Our meta-analysis used the random effect model due to the high heterogeneity (P = 0.0008, I2 = 79%) between studies and revealed that Twist expression did not correlate with DFS in breast cancer patients (HR, 1.27; 95% CI, 0.95–1.70; P = 0.11; Fig 2). Here, TWIST1 is linked to breast carcinoma.