Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

126 questions · 128 findings · 17 reviews · Breast Cancer

No studies found 5 · 3.9%GRADE not reported 5 · 3.9%Very low 20 · 15.6%Low 21 · 16.4%Moderate 36 · 28.1%High 41 · 32%

High‐dose chemotherapy vs chemotherapy without bone marrow transplant or stem cell rescue

Overall survival at 5‐year · women with early poor prognosis breast cancer

High‐dose chemotherapy showed no clear difference in overall survival at 5‐year compared with chemotherapy without bone marrow transplant or stem cell rescue (high certainty).

1 finding from 1 review

High‐dose chemotherapy vs chemotherapy without bone marrow transplant or stem cell rescue

Event‐free survival · women with early poor prognosis breast cancer

High‐dose chemotherapy showed no clear difference in event‐free survival at 5‐year compared with chemotherapy without bone marrow transplant or stem cell rescue (high certainty).

1 finding from 1 review

High‐dose chemotherapy vs chemotherapy without bone marrow transplant or stem cell rescue

Treatment‐related mortality · women with early poor prognosis breast cancer

High‐dose chemotherapy leads to higher treatment‐related mortality compared with chemotherapy without bone marrow transplant or stem cell rescue (high certainty).

1 finding from 1 review

High‐dose chemotherapy vs chemotherapy without bone marrow transplant or stem cell rescue

Second cancers at 4 ‐ 9‐year median · women with early poor prognosis breast cancer

High‐dose chemotherapy showed no clear difference in second cancers at 4 ‐ 9‐year median compared with chemotherapy without bone marrow transplant or stem cell rescue (high certainty).

1 finding from 1 review

Hypofractionated radiation therapy vs conventionally fractionated radiation therapy

Local recurrence‐free survival · women treated with breast conserving therapy for early breast cancer

Hypofractionated radiation therapy showed no clear difference in local recurrence‐free survival (LR‐FS) at 10 years compared with conventionally fractionated radiation therapy (high certainty).

1 finding from 1 review

Hypofractionated radiation therapy vs conventionally fractionated radiation therapy

Mortality at 10 years · women treated with breast conserving therapy for early breast cancer

Hypofractionated radiation therapy showed no clear difference in mortality at 10 years compared with conventionally fractionated radiation therapy (high certainty).

1 finding from 1 review

Hypofractionated radiation therapy vs conventionally fractionated radiation therapy

Late subcutaneous toxicity · women treated with breast conserving therapy for early breast cancer

Hypofractionated radiation therapy showed no clear difference in late subcutaneous toxicity compared with conventionally fractionated radiation therapy (high certainty).

1 finding from 1 review

Hypofractionated radiation therapy vs conventionally fractionated radiation therapy

Breast cancer‐specific survival · women treated with breast conserving therapy for early breast cancer

Hypofractionated radiation therapy showed no clear difference in breast cancer‐specific survival (BC‐SS) at 10 years compared with conventionally fractionated radiation therapy (high certainty).

1 finding from 1 review

Hypofractionated radiation therapy vs conventionally fractionated radiation therapy

Proportion of participants with relapse‐free survival at ≥ 12 months · women treated with breast conserving therapy for early breast cancer

Hypofractionated radiation therapy showed no clear difference in relapse‐free survival (RFS) at 10 years compared with conventionally fractionated radiation therapy (moderate certainty).

1 finding from 1 review

Intervention not reported

Overall survival (OS) · HER2‐positive early breast cancer patients

The intervention leads to lower overall survival (OS) (high certainty).

1 finding from 1 review

Intervention not reported

Disease free survival (DFS) · HER2‐positive early breast cancer patients

The intervention leads to lower disease free survival (DFS) (high certainty).

1 finding from 1 review

Intervention not reported

Congestive heart failure (CHF) · HER2‐positive early breast cancer patients

The intervention leads to higher congestive heart failure (CHF) (high certainty).

1 finding from 1 review

Intervention not reported

Left ventricular ejection fraction decline (LVEF) · HER2‐positive early breast cancer patients

The intervention probably leads to higher left ventricular ejection fraction decline (LVEF) (moderate certainty).

1 finding from 1 review

Intervention not reported

Brain metastasis as first site of relapse · HER2‐positive early breast cancer patients

The intervention may leads to higher brain metastasis as first site of relapse (low certainty).

1 finding from 1 review

Capecitabine‐containing regimens vs non‐capecitabine‐containing regimens or no chemotherapy

Disease-free survival · patients with early breast cancer

Capecitabine‐containing regimens showed no clear difference in disease‐free survival (DFS)median compared with non‐capecitabine‐containing regimens or no chemotherapy (moderate certainty).

1 finding from 1 review

Capecitabine‐containing regimens vs non‐capecitabine‐containing regimens or no chemotherapy

DFS: hormone receptor‐positivemedian · patients with early breast cancer

Capecitabine‐containing regimens showed no clear difference in DFS: hormone receptor‐positivemedian compared with non‐capecitabine‐containing regimens or no chemotherapy (moderate certainty).

1 finding from 1 review

Capecitabine‐containing regimens vs non‐capecitabine‐containing regimens or no chemotherapy

DFS: hormone receptor‐negativemedian · patients with early breast cancer

Capecitabine‐containing regimens probably leads to lower DFS: hormone receptor‐negativemedian compared with non‐capecitabine‐containing regimens or no chemotherapy (moderate certainty).

1 finding from 1 review