Open Access

Selection of breast cancer subtypes to improve benefits of intensive dose‑dense chemotherapy: A systematic meta‑analysis

  • Authors:
    • Dan Su
    • Tianqi Zhang
    • Huimin Huang
    • Xiaoyu Su
    • Ying Li
    • Xiuyan Wei
    • Yingshi Zhang
  • View Affiliations

  • Published online on: November 7, 2023     https://doi.org/10.3892/ol.2023.14136
  • Article Number: 4
  • Copyright: © Su et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Breast cancer (BC) is the most commonly diagnosed cancer and the second leading cause of cancer mortality among women worldwide. A large number of patients experience recurrence and BC‑associated mortality following adjuvant chemotherapy. The present study aimed to determine the most suitable pathological subtype of BC to benefit from intensive dose‑dense (DD) chemotherapy. A total of four electronic databases were searched from inception up to March 10, 2023. Randomized controlled trials (RCTs) and retrospective studies comparing DD chemotherapy with standard chemotherapy in patients with BC were included. Pairwise random effects and network meta‑analyses were performed to summarize efficacy and safety outcomes. A total of 27 original studies including 27,580 patients with BC were included. In terms of efficacy, the present study evaluated overall survival, disease‑free survival, event‑free survival, recurrence‑free survival, pathological complete response and objective remission rate. Significant differences were identified in overall, hormone receptor+ (HR+) and HR subgroups. Furthermore, from the network analysis, the HR+ and Her2 subgroups had the highest ranking, and these findings suggested that HR+/Her2 patients with BC should adhere to a treatment strategy including intensive DD chemotherapy, which is also characterized by an acceptable safety profile. In conclusion, patients with HR+ and Her2 BC were revealed to be the most suitable pathological type and are most likely to benefit from intense DD chemotherapy. The present study was registered with PROSPERO, CRD2022420351567.
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January-2024
Volume 27 Issue 1

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Copy and paste a formatted citation
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Spandidos Publications style
Su D, Zhang T, Huang H, Su X, Li Y, Wei X and Zhang Y: Selection of breast cancer subtypes to improve benefits of intensive dose‑dense chemotherapy: A systematic meta‑analysis. Oncol Lett 27: 4, 2024
APA
Su, D., Zhang, T., Huang, H., Su, X., Li, Y., Wei, X., & Zhang, Y. (2024). Selection of breast cancer subtypes to improve benefits of intensive dose‑dense chemotherapy: A systematic meta‑analysis. Oncology Letters, 27, 4. https://doi.org/10.3892/ol.2023.14136
MLA
Su, D., Zhang, T., Huang, H., Su, X., Li, Y., Wei, X., Zhang, Y."Selection of breast cancer subtypes to improve benefits of intensive dose‑dense chemotherapy: A systematic meta‑analysis". Oncology Letters 27.1 (2024): 4.
Chicago
Su, D., Zhang, T., Huang, H., Su, X., Li, Y., Wei, X., Zhang, Y."Selection of breast cancer subtypes to improve benefits of intensive dose‑dense chemotherapy: A systematic meta‑analysis". Oncology Letters 27, no. 1 (2024): 4. https://doi.org/10.3892/ol.2023.14136