Evidence map›Paper›PMID 26749519›Full record

ArticlePsycho-oncology2017

Post-diagnosis social networks, and lifestyle and treatment factors in the After Breast Cancer Pooling Project.

Candyce H Kroenke, Yvonne L Michael, Xiao-Ou Shu, Elizabeth M Poole, Marilyn L Kwan, Sarah Nechuta, Bette J Caan, John P Pierce, Wendy Y Chen

Open access · bronzeAbstract read
In one paragraph

Article in Psycho-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Financial toxicity among breast cancer survivors receiving care during the pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  16. Multilevel Factors for Adiposity Change in a Population-Based Prospective Study of Black Breast Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  17. The Prospective Association of Social Integration With Life Span and Exceptional Longevity in Women.The journals of gerontology. Series B, Psychological sciences and social sciences · 2020
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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

9 authors at 5 institutions in 1 country.

Candyce H KroenkeKaiser Permanente Northern California, Division of Research, Oakland, CA, USA.
Yvonne L MichaelDepartment of Epidemiology and Biostatistics, Drexel University School of Public Health, Philadelphia, PA, USA.
Xiao-Ou ShuVanderbilt University School of Medicine, Nashville, TN, USA.
Elizabeth M PooleChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-4680-4587
Marilyn L KwanKaiser Permanente Northern California, Division of Research, Oakland, CA, USA.
Sarah NechutaVanderbilt University School of Medicine, Nashville, TN, USA.
Bette J CaanKaiser Permanente Northern California, Division of Research, Oakland, CA, USA.
John P PierceSan Diego Moores Cancer Center, University of California, San Diego, La Jolla, CA, USA.
Wendy Y ChenChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Kaiser Permanente · USBrigham and Women's Hospital · USVanderbilt University · USDrexel University · USUniversity of California San Diego · US

Funding

Molecular Profiles and Lifestyle Factors in Breast Cancer PrognosisR01CA129059 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CAAN, BETTE J · 2009 to 2013
$3.6M
Social networks, breast cancer treatment, and survivalK07CA187403 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KROENKE, CANDYCE H · 2015 to 2019
$914k
Social Networks & Breast Cancer Prognosis in the Chinese and US Evaluation StudyR03CA171771 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KROENKE, CANDYCE H · 2012 to 2013
$148k
NCI NIH HHS K07 CA187403NCI NIH HHS R01 CA129059NCI NIH HHS R03 CA171771
6 · The paper itself

Abstract

objectiveLarger social networks have been associated with better breast cancer survival. To investigate potential mediators, we evaluated associations of social network size and diversity with lifestyle and treatment factors associated with prognosis.

methodsWe included 9331 women from the After Breast Cancer Pooling Project who provided data on social networks within approximately two years following diagnosis. A social network index was derived from information about the presence of a spouse or intimate partner, religious ties, community participation, friendship ties, and numbers of living relatives. Diversity was assessed as variety of ties, independent of size. We used logistic regression to evaluate associations with outcomes and evaluated whether effect estimates differed using meta-analytic techniques.

resultsAssociations were similar across cohorts though analyses of smoking and alcohol included US cohorts only because of low prevalence of these behaviors in the Shanghai cohort. Socially isolated women were more likely to be obese (OR = 1.21, 95% CI:1.03-1.42), have low physical activity (<10 MET-hours/week, OR = 1.55, 95% CI:1.36-1.78), be current smokers (OR = 2.77, 95% CI:2.09-3.68), and have high alcohol intake (≥15 g/d, OR = 1.23, 95% CI:1.00-1.51), compared with socially integrated women. Among node positive cases from three cohorts, socially isolated women were more likely not to receive chemotherapy (OR = 2.10, 95% CI:1.30-3.39); associations differed in a fourth cohort. Other associations (nonsignificant) were consistent with less intensive treatment in socially isolated women. Low social network diversity was independently associated with more adverse lifestyle, but not clinical, factors.

conclusionsSmall, less diverse social networks measured post-diagnosis were associated with more adverse lifestyle factors and less intensive cancer treatment. Copyright © 2016 John Wiley & Sons, Ltd.

Indexed as

Life StyleSocial IsolationSocial SupportAdultBreast NeoplasmsChinaFemaleHumansLogistic ModelsMiddle AgedPrognosisQuality of Lifebreast cancermortalitysocial diversitysocial networkssocial supportsocial tiessurvivalwomen

Identifiers

PMID26749519
PMCPMC4938778
OpenAlexW2223905647

What OpenQuestion holds

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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.