Evidence map›Paper›PMID 23575918›Full record

Trial reportCancer2013

Time course of arthralgia among women initiating aromatase inhibitor therapy and a postmenopausal comparison group in a prospective cohort.

Liana D Castel, Katherine E Hartmann, Ingrid A Mayer, Benjamin R Saville, JoAnn Alvarez, Chad S Boomershine, Vandana G Abramson, A Bapsi Chakravarthy, Debra L Friedman, David F Cella

Registry-linked trialOpen access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02186015 (Safety, Feasibility and Efficacy of Vitamin D Supplementation in Women With Metastatic Breast Cancer), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT02186015 phase2completednot on this mapstarted 2015, after this paper: background citation

Safety, Feasibility and Efficacy of Vitamin D Supplementation in Women With Metastatic Breast Cancer (SAFE-D)

TypeinterventionalSponsorLoyola UniversityRan2015 to 2017Enrolled43ConditionsAdult Women, Metastatic Breast Cancer, Estrogen Receptor PositiveArmsCholecalciferol
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Musculoskeletal symptoms associated with aromatase inhibitors in the treatment of early breast cancer: A scoping review of risk factors and outcomes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Review
  8. Toward a Value-Based Therapy Recommendation Model.Healthcare (Basel, Switzerland) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Impact of protocol change on individual factors related to course of adverse reactions to chemotherapy for breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  18. Article
  19. Aromatase inhibitor associated arthralgia: the importance of oncology provider-patient communication about side effects and potential management through physical activity.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Article
  20. Article
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

10 authors at 3 institutions in 1 country.

Liana D CastelVanderbilt University Medical Center, Nashville, Tennessee 37203-1738, USA. liana.castel@vanderbilt.edu
Katherine E Hartmann
Ingrid A Mayer
Benjamin R Saville
JoAnn Alvarez
Chad S Boomershine
Vandana G Abramson
A Bapsi Chakravarthy
Debra L Friedman
David F Cella
Vanderbilt University Medical Center · USVanderbilt University · USNorthwestern University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Targeted Therapies in Breast CancerK23CA127469 · NCI · VANDERBILT UNIVERSITY · PI MAYER, INGRID A · 2009 to 2013
$820k
NCATS NIH HHS UL1TR000011NCATS NIH HHS UL1 TR000445NCI NIH HHS K23 CA127469NCRR NIH HHS UL1 RR024975NCRR NIH HHS UL1RR024975-01NICHD NIH HHS 5K12HD43483-10NICHD NIH HHS K12 HD043483
6 · The paper itself

Abstract

backgroundMore than 80,000 postmenopausal breast cancer patients in the United States each year are estimated to begin a 5-year course of aromatase inhibitors (AIs) to prevent recurrence. AI-related arthralgia (joint pain and/or stiffness) may contribute to nonadherence, but longitudinal data are needed on arthralgia risk factors, trajectories, and background in postmenopause. This study sought to describe 1-year arthralgia trajectories and baseline covariates among patients with AI and a postmenopausal comparison group.

methodsPatients initiating AIs (n = 91) were surveyed at the time of AI initiation and at 6 repeated assessments over 1 year. A comparison group of postmenopausal women without breast cancer (n = 177) completed concomitantly timed surveys. Numeric rating scales (0-10) were used to measure pain in 8 joint pair groups (bilateral fingers, wrists, elbows, shoulders, hips, knees, ankles, and toes). Poisson regression models were used to analyze arthralgia trajectories and risk factors.

resultsBy week 6, the AI-initiating group had more severe arthralgia than did the comparison group (ratio of means = 1.8, 95% confidence interval = 1.24-2.7, P = .002), adjusting for baseline characteristics. Arthralgia then worsened further over 1 year in the AI group. Menopausal symptom severity and existing joint-related comorbidity at baseline among women initiating AI were associated with more severe arthralgia over time.

conclusionsPatients initiating AI should be told about the timing of arthralgia over the first year of therapy, and advised that it does not appear to resolve over the course of a year. Menopausal symptoms and joint-related comorbidity at AI initiation can help identify patients at risk for developing AI-related arthralgia.

Indexed as

PostmenopauseAdultAgedAged, 80 and overAntineoplastic Agents, HormonalAromatase InhibitorsArthralgiaBreast NeoplasmsFemaleFollow-Up StudiesHumansMiddle AgedMultivariate AnalysisPoisson DistributionProspective StudiesRisk FactorsAntineoplastic Agents, HormonalAromatase Inhibitors

Identifiers

PMID23575918
PMCPMC3687009
OpenAlexW1861000319

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.