{"id":"https://openalex.org/W3211084948","doi":"https://doi.org/10.1177/00031348211050803","title":"Evaluation of the Axillary Surgery Performed in Clinically Node-Positive Breast Cancer Patients Following Neoadjuvant Chemotherapy","display_name":"Evaluation of the Axillary Surgery Performed in Clinically Node-Positive Breast Cancer Patients Following Neoadjuvant Chemotherapy","publication_year":2021,"publication_date":"2021-11-03","ids":{"openalex":"https://openalex.org/W3211084948","doi":"https://doi.org/10.1177/00031348211050803","mag":"3211084948","pmid":"https://pubmed.ncbi.nlm.nih.gov/34730447"},"language":"en","primary_location":{"id":"doi:10.1177/00031348211050803","doi":"https://doi.org/10.1177/00031348211050803","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00031348211050803","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon\u2122","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054470861","display_name":"Jane B. Pearce","orcid":"https://orcid.org/0009-0001-2970-0743","observed_orcids":["https://orcid.org/0009-0001-2970-0743"]},"institutions":[{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jane B. Pearce","raw_affiliation_strings":["Wake Forest University School of Medicine, Winston Salem, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wake Forest University School of Medicine, Winston Salem, NC, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003498864","display_name":"Fang\u2010Chi Hsu","orcid":"https://orcid.org/0000-0002-3310-184X","observed_orcids":["https://orcid.org/0000-0002-3310-184X"]},"institutions":[{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fang-Chi Hsu","raw_affiliation_strings":["Department of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036048438","display_name":"Marissa Michelle Howard-McNatt","orcid":"https://orcid.org/0000-0003-1228-3223","observed_orcids":["https://orcid.org/0000-0003-1228-3223"]},"institutions":[{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marissa M. Howard-McNatt","raw_affiliation_strings":["Department of Surgical Oncology, Wake Forest School of Medicine, Winston Salem, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgical Oncology, Wake Forest School of Medicine, Winston Salem, NC, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040292764","display_name":"Edward Allen Levine","orcid":"https://orcid.org/0000-0002-7683-9502","observed_orcids":["https://orcid.org/0000-0002-7683-9502"]},"institutions":[{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edward A. Levine","raw_affiliation_strings":["Department of Surgical Oncology, Wake Forest School of Medicine, Winston Salem, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgical Oncology, Wake Forest School of Medicine, Winston Salem, NC, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5038187631","display_name":"Akiko Chiba","orcid":"https://orcid.org/0000-0003-0303-2799","observed_orcids":["https://orcid.org/0000-0003-0303-2799"]},"institutions":[{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Akiko Chiba","raw_affiliation_strings":["Department of Surgical Oncology, Wake Forest School of Medicine, Winston Salem, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgical Oncology, Wake Forest School of Medicine, Winston Salem, NC, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.12852224,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":94},"biblio":{"volume":"88","issue":"4","first_page":"623","last_page":"627"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11885","display_name":"MRI in cancer diagnosis","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.7020000219345093},{"id":"https://openalex.org/keywords/axillary-surgery","display_name":"axillary surgery","score":0.777999997138977},{"id":"https://openalex.org/keywords/sentinel-lymph-node-biopsy","display_name":"sentinel lymph node biopsy","score":0.8769999742507935},{"id":"https://openalex.org/keywords/neoadjuvant-chemotherapy","display_name":"neoadjuvant chemotherapy","score":0.9980000257492065},{"id":"https://openalex.org/keywords/practice-patterns","display_name":"clinical practice patterns","score":0.777999997138977}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8604577779769897},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.706668496131897},{"id":"https://openalex.org/C2780212769","wikidata":"https://www.wikidata.org/wiki/Q776290","display_name":"Sentinel lymph node","level":4,"score":0.5589618682861328},{"id":"https://openalex.org/C2778292576","wikidata":"https://www.wikidata.org/wiki/Q6991934","display_name":"Neoadjuvant therapy","level":4,"score":0.5356649160385132},{"id":"https://openalex.org/C179671157","wikidata":"https://www.wikidata.org/wiki/Q2422612","display_name":"Sentinel node","level":4,"score":0.5300143957138062},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.510473370552063},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.4864906668663025},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.4840344786643982},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4757011830806732},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.46869802474975586},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4106298089027405},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39011070132255554},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.30098047852516174}],"mesh":[{"descriptor_ui":"D001365","descriptor_name":"Axilla","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008197","descriptor_name":"Lymph Node Excision","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008198","descriptor_name":"Lymph Nodes","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D008198","descriptor_name":"Lymph Nodes","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D009367","descriptor_name":"Neoplasm Staging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020360","descriptor_name":"Neoadjuvant Therapy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D021701","descriptor_name":"Sentinel Lymph Node Biopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/00031348211050803","doi":"https://doi.org/10.1177/00031348211050803","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00031348211050803","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon\u2122","raw_type":"journal-article"},{"id":"pmid:34730447","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34730447","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American surgeon","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.8100000023841858,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1555003755","https://openalex.org/W1966064734","https://openalex.org/W2012620884","https://openalex.org/W2041932893","https://openalex.org/W2084343791","https://openalex.org/W2084881550","https://openalex.org/W2086064725","https://openalex.org/W2087179076","https://openalex.org/W2103218083","https://openalex.org/W2138902655","https://openalex.org/W2155560234","https://openalex.org/W2172114428","https://openalex.org/W2214028082","https://openalex.org/W2428420154","https://openalex.org/W2474664935","https://openalex.org/W2774580734","https://openalex.org/W2891502262","https://openalex.org/W2988467912","https://openalex.org/W3021393735","https://openalex.org/W3091835242"],"related_works":["https://openalex.org/W2963947957","https://openalex.org/W2884927589","https://openalex.org/W2762734787","https://openalex.org/W4392285454","https://openalex.org/W4409574912","https://openalex.org/W4382394858","https://openalex.org/W2947351704","https://openalex.org/W2963822008","https://openalex.org/W4411357805","https://openalex.org/W2075608400"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,27,83],"American":[2],"College":[3],"of":[4,15,29,38,53,59,66,111,124,139,141,147],"Surgeons":[5],"Oncology":[6],"Group":[7],"Z1071":[8,167],"trial":[9],"in":[10,20,56,92,116,168],"2013":[11],"demonstrated":[12,120],"the":[13,35,57,64,98,117,122,137,145,151,164],"fesability":[14],"sentinel":[16,125],"lymph":[17,126],"node":[18,127],"biopsy":[19],"clinically":[21,70],"node-positive":[22,71],"patients":[23,113],"following":[24,63],"neoadjuvant":[25,75],"chemotherapy.":[26],"goal":[28],"this":[30,39],"study":[31,40,118],"was":[32,87,102],"to":[33,89,104,129,162],"determine":[34],"continued":[36,161],"impact":[37],"on":[41,150],"our":[42,169],"practice":[43,170],"pattern.":[44],"MATERIALS":[45],"AND":[46],"METHODS:":[47],"This":[48],"is":[49],"a":[50],"retrospective":[51],"review":[52],"institutional":[54],"changes":[55],"management":[58],"axillary":[60,131],"nodal":[61],"disease":[62,72,132],"publication":[65],"Z1071.":[67],"Patients":[68],"with":[69],"that":[73,121],"completed":[74],"chemotherapy":[76],"between":[77],"2014":[78],"and":[79,97,119,144],"2020":[80],"were":[81,114],"included.":[82],"Cocoran-Armitage":[84],"trend":[85],"test":[86],"used":[88,103],"analyze":[90,105],"change":[91],"categorical":[93],"variables":[94],"over":[95,134,155],"time,":[96],"Spearman's":[99],"rank":[100],"coefficient":[101],"two-ranked":[106],"variables.":[107],"RESULTS:":[108],"A":[109],"cohort":[110],"102":[112],"included":[115],"number":[123,138],"biopsies":[128,140],"evaluate":[130],"increased":[133,154],"time.":[135,156],"Additionally,":[136],"suspicious":[142],"nodes,":[143],"use":[146],"marker":[148],"clips":[149],"biopsied":[152],"nodes":[153],"CONCLUSION:":[157],"Our":[158],"institution":[159],"has":[160],"incorporate":[163],"result":[165],"from":[166],"patterns.":[171]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-11-08T00:00:00"}