Evidence map›Paper›PMID 28743505›Full record

ArticleJournal of geriatric oncology2017

Short Physical Performance Battery, usual gait speed, grip strength and Vulnerable Elders Survey each predict functional decline among older women with breast cancer.

Cynthia Owusu, Seunghee Margevicius, Mark Schluchter, Siran M Koroukian, Nathan A Berger

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of geriatric oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Physical function predicts mortality in patients with cancer: a systematic review and meta-analysis of observational studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  2. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Guideline
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  18. Beyond Performance Status.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2020
    Review
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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.

Cynthia OwusuDivision of Hematology/Oncology, Department of Medicine, Case Western Reserve School of Medicine, United States; Case Comprehensive Cancer Center, Cleveland, OH, United States. Electronic address: Cynthia.owusu@case.edu.
Seunghee MargeviciusCase Comprehensive Cancer Center, Cleveland, OH, United States; Department of Epidemiology and Biostatistics, Case Western Reserve School of Medicine, United States.
Mark SchluchterCase Comprehensive Cancer Center, Cleveland, OH, United States; Department of Epidemiology and Biostatistics, Case Western Reserve School of Medicine, United States.
Siran M KoroukianCase Comprehensive Cancer Center, Cleveland, OH, United States; Department of Epidemiology and Biostatistics, Case Western Reserve School of Medicine, United States.
Nathan A BergerDivision of Hematology/Oncology, Department of Medicine, Case Western Reserve School of Medicine, United States; Case Comprehensive Cancer Center, Cleveland, OH, United States.

Funding

Reducing Functional Health Disparities among Older Breast Cancer SurvivorsR01MD009699 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI OWUSU, CYNTHIA · 2015 to 2019
$2.8M
NIMHD NIH HHS R01 MD009699
6 · The paper itself

Abstract

objectiveTo determine the ability of three performance-based measures [Short Physical Performance Battery (SPPB), gait speed, and Grip Strength] and a self-report measure [Vulnerable Elders Survey (VES-13)] to predict functional decline among older women with breast cancer. PATIENTS AND

methodsLongitudinal data from a study of women ≥65years, with newly diagnosed stages I-III breast cancer, recruited from ambulatory oncology clinics between July 2010 and April 2014, was used. The primary outcome was functional decline, Yes or No, defined as a decrease in ≥1-point from baseline to 12months, on Activities of Daily Living Scales. Multivariable logistic regression and receiver operator curve analyses were conducted.

resultsAmong 123 participants 18 (15%) developed functional decline. The predictive abilities for measures were: SPPB [Adjusted odds ratio (AOR)=1.65 per unit decrease in scores, 95% confidence interval (CI)=1.33-2.05; area under the receiver operator curve (AUC)=0.93; sensitivity=94%, specificity=80%]; gait speed (AOR=1.76 per unit increase in usual walking time, CI=1.29-2.41; AUC=0.93; sensitivity=87%, specificity=79%); VES-13 (AOR=1.64 per unit increase in scores, CI=1.31-2.05; AUC=0.87; sensitivity=83%, specificity=84%); and grip strength: (AOR=1.18 per unit decrease in grip strength, CI=1.06-1.30; AUC=0.80; sensitivity=67%, specificity=77%).

conclusionSPPB, gait speed, grip strength and VES-13 all demonstrated excellent predictive abilities for functional decline. Larger studies are warranted to confirm the utility of these measures for identifying older adults with cancer at increased risk for functional decline, who may then be targeted for studies to explore the effects of interventions to improve function.

Indexed as

Activities of Daily LivingAgedAged, 80 and overBreast NeoplasmsFemaleGaitGeriatric AssessmentHand StrengthHumansPrognosisProspective StudiesROC CurveSelf ReportWalkingBreast cancerFunctional declineGait speedOlder womenPhysical performance

Identifiers

PMID28743505
PMCPMC5747299

What OpenQuestion holds

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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.