Evidence map›Paper›PMID 34385978›Full record

ReviewFrontiers in endocrinology2021

Aromatase Inhibitor-Associated Musculoskeletal Syndrome: Understanding Mechanisms and Management.

Tara Hyder, Christopher C Marino, Sasha Ahmad, Azadeh Nasrazadani, Adam M Brufsky

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  3. Aerobic exercise and aromatase inhibitor-associated musculoskeletal symptoms: results of a randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  7. Barriers and enablers to integrating physical activity in breast cancer care: A qualitative study using the TDF and COM-B model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

5 authors at 4 institutions in 1 country.

Tara HyderUniversity of Pittsburgh Physicians, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.
Christopher C MarinoMario Lemieux Center for Blood Cancers, University of Pittsburgh Medical Center (UPMC) Hillman Cancer Center, Pittsburgh, PA, United States.
Sasha AhmadDepartment of Sciences, Sewickley Academy, Pittsburgh, PA, United States.
Azadeh NasrazadaniUPMC Hillman Cancer Center, Magee Women's Hospital, Pittsburgh, PA, United States.
Adam M BrufskyUPMC Hillman Cancer Center, Magee Women's Hospital, Pittsburgh, PA, United States.
UPMC Hillman Cancer Center · USMagee-Womens Hospital · USSewickley Valley Hospital · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aromatase inhibitors (AIs) are a key component in the chemoprevention and treatment of hormone receptor-positive (HR+) breast cancer. While the addition of AI therapy has improved cancer-related outcomes in the management of HR+ breast cancer, AIs are associated with musculoskeletal adverse effects known as the aromatase inhibitor-associated musculoskeletal syndrome (AIMSS) that limit its tolerability and use. AIMSS is mainly comprised of AI-associated bone loss and arthralgias that affect up to half of women on AI therapy and detrimentally impact patient quality of life and treatment adherence. The pathophysiology of AIMSS is not fully understood though has been proposed to be related to estrogen deprivation within the musculoskeletal and nervous systems. This review aims to characterize the prevalence, risk factors, and clinical features of AIMSS, and explore the syndrome's underlying mechanisms and management strategies.

Indexed as

Aromatase InhibitorsArthralgiaBody Mass IndexBone DensityBreast NeoplasmsChemopreventionFemaleHumansMusculoskeletal DiseasesReceptors, EstrogenRisk FactorsAromatase InhibitorsReceptors, Estrogenaromatase inhibitoraromatase inhibitor-associated musculoskeletal syndromearomatase inhibitor-induced arthralgiaaromatase inhibitor-induced bone lossbreast cancer

Identifiers

PMID34385978
PMCPMC8353230
OpenAlexW3186569569

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.