution: Centre Jean Perrin

Hypothesis

Does the Nottingham prognostic index retain its prognostic value after induction chemotherapy in operable breast cancer?

Conclusion

The Nottingham prognostic index remains a significant prognostic tool after neoadjuvant chemotherapy in operable breast cancer.

Supporting Evidence

  • The Nottingham prognostic index was validated in this study for patients after chemotherapy.
  • Patients with a lower NPI score had better overall survival rates.
  • Residual tumor size and lymph-node involvement were significant prognostic factors.

Takeaway

This study looked at how well a scoring system called the Nottingham prognostic index works for breast cancer patients after they have had chemotherapy. It found that the score is still useful for predicting how patients will do.

Methodology

The study evaluated the prognostic value of residual tumor characteristics after neoadjuvant chemotherapy in 451 patients with operable breast cancer.

Potential Biases

Potential biases may arise from the retrospective nature of the analysis and the selection of patients.

Limitations

The study's findings may not be generalizable due to the specific patient population and treatment protocols used.

Participant Demographics

Median age was 49 years, with 54.8% premenopausal women and 79.6% having invasive ductal carcinoma.

Statistical Information

P-Value

0.0006

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601258

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