Evidence map›Paper›PMID 30729298›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Characteristics of adverse events of endocrine therapies among older patients with breast cancer.

Naoko Honma, Masujiro Makita, Shigehira Saji, Tetuo Mikami, Hideaki Ogata, Rie Horii, Futoshi Akiyama, Takuji Iwase, Shinji Ohno

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. The effect of exercise on aromatase inhibitor-induced musculoskeletal symptoms in breast cancer survivors :a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  2. Article
  3. 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
  4. Review
  5. Review
  6. Review
  7. Article
  8. Race and Patient-reported Symptoms in Adherence to Adjuvant Endocrine Therapy: A Report from the Women's Hormonal Initiation and Persistence Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    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

9 authors at 4 institutions in 1 country.

Naoko HonmaDepartment of Pathology, Toho University School of Medicine, Omori-Nishi 5-21-16, Ota-ku, Tokyo, 143-8540, Japan. naoko.honma@med.toho-u.ac.jp.ORCID http://orcid.org/0000-0002-0400-0791
Masujiro MakitaDepartment of Breast Surgery, Nippon Medical School Musashi Kosugi Hospital, Kosugicho 1-396, Nakahara-ku, Kawasaki City, Kanagawa, 211-8533, Japan.
Shigehira SajiDepartment of Medical Oncology, Fukushima Medical University, Hikariga-oka 1, Fukushima City, Fukushima, 960-1295, Japan.
Tetuo MikamiDepartment of Pathology, Toho University School of Medicine, Omori-Nishi 5-21-16, Ota-ku, Tokyo, 143-8540, Japan.
Hideaki OgataDepartment of Breast and Endocrine Surgery, Toho University Omori Medical Center, Omori-Nishi 6-11-1, Ota-ku, Tokyo, 143-8541, Japan.
Rie HoriiDepartment of Pathology, Cancer Institute, Ariake 3-8-31, Koto-ku, Tokyo, 135-8550, Japan.
Futoshi AkiyamaDepartment of Pathology, Cancer Institute, Ariake 3-8-31, Koto-ku, Tokyo, 135-8550, Japan.
Takuji IwaseBreast Oncology Center, Cancer Institute Hospital, Ariake 3-8-31, Koto-ku, Tokyo, 135-8550, Japan.
Shinji OhnoBreast Oncology Center, Cancer Institute Hospital, Ariake 3-8-31, Koto-ku, Tokyo, 135-8550, Japan.
The Cancer Institute Hospital · JPToho University · JPFukushima Medical University · JPNippon Medical School Musashi Kosugi Hospital · JP

Funding

MEXT/JSPS KAKENHI 16K08660
6 · The paper itself

Abstract

purposeTo clarify the profile of adverse events from endocrine therapies in older patients.

methodsWe surveyed 15 subjective symptoms including hot flashes, sweating, knuckle stiffness, knee/shoulder joint pain, limb numbness, lethargy, forgetfulness, depressive state, irritated state, genital bleeding, leukorrhea increase, vaginal dryness, bone fracture, and weight gain by a questionnaire among 2044 patients over 55 years old (total number of answered sheets, 8875) and compared the results according to age (56-69 years old vs. ≥ 70 years old) and type of therapy (aromatase inhibitors (AIs) vs. selective estrogen receptor modulators (SERMs)). Among patients 56-69 years old, 6093 and 314 responses were from patients treated with AIs (1477 patients) and SERMs (123 patients), respectively, and 2292 and 176 responses were from those ≥ 70 years old treated with AIs (581 patients) and SERMs (51 patients), respectively.

resultsIn patients ≥ 70 years old, sweating, knuckle stiffness, knee/shoulder joint pain, limb numbness, and lethargy were significantly more frequent/severe with AIs than with SERMs. In those aged 56-69, knuckle stiffness and vaginal dryness were significantly more frequent with AIs than with SERMs, but the opposite occurred for hot flashes, leukorrhea increase, genital bleeding, and weight gain.

conclusionsAmong patients ≥ 70 years old, many symptoms were significantly more frequent/severe with AIs than with SERMs, compared with those aged 56-69, which suggests a difference in the profile of adverse events according to the type of endocrine therapy and the patient's age. It is important to consider the benefits and risks of each treatment to optimize endocrine therapy for older patients.

Indexed as

AgedAge FactorsAntineoplastic Agents, HormonalAromatase InhibitorsArthralgiaBreast NeoplasmsFemaleFractures, BoneHot FlashesHumansMiddle AgedSelective Estrogen Receptor ModulatorsSurveys and QuestionnairesSweatingTamoxifenAntineoplastic Agents, HormonalAromatase InhibitorsSelective Estrogen Receptor ModulatorsTamoxifenAromatase inhibitorEndocrine therapyOlderPostmenopausalQuestionnaireTamoxifen

Identifiers

PMID30729298
OpenAlexW2911912792

What OpenQuestion holds

Textmetadata
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.