Evidence map›Paper›PMID 33183969›Full record

ArticleClinical breast cancer2021

Aromatase Inhibitor Symptom Management Practices: A Retrospective Study.

Andrew Ernst, Kathryn E Flynn, Elizabeth M Weil, Bradley H Crotty, Sailaja Kamaraju, Nicole Fergestrom, Joan Neuner

Abstract read
In one paragraph

Article in Clinical breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Andrew ErnstDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Kathryn E FlynnDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI; Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.
Elizabeth M WeilDepartment of Pharmacy, Froedtert & the Medical College of Wisconsin, Milwaukee, WI.
Bradley H CrottyDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI.
Sailaja KamarajuDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI; Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI.
Nicole FergestromCenter for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI.
Joan NeunerDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI. Electronic address: jneuner@mcw.edu.

Funding

Medical Student Training in Aging and Injury ResearchT35AG029793 · NIA · MEDICAL COLLEGE OF WISCONSIN · PI MEURER, LINDA N. · 2007 to 2021
$1.0M
NIA NIH HHS T35 AG029793
6 · The paper itself

Abstract

purposeAromatase inhibitor (AI)-associated symptoms contribute to early therapy discontinuation. Although guidelines exist for management of these symptoms, little is known about the degree to which physicians address symptoms and adhere to the guidelines for treatment. PATIENTS AND

methodsIn this retrospective chart review, women with hormone receptor-positive breast cancer who were prescribed an AI between October 15, 2012, and September 14, 2017, were randomly selected from the institution's cancer registry. Patient medical records were reviewed to identify the prevalence of symptom documentation and management. Documented symptoms were categorized into musculoskeletal, vasomotor, and urogenital. Symptom treatment guidelines were compiled from the National Comprehensive Cancer Network (NCCN) and the American Cancer Society/American Society of Clinical Oncology (ACS/ASCO). Treatments were categorized as either meeting or not meeting the guidelines. Among patients with symptoms recorded, chi-square tests and time-to-event models were used to examine factors associated with treatment and factors associated with guideline-based treatment.

resultsAmong 179 women prescribed an AI, 82% had at least one symptom and 46% had multiple symptoms. Of the 147 women with any documented symptom, 97 (66%) received some form of symptom-palliating treatment. Seventy-seven patients (52%) received guideline-based treatments or guideline-based treatments in combination with non-guideline-based treatments. There were no differences in receipt of treatment overall (ie, guideline based or non-guideline based) for either vasomotor or musculoskeletal symptoms by age, race, or stage.

conclusionAlthough 82% of patients had symptoms documented in their medical records, just over half of those patients received guideline-based treatment.

Indexed as

AdultAromatase InhibitorsBreast NeoplasmsDisease ManagementDrug MonitoringDrug-Related Side Effects and Adverse ReactionsFemaleHumansMiddle AgedMusculoskeletal DiseasesPatient Reported Outcome MeasuresRetrospective StudiesAromatase InhibitorsAdjuvantAromatase inhibitorBreast cancerMedication adherenceSymptom management

Identifiers

PMID33183969
PMCPMC8923736

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Registered trials

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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.