Evidence map›Paper›PMID 26899851›Full record

ArticleJournal of cancer survivorship : research and practice2016

Fear of cancer recurrence in survivor and caregiver dyads: differences by sexual orientation and how dyad members influence each other.

Ulrike Boehmer, Yorghos Tripodis, Angela R Bazzi, Michael Winter, Melissa A Clark

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 9 pooled it
9.4field-weighted citation impact, top 3% 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, 9 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Cancer patient distress and health service use is linked with carer distress: evidence from a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. Randomized controlled trial of emotion regulation therapy versus cognitive behavioral therapy to address distress in cancer caregivers.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
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  11. Beyond breast cancer: mapping unmet needs and advancing an evidence-based framework of survivorship care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  16. Effects of dyadic coping on post-traumatic growth in patients and couples with breast cancer: an analysis based on the actor-partner interdependence model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

5 authors at 2 institutions in 1 country.

Ulrike BoehmerDepartment of Community Health Sciences, Boston University, 801 Massachusetts Avenue, Crosstown Center, Boston, MA, 02118, USA. boehmer@bu.edu.
Yorghos TripodisDepartment of Biostatistics, Boston University, Boston, MA, USA.
Angela R BazziDepartment of Community Health Sciences, Boston University, 801 Massachusetts Avenue, Crosstown Center, Boston, MA, 02118, USA.
Michael WinterData Coordinating Center, Boston University, Boston, MA, USA.
Melissa A ClarkWarren Alpert School of Medicine and School of Public Health, Brown University, Providence, RI, USA.
Boston University · USBrown University · US

Funding

Neuropathology CoreP30AG013846 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KOWALL, NEIL W. · 1996 to 2020
$29.1M
Variations in Needs after Colorectal Cancer DiagnosisR01CA181392 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BOEHMER, ULRIKE · 2014 to 2018
$2.9M
NCI NIH HHS R01 CA181392NIA NIH HHS P30 AG013846
6 · The paper itself

Abstract

purposeThe purpose of this study was to identify explanatory factors of fear of recurrence (FOR) in breast cancer survivors of different sexual orientations and their caregivers and to assess the directionality in the survivor and caregiver dyads' FOR.

methodsWe recruited survivors of non-metastatic breast cancer of different sexual orientations and invited their caregivers into this study. Using a telephone survey, we collected data from 167 survivor and caregiver dyads. Using simultaneous equation models and a stepwise selection process, we identified the significant determinants of survivors' and caregivers' FOR and determined the directionality of survivors' and caregivers' FOR. Weighting the model by the inverse propensity score ensured that differences by sexual orientation in age and proportion of life in the caregiver-survivor relationship were accounted for.

resultsCaregivers' FOR predicted survivors' FOR, and sexual orientation had a significant effect on survivors' FOR, in that sexual minority women reported less FOR than heterosexual women. Other determinants of survivors' FOR included their medical characteristics, coresidence with caregivers, and caregivers' social support and use of counseling. Caregivers' FOR was related to their social support and survivors' medical characteristics.

conclusionsThis study suggests a need for caregiver interventions. Because survivors' FOR is affected by caregivers' FOR, caregiver interventions will likely benefit survivors' FOR. IMPLICATIONS FOR CANCER SURVIVORS: Both sexual minority and heterosexual breast cancer survivors' FOR are affected by their caregivers' FOR, which suggests that the caregivers of breast cancer survivors are central for the survivors' well-being and shall therefore be integrated into the care process.

Indexed as

AdultBreast NeoplasmsCaregiversFearFemaleHeterosexualityHomosexuality, FemaleHumansMiddle AgedNeoplasm Recurrence, LocalQuality of LifeSeverity of Illness IndexSexual BehaviorSurvivorsBreast cancerCaregivingDyadsFear of recurrencePsychological needs

Identifiers

PMID26899851
PMCPMC5076855
OpenAlexW2283081987

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.