Evidence map›Paper›PMID 34165265›Full record

ArticleCancer medicine2021

A mixed-methods study of cyclin-dependent kinase 4 and 6 inhibitor symptom burden and quality of life among metastatic breast cancer patients and providers.

Laura B Oswald, Brandy Arredondo, Mika Kadono, Dinorah Martinez-Tyson, Cathy D Meade, Frank Penedo, Michael H Antoni, Hatem Soliman, Ricardo L B Costa, Heather S L Jim

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Observational
  7. Exploring the real-world experience of abemaciclib treatment for HR +, HER2 - metastatic breast cancer-a qualitative analysis of the IMPACTOR study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Article
  9. Iterative Development of an Interactive Website to Support Shared Decision-Making in Metastatic Breast Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Article
  10. Article
  11. 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

10 authors at 4 institutions in 1 country.

Laura B OswaldHealth Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0001-6281-2512
Brandy ArredondoParticipant Research, Interventions, and Measurement Core, Moffitt Cancer Center, Tampa, FL, USA.
Mika KadonoInstitute for Health Equity, AltaMed Health Services, Los Angeles, CA, USA.
Dinorah Martinez-TysonCollege of Public Health, University of South Florida, Tampa, FL, USA.
Cathy D MeadeHealth Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL, USA.
Frank PenedoDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Michael H AntoniDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Hatem SolimanBreast Oncology Program, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0001-6644-2264
Ricardo L B CostaBreast Oncology Program, Moffitt Cancer Center, Tampa, FL, USA.
Heather S L JimHealth Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0001-7353-3711
Moffitt Cancer Center · USUniversity of Miami · USAltaMed · USUniversity of South Florida · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
H. Lee Moffitt Cancer Center and Research InstituteMoffitt Cancer Center Innovation AwardMoffitt Cancer Center's Participant Research, Interventions, and Measurement (PRISM) CoreNCI NIH HHS P30 CA076292
6 · The paper itself

Abstract

backgroundCyclin-dependent kinase 4 and 6 (CDK4/6) inhibitor targeted therapies dramatically improve survival outcomes for metastatic breast cancer (MBC), but they are associated with significant symptom burden that can impact patients' health-related quality of life (HRQOL) and treatment outcomes. This study is the first to describe CDK4/6 inhibitor symptoms from the lived perspectives of MBC patients taking CDK4/6 inhibitors and healthcare providers involved in MBC care. This study also explored patients' symptom management and HRQOL concerns, and gathered feedback about developing supportive interventions for MBC.

methodsMBC patients taking CDK4/6 inhibitors (N = 20) and MBC healthcare providers (N = 12) participated in semi-structured interviews that were analyzed for qualitative themes. MBC patients completed surveys about HRQOL, symptoms, and unmet needs.

resultsPatient and provider perceptions of CDK4/6 inhibitor symptoms did not align with patients perceiving symptoms as more burdensome. Patients reported that supportive resources (e.g., support groups, blogs) that are not specific to MBC do not adequately meet their needs. Patients and providers were enthusiastic about developing supportive interventions specifically for MBC and offered considerations for designing such interventions.

conclusionsFindings highlight differences in perceptions of CDK4/6 inhibitor symptom burden between MBC patients and providers. Results will inform the development of supportive interventions to assist MBC patients in managing CDK4/6 inhibitor symptom burden and maintaining HRQOL. Such interventions could also improve treatment outcomes.

Indexed as

OncologistsQuality of LifeAdultAgedBreast NeoplasmsCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Cyclin-Dependent Kinase Inhibitor ProteinsFatigueFemaleHumansMiddle AgedMolecular Targeted TherapyNeeds AssessmentPatient Reported Outcome MeasuresQualitative ResearchCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Cyclin-Dependent Kinase Inhibitor Proteinsbreast neoplasmsneoplasm metastasispatient-reported outcomes measurespsycho-oncologyqualitative researchquality of life

Identifiers

PMID34165265
PMCPMC8290228
OpenAlexW3174844543

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.