Evidence map›Paper›PMID 21034276›Full record

ArticleJournal of women's health (2002)2011

Implications of mobility impairment on the diagnosis and treatment of breast cancer.

Lisa I Iezzoni, Elyse R Park, Kerry L Kilbridge

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Increasing Diversity of Patients in Radiation Oncology Clinical Trials.International journal of radiation oncology, biology, physics · 2023
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  12. WeCanConnect: Development of a Community-Informed mHealth Tool for People with Disabilities and Cancer.Progress in community health partnerships : research, education, and action · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Lisa I IezzoniMongan Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Department of Medicine, Boston, MA 02114, USA. liezzoni@partners.org
Elyse R Park
Kerry L Kilbridge
Harvard University · US

Funding

Early-Stage Breast Cancer Treatment Decisions by Women with Physical DisabilitiesR21CA122130 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI IEZZONI, LISA I · 2006 to 2007
$355k
NCI NIH HHS R21 CA122130
6 · The paper itself

Abstract

backgroundAmong women with chronic, preexisting mobility impairments, we sought to explore how their mobility difficulties affected the diagnosis and treatment of early-stage breast cancer

methodsThis is a qualitative analysis of transcripts from in-depth in-person or telephone interviews with 20 English-speaking women who had early-stage breast cancer, were <60 years of age, and had chronic difficulty walking or used wheeled mobility aids at the time of their breast cancer diagnoses

resultsNine women were disabled by polio as children or had postpolio syndrome, 3 had cerebral palsy, 3 had spinal cord injury, and 5 had other conditions. Most women reported difficulty obtaining mammograms, primarily because of inaccessible equipment, positioning problems, and difficulties with uncontrollable movements. Many women made decisions about surgical approach and chemotherapy by explicitly considering how various therapies would affect their arms, which are essential to their mobility (they use ambulation aids, self-propel manual wheelchairs, or otherwise rely on their arms for mobility or safety). Managing at home after surgery posed major mobility challenges, especially for women who lived alone. Several women reported feeling they suffered more chemotherapy side effects than do women without mobility problems. Weight gains with endocrine therapy compromised the mobility of several women.

conclusionsIncreasing numbers of American women are living with mobility disabilities and entering age ranges with increased risks of breast cancer. Mobility impairments can affect women at every point during early-stage breast cancer diagnosis, therapy, and recovery. Clinicians must consider women's mobility functioning in making therapeutic recommendations to women with impaired mobility who develop breast cancer.

Indexed as

Activities of Daily LivingBreast NeoplasmsMobility LimitationSocial SupportAdultAgedEducational StatusFemaleHumansInterviews as TopicMammographyMarital StatusMiddle AgedNeoplasm StagingPersons with DisabilitiesPhysical Examination

Identifiers

PMID21034276
PMCPMC3052272
OpenAlexW2047799829

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.