Evidence map›Paper›PMID 30935397›Full record

Observational studyJournal of translational medicine2019

Key metabolic parameters change significantly in early breast cancer survivors: an explorative PILOT study.

Stine Overvad Fredslund, Claus Højbjerg Gravholt, Britt Elmedal Laursen, Anders Bonde Jensen

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02652975 (Anticancer Treatment of Breast Cancer Related to Cardiotoxicity and Dysfunctional Endothelium), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

NCT02652975 nacompletednot on this map

Anticancer Treatment of Breast Cancer Related to Cardiotoxicity and Dysfunctional Endothelium

TypeinterventionalSponsorUniversity of AarhusRan2015 to 2018Enrolled76ConditionsBreast Neoplasms, Endothelial Dysfunction, Cardiovascular Disease, Metabolic SyndromeArmsVenous occlusion plethysmography, SphygmoCor, 24hour blood pressure, DEXA scan, Laboratory blood samples
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Risk of Cardiometabolic Risk Factors in Women With and Without a History of Breast Cancer: The Pathways Heart Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Body Composition in Women after Radical Mastectomy.International journal of environmental research and public health · 2020
    Article
  19. 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

4 authors.

Stine Overvad FredslundDepartment of Oncology, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus C, Denmark. stin.fred@auh.rm.dk.
Claus Højbjerg GravholtDepartment of Endocrinology and Internal Medicine MEA, Aarhus University Hospital, Palle Juul Jensens Blvd 99, 8200, Arhus N, Denmark.
Britt Elmedal LaursenDepartment of Oncology, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus C, Denmark.
Anders Bonde JensenDepartment of Oncology, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith increasing number of breast cancer survivors, more attention is drawn to long-term consequences of curative cancer treatment. Adjuvant treatment of breast cancer patients is associated with several unfavorable medical conditions, including dyslipidemia, insulin resistance, and obesity, potentially leading to cardiovascular disease and/or the metabolic syndrome. The aim of this explorative study is to investigate metabolic side effects of adjuvant treatment in breast cancer patients.

methodsA cohort of 13 premenopausal and 20 postmenopausal women with early stage breast cancer were extensively examined prior to, immediately after and 1 year after ended adjuvant chemotherapy and compared with healthy controls (N = 36) matched by age and menopausal status. Repeated examinations included: anthropometric measures, DEXA scans, 24-h blood pressure measurements, and blood samples [high sensitivity CRP, lipid profile and glucose metabolism, including homeostatic model assessment (HOMA)].

resultsAt baseline, breast cancer patients were similar to healthy controls regarding all measures. From baseline to 1-year post-treatment specific components of the metabolic syndrome increased significantly in premenopausal breast cancer patients; body fat (P = 0.01), triglycerides (P = 0.03), waist circumference (P = 0.008) and diastolic blood pressure (P = 0.04). In postmenopausal patients, waist circumference also increased significantly (P = 0.03), and High density lipoprotein (HDL) cholesterol decreased significantly (P = 0.05).

conclusionsSpecific components of the metabolic syndrome changed significantly during chemotherapy in early stage breast cancer patients. After 1 year, several key parameters remained pathologically changed. Premenopausal breast cancer patients seemed to be especially prone to develop these unfavorable changes. Trial registration ClinicalTrial.gov, registration number NCT02652975. Registered 15 December 2015-Retrospectively registered, https://clinicaltrials.gov/ .

Indexed as

Cancer SurvivorsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsAromatase InhibitorsBreast NeoplasmsCase-Control StudiesChemotherapy, AdjuvantEnergy MetabolismFemaleHumansInsulin ResistanceMastectomyMenopauseMetabolic SyndromeMiddle AgedAromatase InhibitorsSelective Estrogen Receptor ModulatorsBody compositionBreast cancerCardiovascular riskChemotherapyDyslipidemiaLong-term side effectsMetabolic syndrome

Identifiers

PMID30935397
PMCPMC6444586

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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.