Lighthouse Evidence
Breast Cancer · 126 de-identified patients in this pilot

Learn from other patients like yours

Lighthouse searches real-world records and works with you to support your decision making.

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How Lighthouse computes this

Your question is turned into a structured search (cancer site, stage, biomarkers, age, sex, treatments, and any subgroup split). Every number is computed directly from the patient records in the page; the AI only interprets the question and writes the summary from those computed numbers. Lighthouse filters the de-identified index to patients with the same primary cancer, then narrows by stage, biomarkers, age and sex. A criterion is relaxed, and labelled as relaxed, only when keeping it would leave fewer than 5 patients.

Alive at last follow-up
Patient not recorded as deceased at their most recent activity in the record. Follow-up length varies by patient and is shown as a median.
No documented distant progression
No new distant metastasis diagnosis (ICD-10 C78–C79) more than 90 days after the primary diagnosis.
New line within 12 months
A different systemic treatment class started more than 60 days and within 12 months after the first systemic treatment. Proxy for time to next treatment (TTNT).
Time-to-next-treatment curve
Kaplan–Meier estimate of staying on the first line of systemic therapy, censored at last follow-up.
Grade ≥3 neutropenia / anemia / thrombocytopenia
Any absolute neutrophil count below 1.0 ×10⁹/L, hemoglobin below 8.0 g/dL, or platelets below 50 ×10⁹/L within 12 months of starting systemic therapy (CTCAE lab thresholds). Denominator is patients with labs in that window.
G-CSF support
Any filgrastim or pegfilgrastim product ordered.
Confidence interval
95% Wilson score interval, shown as the shaded band. Cohorts under 5 patients show counts only.
Evidence strength
Insufficient (<5 patients), Limited (5–19), Moderate (20–99), Strong (100+), based on the patients who received the treatment you asked about.

Data: Lighthouse Data Solutions oncology pilot extract. De-identified under the HIPAA Expert Determination method (45 CFR 164.514(b)(1)); dates are reduced to months relative to diagnosis and ages are capped at 89. No identifiers are present in this tool.

Decision support, not a recommendation. Lighthouse summarizes what happened to similar patients in observational records. These results are not adjusted for confounding, do not establish that a treatment caused an outcome, and do not replace guidelines, tumor board review, or your clinical judgment.

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