Evidence map›Paper›PMID 29168353›Full record

ArticleCancer medicine2018

Genomic risk prediction of aromatase inhibitor-related arthralgia in patients with breast cancer using a novel machine-learning algorithm.

Raquel E Reinbolt, Stephen Sonis, Cynthia D Timmers, Juan Luis Fernández-Martínez, Ana Cernea, Enrique J de Andrés-Galiana, Sepehr Hashemi, Karin Miller, Robert Pilarski, Maryam B Lustberg

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Prediction of mucositis risk secondary to cancer therapy: a systematic review of current evidence and call to action.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  3. Genome-wide association study of aromatase inhibitor discontinuation due to musculoskeletal symptoms.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
  4. Review
  5. Review
  6. Article
  7. Musculoskeletal symptoms associated with aromatase inhibitors in the treatment of early breast cancer: A scoping review of risk factors and outcomes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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  9. Article
  10. Article
  11. Review
  12. 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

10 authors at 4 institutions in 2 countries.

Raquel E ReinboltThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.ORCID 0000-0002-1250-2222
Stephen SonisPrimary Endpoint Solutions, Watertown, Massachusetts.
Cynthia D TimmersThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Juan Luis Fernández-MartínezPrimary Endpoint Solutions, Watertown, Massachusetts.
Ana CerneaPrimary Endpoint Solutions, Watertown, Massachusetts.
Enrique J de Andrés-GalianaPrimary Endpoint Solutions, Watertown, Massachusetts.
Sepehr HashemiPrimary Endpoint Solutions, Watertown, Massachusetts.
Karin MillerThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Robert PilarskiThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Maryam B LustbergThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
The Ohio State University · USUniversidad de Oviedo · ESBrigham and Women's Hospital · USHarvard University · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Decoding tumors to achieve better clinical outcomesR50CA211529 · NCI · OHIO STATE UNIVERSITY · PI TIMMERS, CYNTHIA · 2017 to 2019
$515k
Medical Research Council MC_PC_12028Medical Research Council MC_QA137853NCI NIH HHS P30 CA016058NCI NIH HHS R50 CA211529
6 · The paper itself

Abstract

Many breast cancer (BC) patients treated with aromatase inhibitors (AIs) develop aromatase inhibitor-related arthralgia (AIA). Candidate gene studies to identify AIA risk are limited in scope. We evaluated the potential of a novel analytic algorithm (NAA) to predict AIA using germline single nucleotide polymorphisms (SNP) data obtained before treatment initiation. Systematic chart review of 700 AI-treated patients with stage I-III BC identified asymptomatic patients (n = 39) and those with clinically significant AIA resulting in AI termination or therapy switch (n = 123). Germline DNA was obtained and SNP genotyping performed using the Affymetrix UK BioBank Axiom Array to yield 695,277 SNPs. SNP clusters that most closely defined AIA risk were discovered using an NAA that sequentially combined statistical filtering and a machine-learning algorithm. NCBI PhenGenI and Ensemble databases defined gene attribution of the most discriminating SNPs. Phenotype, pathway, and ontologic analyses assessed functional and mechanistic validity. Demographics were similar in cases and controls. A cluster of 70 SNPs, correlating to 57 genes, was identified. This SNP group predicted AIA occurrence with a maximum accuracy of 75.93%. Strong associations with arthralgia, breast cancer, and estrogen phenotypes were seen in 19/57 genes (33%) and were functionally consistent. Using a NAA, we identified a 70 SNP cluster that predicted AIA risk with fair accuracy. Phenotype, functional, and pathway analysis of attributed genes was consistent with clinical phenotypes. This study is the first to link a specific SNP/gene cluster to AIA risk independent of candidate gene bias.

Indexed as

Machine LearningAntineoplastic Agents, HormonalAromatase InhibitorsArthralgiaBreast NeoplasmsCase-Control StudiesFemaleGenetic Predisposition to DiseaseGenomicsGerm-Line MutationHumansMiddle AgedNeoplasm StagingPolymorphism, Single NucleotidePrognosisAntineoplastic Agents, HormonalAromatase InhibitorsAromatasearthralgiabreast cancerestrogenjoint painSNP

Identifiers

PMID29168353
PMCPMC5773952
OpenAlexW2770763418

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.