Evidence map›Paper›PMID 28727578›Full record

Trial reportCancer nursing

Physical Activity and Survival in Women With Advanced Breast Cancer.

Oxana Palesh, Charles Kamen, Susan Sharp, Ashleigh Golden, Eric Neri, David Spiegel, Cheryl Koopman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 8 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

38 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. The effects of aerobic and resistance training across eight cancer types: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Effects of physical activity on sleep problems in breast cancer survivors: a meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  8. Pooled it
  9. Trial
  10. Effects of combined exercises on shoulder mobility and strength of the upper extremities in breast cancer rehabilitation: a 3-week randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  11. Article
  12. Review
  13. Article
  14. Exercise Prescription in Cardio-Oncology.Journal of clinical medicine · 2025
    Review
  15. Article
  16. Neutrophil-to-lymphocyte ratio is associated with accelerometer-measured physical activity levels in breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Charting cancer's course: revealing the role of diet, exercise, and the microbiome in cancer evolution and immunotherapy response.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  18. Article
  19. Review
  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

7 authors.

Oxana PaleshAuthor Affiliations: Department of Psychiatry and Behavioral Sciences, Stanford University, California (Drs Palesh, Neri, Spiegel, and Koopman); Wilmot Cancer Center, University of Rochester, New York (Dr Kamen); and PGSP-Stanford Psy.D. Consortium, Palo Alto University, California (Drs Sharp and Golden).
Charles Kamen
Susan Sharp
Ashleigh Golden
Eric Neri
David Spiegel
Cheryl Koopman

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Stress, The HPA and Health in AgingP01AG018784 · NIA · STANFORD UNIVERSITY · PI SPIEGEL, DAVID · 2001 to 2008
$8.7M
Brief Behavioral Intervention for Insomnia During ChemotherapyR01CA181659 · NCI · STANFORD UNIVERSITY · PI PALESH, OXANA G · 2014 to 2018
$3.1M
Impact of Affect Reactivity and Regulation on Breast Cancer Treatment DecisionsU01CA197282 · NCI · STANFORD UNIVERSITY · PI GROSS, JAMES J, SPIEGEL, DAVID · 2015 to 2019
$3.1M
Sleep, Circadian, Hormonal Dysregulation, and Breast Cancer SurvivalR01CA118567 · NCI · STANFORD UNIVERSITY · PI SPIEGEL, DAVID · 2006 to 2010
$2.3M
PSYCHOSOCIAL TREATMENT EFFECTS ON CANCER SURVIVALR01MH047226 · NIMH · STANFORD UNIVERSITY · PI SPIEGEL, DAVID · 1990 to 2004
$2.0M
Exercise Intervention for Lesbian, Gay, Bisexual, and Transgender Cancer SurvivorsK07CA190529 · NCI · UNIVERSITY OF ROCHESTER · PI KAMEN, CHARLES STEWART · 2015 to 2019
$830k
NCI NIH HHS K07 CA190529NCI NIH HHS R01 CA118567NCI NIH HHS R01 CA181659NCI NIH HHS U01 CA197282NCI NIH HHS UG1 CA189961NIA NIH HHS P01 AG018784NIMH NIH HHS R01 MH047226
6 · The paper itself

Abstract

backgroundSeveral empirical investigations have attempted to characterize the effect of physical activity on cancer mortality, but these investigations have rarely focused on patients with advanced breast cancer.

objectiveThe current study examined the hypothesis that greater physical activity is associated with longer survival among women with advanced breast cancer.

methodsWe conducted a secondary data analysis of a prospective study of 103 patients with stage IV (n = 100) or locally recurrent (n = 3) breast cancer involved in a group psychotherapy trial. Physical activity was assessed at baseline using the Seven-Day Physical Activity Recall questionnaire, and patients were followed until April 1, 2016, at which time 93 of 103 had died.

resultsGreater physical activity level at baseline was significantly associated with longer subsequent survival time in a Cox proportional hazards model (hazard ratio [HR], 0.90; 95% confidence interval [CI], 0.84-0.97; P < .01). Engaging in 1 additional hour per day of moderate activity reduced the hazard of subsequent mortality by 23% (HR, 0.77; 95% CI, 0.65-0.92; P < .01). These results remained significant even after controlling for demographic, medical, cancer, depression, and cortisol variables (HR, 0.91; 95% CI, 0.84-0.99; P < .05).

conclusionsWomen with advanced breast cancer who engaged in physical activity for 1 or more hours per day at baseline had an increased likelihood of survival compared with those who exercised less than 1 hour per day. IMPLICATIONS FOR PRACTICE: Nurses should consider recommending moderate physical activity for women with advanced breast cancer. Randomized trials of physical activity interventions for this population are needed.

Indexed as

ExerciseAdultBreast NeoplasmsFemaleHumansMiddle AgedNeoplasm StagingProportional Hazards ModelsProspective StudiesSurvival Analysis

Identifiers

PMID28727578
PMCPMC5775062

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.