Source:http://linkedlifedata.com/resource/pubmed/id/16257797
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2005-10-31
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pubmed:abstractText |
Over the past two decades, several studies have suggested that regimens that contain anthracyclines are more effective than those that do not. A meta-analysis by the 2005 Early Breast Cancer Trialists' Collaborative Group confirmed that about 6 months of anthracycline-based polychemotherapy in the adjuvant setting reduced the yearly death rate from breast cancer by about 38% for women younger than 50 years and by 20% for women aged 50-69 years. Although this meta-analysis found that survival was better with regimens that contain anthracycline than with regimens based on cyclophosphamide, methotrexate, and fluorouracil, the best use of anthracycline-based regimens remains unclear. Adjuvant regimens in use can be categorised into three groups: standard-dose anthracycline; escalated-dose epirubicin; and anthracyclines and taxanes. The duration of treatment and combination of dose and drugs varies between these three categories. We reviewed the three types of regimen to establish which provide a better outcome in terms of safety, efficacy, cost, and convenience to patients. We found that both escalated-dose epirubicin and anthracycline-taxane regimens were most effective in terms of disease-free survival and overall survival. Of the specific anthracycline-based regimens, the docetaxel, doxorubicin, and cyclophosphamide regimen (TAC); the fluorouracil, 100 mg epirubicin, and cyclophosphamide regimen (FEC100); and the cyclophosphamide, epirubicin, and fluorouracil regimen (CEF) produced the greatest proportional decreases in 5-year death rate.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Cyclophosphamide,
http://linkedlifedata.com/resource/pubmed/chemical/Doxorubicin,
http://linkedlifedata.com/resource/pubmed/chemical/Epirubicin,
http://linkedlifedata.com/resource/pubmed/chemical/Fluorouracil,
http://linkedlifedata.com/resource/pubmed/chemical/Methotrexate,
http://linkedlifedata.com/resource/pubmed/chemical/Taxoids
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
1470-2045
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
6
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
886-98
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:16257797-Aged,
pubmed-meshheading:16257797-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:16257797-Breast Neoplasms,
pubmed-meshheading:16257797-Chemotherapy, Adjuvant,
pubmed-meshheading:16257797-Cyclophosphamide,
pubmed-meshheading:16257797-Disease-Free Survival,
pubmed-meshheading:16257797-Doxorubicin,
pubmed-meshheading:16257797-Epirubicin,
pubmed-meshheading:16257797-Female,
pubmed-meshheading:16257797-Fluorouracil,
pubmed-meshheading:16257797-Humans,
pubmed-meshheading:16257797-Methotrexate,
pubmed-meshheading:16257797-Middle Aged,
pubmed-meshheading:16257797-Randomized Controlled Trials as Topic,
pubmed-meshheading:16257797-Taxoids
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pubmed:year |
2005
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pubmed:articleTitle |
Selection of adjuvant chemotherapy for treatment of node-positive breast cancer.
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pubmed:affiliation |
Division of Medical Oncology and Haematology, Toronto Sunnybrook Regional Cancer Centre, University of Toronto, Ontario, Canada. Maureen.Trudeau@sw.ca
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
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