Evidence map›Paper›PMID 28825227›Full record

Trial reportBreast cancer research and treatment2017

Lymphedema, musculoskeletal events and arm function in older patients receiving adjuvant chemotherapy for breast cancer (Alliance A171302).

Judith O Hopkins, Jake Allred, Arti Hurria, Aminah Jatoi, Jacqueline M Lafky, Harvey Cohen, Clifford Hudis, Eric Winer, Jeanne Mandelblatt, Ann Partridge and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Breast cancer research and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Acute effects of taxanes on sub-tissue fluid proportions in patients with breast cancer who underwent taxane-based chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
  6. Survivorship Issues in Older Adults with Breast Cancer.Current breast cancer reports · 2025
    Article
  7. Article
  8. Article
  9. 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

12 authors.

Judith O HopkinsNovant Health Forsyth Medical Center, 3333 Silas Creek Parkway, Winston-Salem, NC, 27103, USA. johopkins@novanthealth.org.
Jake AllredMayo Clinic, Alliance Statistics and Data Center, Rochester, MN, USA.
Arti HurriaCity of Hope, Duarte, CA, USA.
Aminah JatoiMayo Clinic, Rochester, MN, USA.
Jacqueline M LafkyMayo Clinic, Alliance Statistics and Data Center, Rochester, MN, USA.
Harvey CohenDuke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Clifford HudisMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Eric WinerDana-Farber/Partners CancerCare, Boston, MA, USA.
Jeanne MandelblattMedStar Georgetown University Hospital, Washington, DC, USA.
Ann PartridgeDana-Farber/Partners CancerCare, Boston, MA, USA.
Lisa CareyUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Hyman B MussUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

CANCER AND LEUKEMIA GROUP B MINORITY SATELLITE SUPPLEMENU10CA031946 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 1985 to 2013
$158.4M
Collaborations and NCORP Collective ManagementUG1CA189823 · NCI · MAYO CLINIC ROCHESTER · PI Evanthia Galanis, Olwen Hahn · 2014 to 2026
$120.6M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
CANCER &LEUKEMIA GROUP B STATISTICAL CENTERU10CA033601 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SARGENT, DANIEL J. · 1985 to 2013
$69.4M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareU10CA180867 · NCI · DANA-FARBER CANCER INST · PI BURSTEIN, HAROLD JOHN, KIBEL, ADAM S · 2014 to 2018
$6.2M
Bio-behavioral Research At The Intersection of Cancer and AgingR35CA197289 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2015 to 2021
$6.2M
CANCER &LEUKEMIA GROUP BU10CA032291 · NCI · DANA-FARBER CANCER INSTITUTE · PI BURSTEIN, HAROLD J. · 1985 to 2013
$5.8M
Network Lead Academic Participating Site: Memorial Sloan-Kettering Cancer CenterU10CA180791 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI AGHAJANIAN, CAROL, MORRIS, MICHAEL J · 2014 to 2018
$4.6M
CALGB STUDIES OF BREAST CANCER IN THE ELDERLYU10CA085850 · NCI · UNIVERSITY OF CHICAGO · PI SCHILSKY, RICHARD L · 2000 to 2004
$4.3M
MEMORIAL HOSPITAL AND CANCER AND ACUTE LEUKEMIA GROUP BU10CA077651 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI HUDIS, CLIFFORD A · 1998 to 2013
$3.2M
NCTN Lead Academic Participating Sites ApplicationU10CA180838 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CAREY, LISA A · 2014 to 2018
$2.8M
CANCER AND LEUKEMIA GROUP BU10CA047577 · NCI · DUKE UNIVERSITY · PI CRAWFORD, JEFFREY · 1988 to 2013
$2.2M
NCI NIH HHS R35 CA197289NCI NIH HHS U10 CA031946NCI NIH HHS U10 CA032291NCI NIH HHS U10 CA033601NCI NIH HHS U10 CA047559NCI NIH HHS U10 CA047577NCI NIH HHS U10 CA077597NCI NIH HHS U10 CA077651NCI NIH HHS U10 CA085850NCI NIH HHS U10 CA180791NCI NIH HHS U10 CA180838NCI NIH HHS U10 CA180857NCI NIH HHS U10 CA180867NCI NIH HHS U10 CA180882NCI NIH HHS UG1 CA189823
6 · The paper itself

Abstract

purposeMusculoskeletal events (MEs) resulting from breast cancer treatment can significantly interfere with the quality of life (QOL) of older adults. We evaluated the incidence of MEs in women 65 years and older who had surgery and adjuvant chemotherapy for breast cancer, and the impact of treatment on MEs and arm function. PATIENTS AND

methodsPatient-reported data in Alliance/CALGB 49907 were collected using the EORTC QLQ-BR23 and physician-reported adverse events to characterize self-reported MEs and incidence of lymphedema. EORTC QLQ-BR23 items related to musculoskeletal events were analyzed in this study and data collected at study entry (post-operative) and 12 and 24 months post-entry.

resultsLymphedema, arm function, and ME data were available for 321 patients. One or more MEs were reported by 87% (median number = 3) and 64% (median number = 1) of patients post-operatively and at 24 months. At 24 months 2% had persistence of six MEs. Seventy-four percent experienced at least ≥3/6 types of MEs over the 24-month period. Detection of lymphedema at any time during the study was noted in 7.5% of the patients and appeared to be associated with the type of chemotherapy given: CMF 16.4%, capecitabine 5.8%, and AC 4%. Mastectomy and axillary node dissection were associated with the most MEs. LROM correlated with poorer arm function at all time periods.

conclusionPotentially debilitating MEs occur in three-fourths of elderly women undergoing standard therapy for breast cancer. Emphasis should be placed on prevention, identification, and treatment of these MEs to improve QOL.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsArmBreast NeoplasmsCapecitabineChemotherapy, AdjuvantCyclophosphamideDoxorubicinFemaleFluorouracilHumansLymphedemaMethotrexateMuscle, SkeletalCapecitabineCyclophosphamideDoxorubicinFluorouracilMethotrexateBreast cancerElderlyLymphedemaMusculoskeletal events

Identifiers

PMID28825227
PMCPMC5771504

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Registered trials

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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.