Evidence map›Paper›PMID 25805451›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2015

Chemotherapy interruptions in relation to symptom severity in advanced breast cancer.

Gwen Wyatt, Alla Sikorskii, Irena Tesnjak, David Victorson, Gordan Srkalovic

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

29 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Patient Engagement With an Automated Telephone Symptom Management Intervention: Predictors and Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020
    Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Unraveling Racial Disparities in Supportive Care Medication Use among End-of-Life Pancreatic Cancer Patients: Focus on Pain Management and Psychiatric Therapies.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Observational
  14. Article
  15. Impact of Seismic Activity on Access to Health Care in Hispanic/Latino Cancer Patients from Puerto Rico.International journal of environmental research and public health · 2022
    Article
  16. The role of spirituality in symptom experiences among adults with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Review
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

5 authors at 3 institutions in 1 country.

Gwen WyattCollege of Nursing, Michigan State University, 1355 Bogue Street, Room C345, East Lansing, MI, 48824, USA. gwyatt@msu.edu.
Alla SikorskiiDepartment of Statistics and Probability, Michigan State University, 619 Red Cedar Road, Room C423, East Lansing, MI, 48824, USA.
Irena TesnjakDepartment of Statistics and Probability, Michigan State University, 619 Red Cedar Road, Room C423, East Lansing, MI, 48824, USA.
David VictorsonDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 2205 Tech Drive, Hogan Building (Suite 2-120), Evanston, IL, 60208, USA.
Gordan SrkalovicClinical Trials, Sparrow Health System, 1215 E. Michigan Ave., Lansing, MI, 48912, USA.
Michigan State University · USNorthwestern University · USSparrow Health System · US

Funding

Reflexology: An Intervention for Advanced Breast CancerR01CA104883 · NCI · MICHIGAN STATE UNIVERSITY · PI WYATT, GWEN KARILYN · 2005 to 2009
$2.3M
NCI NIH HHS 1R01CA104883-01A1NCI NIH HHS R01 CA104883
6 · The paper itself

Abstract

purposeInterruptions in medical treatment such as dose delays, reductions, or stoppages can lead to suboptimal treatment of cancer. Knowing how and for whom symptom severity and symptom interference with activities of daily living (ADL) are associated with treatment interruptions can guide behavioral interventions for supportive care. The purpose of this analysis is to inform research and clinical practice by bringing attention to specific patient symptoms that may hinder dose completion.

methodsA secondary analysis of data collected in a randomized clinical trial (RCT) of reflexology for symptom management was performed. The trial enrolled women with advanced breast cancer undergoing treatment (N = 385). Outcome data were collected at baseline, weeks 5 and 11 using valid and reliable measures. Medical records provided data on treatment interruptions and metastasis. The association between alterations in medical treatment during the study period with symptom severity, symptom interference with ADLs, and metastatic status were tested using generalized estimating equation (GEE) models.

resultsThe relationship between dose delays and dose reductions and symptom severity was differential according to metastatic status, with the higher strength of association among women with distant metastasis compared to those with loco-regional disease (p = 0.02). The interaction of symptom interference and metastatic status was also significantly related to dose delays and reductions (p = 0.04). Severity of pain was a stronger predictor of dose delays or reductions among patients with distant metastasis compared to those with loco-regional disease (p < 0.01).

conclusionThe analysis highlights the importance of understanding symptom outcomes that impact research, practice, and treatment decisions.

Indexed as

MassageRefusal to TreatActivities of Daily LivingAdultAgedAntineoplastic AgentsBreast NeoplasmsFemaleHumansMiddle AgedPainPain MeasurementTreatment OutcomeAntineoplastic AgentsBreast cancerSupportive careSymptom managementTreatment interruptions

Identifiers

PMID25805451
PMCPMC4583317
OpenAlexW2007271742

What OpenQuestion holds

Textmetadata
LicenceTDM
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.