Clinical Edge Journal Scan

Avoiding delay in AHT may improve survival in HR-positive, ERBB2-negative early BC


 

Key clinical point: A delay in initiation of adjuvant hormone therapy (AHT) beyond 150 days was significantly associated with poor survival in patients with hormone receptor (HR)-positive/ human epidermal growth factor receptor 2 ( ERBB2)-negative breast cancer (BC) not receiving chemotherapy.

Major finding: Time to AHT (TTH) >150 days vs. ≤150 days was associated with an increased risk for death in the overall population (hazard ratio 1.31; P < .001).

Study details: Findings are from a population-based retrospective study including 144,103 patients with HR-positive/ ERBB2-negative early BC who received AHT without chemotherapy , of which 6.4% of patients experienced a delay in AHT initiation (TTH >150 days) and 93.6% initiated AHT on time (TTH ≤150 days).

Disclosures: This study was supported by the Natural Science Foundation of Fujian Province and the Fujian Provincial Health Technology Project. The authors declared no conflicts of interest.

Source: Fu F et al. Association of adjuvant hormone therapy timing with overall survival among patients with hormone receptor–positive human epidermal growth factor receptor-2–negative early breast cancer without chemotherapy. JAMA Netw Open. 2022;5(2):e2145934 (Feb 15). Doi: 10.1001/jamanetworkopen.2021.45934

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