Evidence map›Paper›PMID 34314022›Full record

ArticleCancer2021

Weight loss does not decrease risk of breast cancer-related arm lymphedema.

Sacha A Roberts, Tessa C Gillespie, Amy M Shui, Cheryl L Brunelle, Kayla M Daniell, Joseph J Locascio, George E Naoum, Alphonse G Taghian

Abstract read
In one paragraph

Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Body mass index increases the risk of breast cancer-related lymphedema at 6-18 months after surgery: a retrospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  7. 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

8 authors.

Sacha A RobertsDepartment of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-3186-1201
Tessa C GillespieDepartment of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Amy M ShuiBiostatistics Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Cheryl L BrunelleDepartment of Physical and Occupational Therapy, Massachusetts General Hospital, Boston, Massachusetts.
Kayla M DaniellDepartment of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Joseph J LocascioBiostatistics Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
George E NaoumDepartment of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Alphonse G TaghianDepartment of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2211-9355

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Early Detection and Treatment of Lymphedema in Women with Breast CancerR01CA139118 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TAGHIAN, ALPHONSE G · 2009 to 2013
$1.4M
Center for Strategic Scientific Initiatives, National Cancer Institute P50CA08393NCATS NIH HHS UL1 TR002541NCI NIH HHS R01 CA139118
6 · The paper itself

Abstract

backgroundThe goal of this study was to determine the relationship between postoperative weight change and breast cancer-related lymphedema (BCRL).

methodsIn this cohort study, 1161 women underwent unilateral breast surgery for breast cancer from 2005 to 2020 and were prospectively screened for BCRL. Arm volume measurements were obtained via an optoelectronic perometer preoperatively, postoperatively, and in the follow-up setting every 6 to 12 months. Mean follow-up from preoperative baseline was 49.1 months. The main outcome was BCRL, defined as a relative volume change of the ipsilateral arm of ≥10% at least 3 months after surgery.

resultsA total of 92 patients (7.9%) developed BCRL. Net weight loss versus net weight gain from baseline to last follow-up was not protective against developing BCRL (hazard ratio, 1.38; 95% confidence interval, 0.89-2.13; P = .152).

conclusionsAlthough weight loss may be recommended as part of an individualized lifestyle management program for overall health, weight loss alone may not decrease the risk of developing BCRL.

Indexed as

Breast Cancer LymphedemaBreast NeoplasmsLymphedemaCohort StudiesFemaleHumansWeight Lossbreast cancerbreast cancer-related lymphedemalymphedemaweight change

Identifiers

PMID34314022
PMCPMC8516692

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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.