Evidence map›Paper›PMID 25037667›Full record

ArticleExplore (New York, N.Y.)

Hot flashes severity, complementary and alternative medicine use, and self-rated health in women with breast cancer.

Kavita D Chandwani, Charles E Heckler, Supriya G Mohile, Karen M Mustian, Michelle Janelsins, Luke J Peppone, Peter Bushunow, Patrick J Flynn, Gary R Morrow

Abstract readMulticenter Study
In one paragraph

Article in Explore (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Survivorship, Version 2.2017, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2017
    Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Predictors of vasomotor symptoms among breast cancer survivors.Journal of cancer survivorship : research and practice · 2018
    Article
  7. Article
  8. 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

9 authors.

Kavita D ChandwaniDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY. Electronic address: kavita_chandwani@urmc.rochester.edu.
Charles E HecklerDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY.
Supriya G MohileDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY.
Karen M MustianDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY.
Michelle JanelsinsDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY.
Luke J PepponeDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY.
Peter BushunowRochester General Hospital, Rochester, NY.
Patrick J FlynnMetro-Minnesota CCOP, Minneapolis, MN.
Gary R MorrowDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY.

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
UNIVERSITY OF ROCHESTER--CCOP RESEARCH BASEU10CA037420 · NCI · UNIVERSITY OF ROCHESTER · PI MORROW, GARY R · 1985 to 2014
$21.1M
Cancer Control Research Training Curriculum (R25T)R25CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C, MORROW, GARY R · 2004 to 2018
$6.7M
Yoga Versus CBT-I for Insomnia in Cancer Survivors and Biobehavioral MechanismsR01CA181064 · NCI · UNIVERSITY OF ROCHESTER · PI MUSTIAN, KAREN M. · 2014 to 2019
$3.1M
The University of Rochester Clinical and Translational Science InstituteKL2TR000095 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$1.7M
Management of Cancer-Treatment-Induced Bone LossK07CA168911 · NCI · UNIVERSITY OF ROCHESTER · PI PEPPONE, LUKE JOSEPH · 2013 to 2017
$724k
Aerobic and Resistance Exercise for Cancer-Related Fatigue During RadiationK07CA120025 · NCI · UNIVERSITY OF ROCHESTER · PI MUSTIAN, KAREN M. · 2007 to 2011
$678k
NCI NIH HHS K07 CA120025NCI NIH HHS K07CA120025NCI NIH HHS K07 CA168911NCI NIH HHS R01 CA181064NCI NIH HHS R25 CA102618NCI NIH HHS R25CA102618NCI NIH HHS U10 CA037420NCI NIH HHS U10 CA37420NCI NIH HHS UG1 CA189961
6 · The paper itself

Abstract

contextHot flashes (HF) are a common distressing symptom in women with breast cancer (BC). Current pharmacologic options are moderately effective and are associated with bothersome side effects. Complementary and alternative medicine is commonly used by cancer patients. However, information on the association of hot flashes severity with such use and self-rated health is lacking.

objectiveTo examine the hot flashes severity in women with breast cancer and its association with complementary and alternative medicine use and self-rated health (SRH).

designLongitudinal multicenter study to assess information needs of cancer outpatients.

participantsPatients with a diagnosis of breast cancer who were scheduled to undergo chemotherapy and/or radiotherapy. OUTCOME MEASURES: Hot flashes severity (0 = not present and 10 = as bad as you can imagine), use of complementary and alternative medicine (yes/no), and self-rating of health (SRH) status post-treatment and six-months thereafter (1-5, higher score = better SRH).

resultsThe majority of women with HF (mean age = 54.4 years) were Caucasian and married, with higher education, and 93% had received surgical treatment for BC. At the end of treatment, 79% women reported experiencing HF [mean severity = 5.87, standard deviation (SD) = 2.9]; significantly more severe HF were reported by younger women with poor SRH, poor performance status, and those reporting doing spiritual practices. At follow-up, 73% had HF (mean severity = 4.86, SD = 3.0), and more severe HF were reported by younger women with poor self-rated health who had undergone chemotherapy plus radiotherapy, used vitamins, and did not exercise.

conclusionsA high percentage of women experienced hot flashes at the end of treatment and at six-month follow-up. A significant association of hot flashes severity with spiritual practice, increased vitamin use, and reduced exercise emphasize the need for future studies to confirm the results. This can facilitate safe use of complementary and alternative medicine and favorable outcomes while managing cancer-related hot flashes.

Indexed as

Breast NeoplasmsComplementary TherapiesHealthSeverity of Illness IndexAdultAgedAged, 80 and overAge FactorsExerciseFemaleHot FlashesHumansLongitudinal StudiesMiddle AgedPrevalenceSedentary BehaviorVitaminsBreast cancercomplementary and alternative medicinehot flashesself-rated health

Identifiers

PMID25037667
PMCPMC4325272

What OpenQuestion holds

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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.