Evidence map›Paper›PMID 26476836›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016

Symptom clusters in women with breast cancer: an analysis of data from social media and a research study.

Sarah A Marshall, Christopher C Yang, Qing Ping, Mengnan Zhao, Nancy E Avis, Edward H Ip

Open access · greenAbstract readComparative Study
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. A systematic literature review of machine learning in online personal health data.Journal of the American Medical Informatics Association : JAMIA · 2019
    Pooled it
  3. Pooled it
  4. Article
  5. Review
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  7. Article
  8. Article
  9. Distress among Korean Cancer Survivors: A Latent Profile Analysis.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Development of a Lexicon for Pain.Frontiers in digital health · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Differences in symptom clusters before and twelve months after breast cancer surgery.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2018
    Article
  18. Introduction to special section on patient-reported outcomes in nonstandard settings.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016
    Article
  19. 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

6 authors at 2 institutions in 1 country.

Sarah A MarshallDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Christopher C YangCollege of Computing and Informatics, Drexel University, Philadelphia, PA, 19104, USA.
Qing PingCollege of Computing and Informatics, Drexel University, Philadelphia, PA, 19104, USA.
Mengnan ZhaoCollege of Computing and Informatics, Drexel University, Philadelphia, PA, 19104, USA.
Nancy E AvisDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA.
Edward H IpDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA. eip@wakehealth.edu.
Drexel University · USWake Forest University · US

Funding

System-subsystem modeling with an application to disability in older adultsR21AG042761 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI IP, EDWARD HAKSING · 2012 to 2013
$397k
NIA NIH HHS R21 AG042761NIA NIH HHS R21AG042761
6 · The paper itself

Abstract

purposeUser-generated content on social media sites, such as health-related online forums, offers researchers a tantalizing amount of information, but concerns regarding scientific application of such data remain. This paper compares and contrasts symptom cluster patterns derived from messages on a breast cancer forum with those from a symptom checklist completed by breast cancer survivors participating in a research study.

methodsOver 50,000 messages generated by 12,991 users of the breast cancer forum on MedHelp.org were transformed into a standard form and examined for the co-occurrence of 25 symptoms. The k-medoid clustering method was used to determine appropriate placement of symptoms within clusters. Findings were compared with a similar analysis of a symptom checklist administered to 653 breast cancer survivors participating in a research study.

resultsThe following clusters were identified using forum data: menopausal/psychological, pain/fatigue, gastrointestinal, and miscellaneous. Study data generated the clusters: menopausal, pain, fatigue/sleep/gastrointestinal, psychological, and increased weight/appetite. Although the clusters are somewhat different, many symptoms that clustered together in the social media analysis remained together in the analysis of the study participants. Density of connections between symptoms, as reflected by rates of co-occurrence and similarity, was higher in the study data.

conclusionsThe copious amount of data generated by social media outlets can augment findings from traditional data sources. When different sources of information are combined, areas of overlap and discrepancy can be detected, perhaps giving researchers a more accurate picture of reality. However, data derived from social media must be used carefully and with understanding of its limitations.

Indexed as

Health Status IndicatorsSelf ReportSocial MediaAdultAgedAged, 80 and overBreast NeoplasmsChecklistCluster AnalysisFemaleHumansMiddle AgedQuality of LifeSymptom AssessmentBreast cancerMedHelpOnline forumSocial mediaSymptom clusterText mining

Identifiers

PMID26476836
PMCPMC5129624
OpenAlexW1762174004

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.