Evidence map›Paper›PMID 26644265›Full record

Trial reportGynecologic oncology2016

The use of novel technology-based weight loss interventions for obese women with endometrial hyperplasia and cancer.

Ashley F Haggerty, Sarah Huepenbecker, David B Sarwer, Jacqueline Spitzer, Greer Raggio, Christina S Chu, Emily Ko, Kelly C Allison

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gynecologic oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03394638 (Assessing the Value of eHealth for Bariatric Surgery), which is not on this map. Cited by 32 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 7 pooled it
5.1field-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.

NCT03394638 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Assessing the Value of eHealth for Bariatric Surgery

TypeinterventionalSponsorCatharina Ziekenhuis EindhovenRan2017 to 2019Enrolled200ConditionsBariatric Surgery, Obesity, TelemedicineArmsAccess to online eLearning module, Access to measurement devices, Conventional group
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 7 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  7. Weight Loss Randomized Intervention Trials in Female Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Pooled it
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  9. Randomized trial of a clinic-based weight loss intervention in cancer survivors.Journal of cancer survivorship : research and practice · 2018
    Trial
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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

8 authors at 5 institutions in 1 country.

Ashley F HaggertyDivision of Gynecologic Oncology, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, United States. Electronic address: ashley.haggerty@uphs.upenn.edu.
Sarah HuepenbeckerPerelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, United States.
David B SarwerDepartment of Psychiatry, Center for Weight and Eating Disorders, 3535 Market St., Suite 3021, Philadelphia, PA 19104, United States.
Jacqueline SpitzerDepartment of Psychiatry, Center for Weight and Eating Disorders, 3535 Market St., Suite 3021, Philadelphia, PA 19104, United States.
Greer RaggioDepartment of Psychology, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104, United States.
Christina S ChuDivision of Gynecology, Department of Surgical Oncology, Fox Chase Cancer Center, 333 Cottman Ave, Philadelphia, PA 19111, United States.
Emily KoDivision of Gynecologic Oncology, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, United States.
Kelly C AllisonDepartment of Psychiatry, Center for Weight and Eating Disorders, 3535 Market St., Suite 3021, Philadelphia, PA 19104, United States.
Washington Center for Weight Management and Research · USUniversity of Pennsylvania · USDrexel University · USFox Chase Cancer Center · USGynecologic Oncology Group · US

Funding

The Women In Steady Exercise Research (WISER) SurwVor TrialU54CA155850 · NCI · UNIVERSITY OF PENNSYLVANIA · PI TROXEL, ANDREA B · 2011 to 2015
$9.1M
REPRODUCTIVE EPIDEMIOLOGY TRAINING GRANTT32HD007440 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BARNHART, KURT T · 1996 to 2020
$7.5M
NCI NIH HHS U54 CA155850NCI NIH HHS U54-CA155850NICHD NIH HHS T32 HD007440
6 · The paper itself

Abstract

objectiveObesity significantly increases the risk of the development of both endometrial hyperplasia and cancer. Our objective was to assess the feasibility of two technology-based weight loss interventions in this patient population.

methodsWomen with obesity (BMI≥30kg/m(2)) and endometrial hyperplasia or Type I endometrial cancer were randomized 1:1 to a technology-based 6month lifestyle intervention via either telemedicine or text messaging. The telemedicine arm received weekly phone calls, with weights tracked online using Withings© Wi-Fi scales. The text arm received 3-5 personalized messages daily via Text4Diet™. Participants maintained a 1200-1800calorie/day diet, self-monitored food intake and received exercise goals. Biomarkers (IGFBP-1, adiponectin, VEGF, IL1-beta, IL2, IL6, and IL7) were assessed pre- and post-treatment.

resultsTwenty women were randomized (Telemedicine: n=10, Text4Diet: n=10), and 90% lost weight. Many were early stage (70%) and grade (43.8%) disease with a median age of 60.5years. We observed a statistically greater weight loss in the Telemedicine arm [median loss: 9.7kg (range: 1.6-22.9kg)] versus 3.9kg (range: 0.3-11.4kg) in the Text4Diet arm (p=0.0231). Similarly, percent weight loss was greater in the Telemedicine (7.6%) as compared to the Text4Diet arm (4.1%, p=0.014). Mean serum levels of IL-2 were significantly (27.15pg/mL vs. 5.18pg/mL, p=0.0495) lower at intervention end as compared to baseline.

conclusionsA technology-based weight loss intervention is feasible in women with Type I endometrial cancer/hyperplasia. Both interventions produced weight loss, although more person-to-person contact produced more significant outcomes. Reductions in expression of IL-2 were related to weight loss.

Indexed as

Text MessagingBiomarkers, TumorEndometrial HyperplasiaEndometrial NeoplasmsFemaleHumansMiddle AgedObesityTelemedicineWeight Reduction ProgramsBiomarkers, TumorBiomarkersEndometrial cancerObesityTechnology-based interventionWeight loss intervention

Identifiers

PMID26644265
PMCPMC6771417
OpenAlexW2185218897

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.