Evidence map›Paper›PMID 30453388›Full record

ArticleCancer medicine2018

Improved long-term patient-reported health and well-being outcomes of early-stage breast cancer treated with partial breast proton therapy.

Sandra L Teichman, Sharon Do, Sharon Lum, Theodore S Teichman, William Preston, Shelly E Cochran, Carlos A Garberoglio, Roger Grove, Carol A Davis, Jerry D Slater and 1 more

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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 39% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Evidence-based indications for proton therapy in adults determined using the GRADE approach.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. The risk for developing a secondary cancer after breast radiation therapy: Comparison of photon and proton techniques.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2020
    Article
  7. Review
  8. 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

11 authors at 1 institution in 1 country.

Sandra L TeichmanDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
Sharon DoDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
Sharon LumDepartment of Surgical Oncology, Loma Linda University Medical Center, Loma Linda, California.
Theodore S TeichmanDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
William PrestonDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
Shelly E CochranDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
Carlos A GarberoglioDepartment of Surgical Oncology, Loma Linda University Medical Center, Loma Linda, California.
Roger GroveDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
Carol A DavisDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
Jerry D SlaterDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.
David A BushDepartment of Radiation Medicine Loma, Linda University Medical Center, Loma Linda, California.ORCID 0000-0003-0552-5861
Loma Linda University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause early-stage breast cancer can be treated successfully by a variety of breast-conservation approaches, long-term quality of life (QoL) is an important consideration in assessing treatment outcomes for these patients. This study compares patient-reported QoL outcomes among women with stage 0-2 disease treated via lumpectomy followed by whole breast irradiation (WBI) or partial breast proton irradiation (PBPT).

methodsIn this cross-sectional study, 129 participants evaluated QoL several years post-treatment by responding to subjective instruments, including established scalar questionnaires and self-report measures. Responses were averaged between the two groups.

resultsAt 6.5 years (median) postdiagnosis, participants' demographic, and clinical characteristics were similar. Patient-reported outcomes were reported as mean scale scores for the two groups, all displaying significant differences favoring PBPT, including: cosmetic breast cancer treatment outcome scale (BCTOS) (PBPT mean 1.45, WBI mean 1.88, P < 0.001); breast pain (PBPT mean 1.30, WBI mean 1.67, P < 0.05); breast texture (BPT mean 1.44, WBI mean 1.91, P < 0.001); clothing fit (PBPT mean 1.06, WBI 1.46, P < 0.001); fatigue (PBPT mean 2.24, WBI mean 3.77, P < 0.002); impact of daily life fatigue on personal relations (OBPT mean 0.83, WBI mean 2.15, P < 0.001); and self-consciousness (appearance dissatisfaction) (PBPT mean 1.38, WBI mean 1.77, P < 0.004).

conclusionPatients' responses suggest that PBPT is associated with improved overall QoL compared to standard whole breast treatment. These self-perceptions are reported by patients who are 5-10 years post-treatment, and that PBPT may enhance QoL in a multitude of interrelated ways.

Indexed as

Proton TherapyAgedAged, 80 and overBreast NeoplasmsFemaleHumansMastectomy, SegmentalMiddle AgedNeoplasm StagingPatient Reported Outcome MeasuresPatient SatisfactionQuality of LifeTreatment Outcomebreast cancerlong-term survivorspatient-reported outcomesproton radiationquality of life

Identifiers

PMID30453388
PMCPMC6308094
OpenAlexW2901567476

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.