Evidence map›Paper›PMID 26556210›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

Aromatase inhibitor induced musculoskeletal syndrome: a significant problem with limited treatment options.

Janine M Lombard, Nicholas Zdenkowski, Kathy Wells, Corinna Beckmore, Linda Reaby, John F Forbes, Jacquie Chirgwin

2 registry-linked trialsAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT04001751 nacompletednot on this mapstarted 2018, after this paper: background citation

Feasibility Study of the "SKYPE" Educational Project in Patients With Breast Cancer Treated With Hormonotherapy

TypeinterventionalSponsorInstitut du Cancer de Montpellier - Val d'AurelleRan2018 to 2019Enrolled24ConditionsBreast CancerArmseducational yoga program
NCT04457895 narecruitingnot on this mapstarted 2021, after this paper: background citation

A Randomized, Open-labelled, Controlled Trial Evaluating the Efficacy of a Physical Therapy-yoga-patient Educational Program for Breast Cancer Patients With Pain Due to Hormonal Therapy Treatment.

TypeinterventionalSponsorInstitut du Cancer de Montpellier - Val d'AurelleRan2021 to 2028Enrolled108ConditionsBreast CancerArmseducational yoga program, no intervention
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. The effect of exercise on aromatase inhibitor-induced musculoskeletal symptoms in breast cancer survivors :a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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  10. 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
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  15. Bone Health Considerations in Breast Cancer.Seminars in oncology nursing · 2022
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  20. A prospective study of aromatase inhibitor therapy initiation and self-reported side effects.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
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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

7 authors at 2 institutions in 1 country.

Janine M LombardCalvary Mater Newcastle, Newcastle, NSW, Australia. Janine.lombard@calvarymater.org.au.
Nicholas ZdenkowskiCalvary Mater Newcastle, Newcastle, NSW, Australia.
Kathy WellsBreast Cancer Network Australia, Newcastle, Vic, Australia.
Corinna BeckmoreAustralia and New Zealand Breast Cancer Trials Group, Newcastle, NSW, Australia.
Linda ReabyAustralia and New Zealand Breast Cancer Trials Group, Newcastle, NSW, Australia.
John F ForbesCalvary Mater Newcastle, Newcastle, NSW, Australia.
Jacquie ChirgwinUniversity of Newcastle, Newcastle, NSW, Australia.
Breast Cancer Trials · AUBreast Cancer Network Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAromatase inhibitor induced musculoskeletal syndrome is experienced by approximately half of women taking aromatase inhibitors, impairing quality of life and leading some to discontinue treatment. Evidence for effective treatments is lacking. We aimed to understand the manifestations and impact of this syndrome in the Australian breast cancer community, and strategies used for its management.

methodsA survey invitation was sent to 2390 members of the Breast Cancer Network Australia Review and Survey Group in April 2014. The online questionnaire included 45 questions covering demographics, aromatase inhibitor use, clinical manifestations and risk factors for the aromatase inhibitor musculoskeletal syndrome, reasons for treatment discontinuation and efficacy of interventions used.

resultsAromatase inhibitor induced musculoskeletal syndrome was reported by 302 (82 %) of 370 respondents. Twenty-seven percent had discontinued treatment for any reason and of these, 68 % discontinued because of the musculoskeletal syndrome. Eighty-one percent had used at least one intervention from the following three categories to manage the syndrome: doctor prescribed medications, over-the-counter/complementary medicines or alternative/non-drug therapies. Anti-inflammatories, paracetamol (acetaminophen) and yoga were most successful in relieving symptoms in each of the respective categories. Almost a third of respondents reported that one or more interventions helped prevent aromatase inhibitor discontinuation. However, approximately 20 % of respondents found no intervention effective in any category.

conclusionWe conclude that aromatase inhibitor induced musculoskeletal syndrome is a significant issue for Australian women and is an important reason for treatment discontinuation. Women use a variety of interventions to manage this syndrome; however, their efficacy appears limited.

Indexed as

Aromatase InhibitorsAustraliaBreast NeoplasmsCross-Sectional StudiesFemaleHumansMiddle AgedMusculoskeletal DiseasesQuality of LifeSurveys and QuestionnairesSyndromeTreatment OutcomeAromatase InhibitorsAromatase inhibitorArthralgiaArthritisEarly breast cancerInterventionsMyalgia

Identifiers

PMID26556210
OpenAlexW2099392935

What OpenQuestion holds

Textmetadata
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.