Evidence map›Paper›PMID 27488523›Full record

ArticleCancer research2016

Exercise and Prognosis on the Basis of Clinicopathologic and Molecular Features in Early-Stage Breast Cancer: The LACE and Pathways Studies.

Lee W Jones, Marilyn L Kwan, Erin Weltzien, Sarat Chandarlapaty, Barbara Sternfeld, Carol Sweeney, Philip S Bernard, Adrienne Castillo, Laurel A Habel, Candyce H Kroenke and 6 more

Abstract read
In one paragraph

Article in Cancer research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. The Effects of Post-diagnosis Recreational Aerobic Exercise among Breast Cancer Survivors: A Systematic Review/Meta-Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Physical Activity in Cancer Prevention and Survival: A Systematic Review.Medicine and science in sports and exercise · 2019
    Pooled it
  6. Trial
  7. Trial
  8. Exercise therapy in cancer prevention and treatment.Nature reviews. Clinical oncology · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. miR-126: a bridge between cancer and exercise.Cancer cell international · 2025
    Review
  16. Review
  17. Breast cancer: pathogenesis and treatments.Signal transduction and targeted therapy · 2025
    Review
  18. Article
  19. Dose/Exposure Relationship of Exercise and Distant Recurrence in Primary Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  20. 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

16 authors.

Lee W JonesMemorial Sloan Kettering Cancer Center, New York, New York. jonesl3@mskcc.org.
Marilyn L KwanDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Erin WeltzienDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Sarat ChandarlapatyMemorial Sloan Kettering Cancer Center, New York, New York.
Barbara SternfeldDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Carol SweeneyDivision of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, Utah. Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Philip S BernardHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah. The Associated Regional and University Pathologist Institute for Clinical and Experimental Pathology, Salt Lake City, Utah.
Adrienne CastilloDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Laurel A HabelDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Candyce H KroenkeDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Bryan M LangholzDepartment of Preventive Medicine, University of Southern California, Los Angeles, California.
Charles P QueensberryDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Chau DangMemorial Sloan Kettering Cancer Center, New York, New York.
Britta WeigeltMemorial Sloan Kettering Cancer Center, New York, New York.
Lawrence H KushiDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Bette J CaanDivision of Research, Kaiser Permanente Northern California, Oakland, California.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Prospective Study of Breast Cancer SurvivorshipR01CA105274 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2004 to 2014
$19.9M
Infrastructure for Pathways, a Prospective Study of Breast Cancer SurvivorshipU01CA195565 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI AMBROSONE, CHRISTINE B., KUSHI, LAWRENCE H · 2016 to 2025
$18.8M
CRN4: Cancer Research Resources & Collaboration in Integrated Health Care SystemsU24CA171524 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2012 to 2016
$16.0M
Molecular Profiles and Lifestyle Factors in Breast Cancer PrognosisR01CA129059 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CAAN, BETTE J · 2009 to 2013
$3.6M
NCI NIH HHS HHSN261201000026CNCI NIH HHS P30 CA008748NCI NIH HHS R01 CA105274NCI NIH HHS R01 CA129059NCI NIH HHS U01 CA195565NCI NIH HHS U24 CA171524
6 · The paper itself

Abstract

To investigate whether the impact of postdiagnosis exercise on breast cancer outcomes in women diagnosed with early-stage breast cancer differs on the basis of tumor clinicopathologic and molecular features. Using a prospective design, 6,211 patients with early-stage breast cancer from two large population-based cohort studies were studied. Age-adjusted and multivariable Cox regression models were performed to determine the relationship between exercise exposure (total MET-hours/week) and recurrence and breast cancer-related death for: (i) all patients ("unselected" cohort), and on the basis of (ii) classic clinicopathologic features, (iii) clinical subtypes, (iv) PAM50-based molecular intrinsic subtypes, and (v) individual PAM50 target genes. After a median follow-up of 7.2 years, in the unselected cohort (n = 6,211) increasing exercise exposure was not associated with a reduction in the risk of recurrence (adjusted Ptrend = 0.60) or breast cancer-related death (adjusted Ptrend = 0.39). On the basis of clinicopathologic features, an exercise-associated reduction in breast cancer-related death was apparent for tumors <2 cm [HR, 0.50; 95% confidence interval (CI), 0.34-0.72], well/moderately differentiated tumors (HR, 0.63; 95% CI, 0.43-0.91), and ER-positive tumors (HR, 0.72; 95% CI, 0.53-0.97). Stratification by clinical subtype indicated that the ER(+)/PR(+)/HER2(-)/low-grade clinical subtype was preferentially responsive to exercise (recurrence: adjusted HR, 0.63; 95% CI, 0.45-0.88; breast cancer-related death: adjusted HR, 0.57; 95% CI, 0.37-0.86). The impact of exercise on cancer outcomes appears to differ as a function of pathologic and molecular features in early-stage breast cancer. Cancer Res; 76(18); 5415-22. ©2016 AACR.

Indexed as

AdultAgedBreast NeoplasmsCohort StudiesExerciseFemaleHumansMiddle AgedNeoplasm Recurrence, LocalPrognosisProportional Hazards Models

Identifiers

PMID27488523
PMCPMC5026589

What OpenQuestion holds

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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.