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Is the sentinel lymph node biopsy more sensitive for the identification of positive lymph nodes in breast cancer than the axillary lymph node dissection?

Overview of attention for article published in SpringerPlus, June 2013
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Title
Is the sentinel lymph node biopsy more sensitive for the identification of positive lymph nodes in breast cancer than the axillary lymph node dissection?
Published in
SpringerPlus, June 2013
DOI 10.1186/2193-1801-2-275
Pubmed ID
Authors

Ann Smeets, Emi Yoshihara, Annouschka Laenen, Anneleen Reynders, Julie Soens, Hans Wildiers, Robert Paridaens, Chantal Van Ongeval, Giuseppe Floris, Patrick Neven, Marie-Rose Christiaens

Abstract

Since the routine clinical use of the sentinel lymph node (SLN) procedure, questions have been raised concerning an increase in the overall percentage of node-positive patients. The goal of our study was to compare the sensitivity of the SLN procedure and the axillary lymph node dissection (ALND) for the identification of positive lymph nodes in breast cancer. The incidence of axillary node metastasis in SLNB and ALND specimens from patients undergoing operative treatment of a primary breast carcinoma was compared retrospectively. Logistic regression models were used to analyze the effect of various predictors on the presence of positive lymph nodes. We constructed a multivariate model including the procedure and these predictors that have shown to be related to lymph node involvement in univariate analysis. The probability of finding positive lymph nodes was thus calculated in both groups correcting for relevant predictors of lymph node involvement. The SLNB group included 830 patients, the ALND group 320. In a multivariate analysis, adjusting for the number of foci, tumor location in the breast, tumor size, LVI, ER, PR, tumor grade and histological subtype, the probability of finding positive lymph nodes was higher with SLNB procedure than with an ALND. However, this difference was not statistically significant (OR 0.7635; CI 0.5334-1.0930, p 0.1404). For comparable tumors, SLNB procedure is at least as sensitive as ALND for detecting positive lymph nodes.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 8 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 1 13%
Unknown 7 88%

Demographic breakdown

Readers by professional status Count As %
Student > Master 3 38%
Student > Ph. D. Student 2 25%
Researcher 2 25%
Student > Bachelor 1 13%
Readers by discipline Count As %
Medicine and Dentistry 4 50%
Economics, Econometrics and Finance 2 25%
Pharmacology, Toxicology and Pharmaceutical Science 1 13%
Business, Management and Accounting 1 13%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 June 2013.
All research outputs
#20,195,877
of 22,713,403 outputs
Outputs from SpringerPlus
#1,461
of 1,852 outputs
Outputs of similar age
#172,253
of 196,666 outputs
Outputs of similar age from SpringerPlus
#69
of 77 outputs
Altmetric has tracked 22,713,403 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,852 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 77 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.