Evidence map›Paper›PMID 30868393›Full record

Observational studyBreast cancer research and treatment2019

Quality of life in pre- and postmenopausal patients with early breast cancer: a comprehensive analysis from the prospective MaLife project.

Norbert Marschner, Tanja Trarbach, Jacqueline Rauh, Dirk Meyer, Sigrun Müller-Hagen, Johanna Harde, Stephanie Dille, Lisa Kruggel, Martina Jänicke, TMK-Group (Tumour Registry Breast Cancer)

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Breast cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01351584 (Clinical Registry to Present Treatment and Sequences of Treatments in Routine Practice in Germany), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

NCT01351584 completednot on this map

Clinical Registry to Present Treatment and Sequences of Treatments in Routine Practice in Germany

Typeobservational_patient_registrySponsoriOMEDICO AGRan2007 to 2021Enrolled4,500ConditionsBreast Cancer
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Biomaterials Empowering in New Era of Women's Healthcare System.Reproductive sciences (Thousand Oaks, Calif.) · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. The mediating effect of pleasure and menopausal symptoms on sexual activity among young breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Cancer-Related Fatigue: Causes and Current Treatment Options.Current treatment options in oncology · 2020
    Review
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.

Norbert MarschnerPraxis für interdisziplinäre Onkologie und Hämatologie, Wirthstrasse 11c, 79110, Freiburg, Germany. manuskript@onkologie-freiburg.de.ORCID http://orcid.org/0000-0002-6098-1301
Tanja TrarbachMVZ des Klinikums Wilhelmshaven, Zentrum für Tumorbiologie, Wilhelmshaven, Germany.
Jacqueline RauhGIM Gemeinschaftspraxis Innere Medizin, Witten, Germany.
Dirk MeyerOSP Göttingen, Göttingen, Germany.
Sigrun Müller-HagenHämatologisch-Onkologischer Schwerpunkt Schnelsen, Hamburg, Germany.
Johanna HardeDepartment of Biostatistics, iOMEDICO, Freiburg, Germany.
Stephanie DilleMedical Department, iOMEDICO, Freiburg, Germany.
Lisa KruggelClinical Epidemiology and Health Economics, iOMEDICO, Freiburg, Germany.
Martina JänickeClinical Epidemiology and Health Economics, iOMEDICO, Freiburg, Germany.
TMK-Group (Tumour Registry Breast Cancer)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeQuality of life (QoL) plays an important role in recovery-especially after an incisive diagnosis such as breast cancer. Here, we present a comprehensive assessment of QoL for pre- and postmenopausal patients, starting from initial systemic treatment of early breast cancer until 3 years later, in patients from a so-called "real-world" setting.

methods251 premenopausal and 478 postmenopausal patients with early breast cancer have been recruited into the longitudinal MaLife project within the prospective, multicentre, German Tumour Registry Breast Cancer between 2011 and 2015. The questionnaires FACT-G, FACT-Taxane, FACT-ES, EORTC QLQ-BR23, BFI and HADS were filled in at start of treatment (T0), 6, 12, 24 and 36 months later. The proportion of patients with clinically meaningful changes at 36 months was determined.

resultsThis first interim analysis shows that the FACT-G global QoL improved over time regardless of the menopausal status. However, clinically meaningful decrease of social/family well-being (48-51%), arm symptoms (44-49%) and symptoms of neurotoxicity (55-56%) was frequently reported 3 years after start of treatment. Many premenopausal patients also reported a clinically meaningful worsening of endocrine symptoms (64%), emotional well-being (36%) and fatigue intensity (37%). Additionally, 3 years after start of treatment, 15% of the patients were classified as doubtful cases and 18% as definite cases of anxiety.

conclusionsDespite improvements in global QoL, breast cancer survivors report worsened ailments 3 years after start of therapy. Follow-up care should distinguish between premenopausal patients needing special attention for emotional/menopausal issues, and postmenopausal patients needing particular care regarding physical concerns.

Indexed as

AdultAgedAged, 80 and overAge of OnsetBreast NeoplasmsFemaleHumansLongitudinal StudiesMiddle AgedPostmenopausePremenopauseProspective StudiesQuality of LifeSurveys and QuestionnairesYoung AdultBreast neoplasmsCohort studiesMenopauseOutpatientsQuality of lifeQuestionnairesRegistries

Identifiers

PMID30868393
PMCPMC6534521

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.