Evidence map›Paper›PMID 27624945›Full record

ArticleJournal of oncology practice2016

"Winging It": How Older Breast Cancer Survivors Persist With Aromatase Inhibitor Treatment.

Eden R Brauer, Patricia A Ganz, Huibrie C Pieters

Open access · bronzeAbstract read
In one paragraph

Article in Journal of oncology practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Role function in postmenopausal women during aromatase inhibitor therapy for breast cancer.Journal of cancer survivorship : research and practice · 2026
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  3. Article
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  6. It's not an easy fix: Adherence to adjuvant endocrine therapy after breast cancer.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021
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  7. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021
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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

3 authors at 2 institutions in 1 country.

Eden R BrauerUniversity of California Los Angeles (UCLA) School of Nursing; UCLA Schools of Medicine and Public Health; and UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA.
Patricia A GanzUniversity of California Los Angeles (UCLA) School of Nursing; UCLA Schools of Medicine and Public Health; and UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA.
Huibrie C PietersUniversity of California Los Angeles (UCLA) School of Nursing; UCLA Schools of Medicine and Public Health; and UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA.
UCLA Jonsson Comprehensive Cancer CenterUniversity of California, Los Angeles · US

Funding

Decision making on aromatase inhibitors in breast cancer survivors 65 and olderR21CA167218 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PIETERS, HUIBRIE CHRISTELLE · 2013 to 2014
$264k
NCI NIH HHS R21 CA167218
6 · The paper itself

Abstract

purposeAromatase inhibitors (AIs) are an important and effective hormonal adjuvant treatment for early-stage breast cancer. Up to 50% of women stop AIs prematurely, missing a valuable therapeutic intervention. PATIENTS AND

methodsWe used grounded theory methodology to conduct in-depth, semistructured interviews and analyze data among patients with breast cancer diagnosed at age 65 years or older who were receiving an AI. The goal of the interviews was to understand decision making regarding persisting with AIs. Interview transcripts were systematically analyzed to identify emergent categories and relationships.

resultsInterviews were conducted with 27 women. After completion of primary treatment, women in our sample found themselves "winging it" as they faced substantial struggles with infrequent support during this new phase of the cancer trajectory. Self-management of AI adverse effects occurred in the contexts of older age and early survivorship. "Bearing it" emerged as another important management process regarding the impact of AIs on quality of everyday life. The complex decision to persist with the AI involved weighing the possibility of a cancer-free future against the burden of adverse effects. Women relied on informal networks for support, rather than oncology providers, highlighting the need for practical self-management strategies. The notion of a tipping point in persistence revealed their susceptibility to early discontinuation.

conclusionThis study provides insight into potential decisional pathways leading to early discontinuation of AIs among older women with breast cancer. Better support is needed for these women.

Indexed as

Quality of LifeAgedAged, 80 and overAge FactorsAromatase InhibitorsBreast NeoplasmsDecision MakingFemaleHumansSurvivorsAromatase Inhibitors

Identifiers

PMID27624945
PMCPMC5455585
OpenAlexW2520137921

What OpenQuestion holds

Textmetadata
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.