Evidence map›Paper›PMID 34636036›Full record

ArticleCancer2022

A Coala-T-Cannabis Survey Study of breast cancer patients' use of cannabis before, during, and after treatment.

Marisa C Weiss, Julianne E Hibbs, Meghan E Buckley, Sherry R Danese, Adam Leitenberger, Melissa Bollmann-Jenkins, Sam W Meske, Katherine E Aliano-Ruiz, Theresa W McHugh, Sharon L Larson and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
7.6field-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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Cannabis and Cannabinoids in Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  2. Pooled it
  3. Cannabis use and perceptions among rural and urban cancer patients and survivors from a Pennsylvania cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Review
  6. Cannabis Use and Outcomes in Breast Surgery.Plastic and reconstructive surgery. Global open · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. State of the Science: Health Care Provider Communication of Cannabis Use Among Adults Living with Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Review
  12. Article
  13. Experiences and Comfort of Young Cancer Patients Discussing Cannabis with Their Providers: Insights from a Survey at an NCI-Designated Cancer Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Patient out-of-pocket costs for cannabis use during cancer treatment.Journal of the National Cancer Institute. Monographs · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 2 countries.

Marisa C WeissBreastcancer.org, Ardmore, Pennsylvania.ORCID 0000-0002-6955-4939
Julianne E HibbsMedical Oncology, Lankenau Medical Center, Wynnewood, Pennsylvania.
Meghan E BuckleyCenter for Population Health Research, Main Line Health, Wynnewood, Pennsylvania.
Sherry R DaneseOutcomes Insights, Agoura Hills, California.
Adam LeitenbergerBreastcancer.org, Ardmore, Pennsylvania.
Melissa Bollmann-JenkinsBreastcancer.org, Ardmore, Pennsylvania.
Sam W MeskeLankenau Institute for Medical Research, Wynnewood, Pennsylvania.
Katherine E Aliano-RuizLankenau Institute for Medical Research, Wynnewood, Pennsylvania.
Theresa W McHughMedical Oncology, Lankenau Medical Center, Wynnewood, Pennsylvania.
Sharon L LarsonCenter for Population Health Research, Main Line Health, Wynnewood, Pennsylvania.
Elaine H LeHealthline, San Francisco, California.
Nancye L GreenDonovan/Green, New York, New York.
Paul B GilmanLankenau Institute for Medical Research, Wynnewood, Pennsylvania.
Virginia G KaklamaniMedical Oncology, Internal Medicine, University of Texas Health San Antonio, San Antonio, Texas.ORCID 0000-0002-3313-8458
Rowan T ChlebowskiLundquist Institute for Biomedical Innovation, Harbor-UCLA Medical Center, Torrance, California.ORCID 0000-0002-4212-6184
Diana M MartinezDepartment of Psychiatry, Columbia University Irving Medical Center, New York, New York.
Lankenau Institute for Medical Research · USMain Line Health · USLankenau Medical Center · USSpencer Foundation · USClinical Insights · USColumbia University Irving Medical Center · USDonaldson (United States) · USSan Francisco Department of Public Health · USThe University of Texas Health Science Center at San Antonio · USUCLA Medical Center · US

Funding

Survival Analysis Methods for Organ Failure DataR01DK070869 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI DOUGLAS EARL SCHAUBEL · 2005 to 2026
$4.7M
Transdisciplinary Research in Energetics and Cancer (TREC) Training GrantR25CA203650 · NCI · YALE UNIVERSITY · PI IRWIN, MELINDA L · 2016 to 2025
$2.9M
WOMENS HEALTH INITIATIVE-N01WH22110N01WH022110 · WH · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ROSS, PRENTICE · 1992 to 2006
$1.2M
From the Scanner to the Clinic: Patient Oriented Research and MentorshipK24DA050087 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Diana M Martinez · 2020 to 2026
$603k
NCI NIH HHS R25 CA203650NHLBI NIH HHS HHSN268201600003CNHLBI NIH HHS HHSN268201600004CNIDA NIH HHS K24 DA050087NIDDK NIH HHS R01 DK070869WHI NIH HHS N01 WH022110
6 · The paper itself

Abstract

backgroundThe goal of this study was to characterize cannabis use among patients with breast cancer, including their reasons for and timing of use, their sources of cannabis information and products, their satisfaction with the information found, their perceptions of its safety, and their dialogue about cannabis with their physicians.

methodsUnited States-based members of the Breastcancer.org and Healthline.com communities with a self-reported diagnosis of breast cancer within 5 years (age ≥ 18 years) were invited to participate in an anonymous online survey. After informed consent was obtained, nonidentifiable data were collected and analyzed.

resultsOf all participants (n = 612), 42% (n = 257) reported using cannabis for relief of symptoms, which included pain (78%), insomnia (70%), anxiety (57%), stress (51%), and nausea/vomiting (46%). Furthermore, 49% of cannabis users believed that medical cannabis could be used to treat cancer itself. Of those taking cannabis, 79% had used it during treatment, which included systemic therapies, radiation, and surgery. At the same time, few (39%) had discussed it with any of their physicians.

conclusionsA significant percentage of survey participants (42%) used cannabis to address symptoms; approximately half of these participants believed that cannabis could treat cancer itself. Most participants used cannabis during active cancer treatment despite the potential for an adverse event during this vulnerable time. Furthermore, most participants believed that cannabis was safe and were unaware that product quality varied widely and depended on the source. This study reviews the research on medicinal cannabis in the setting of these findings to help physicians to recognize its risks and benefits for patients with cancer. LAY SUMMARY: Almost half of patients with breast cancer use cannabis, most commonly during active treatment to manage common symptoms and side effects: pain, anxiety, insomnia, and nausea. However, most patients do not discuss cannabis use with their physicians. Instead, the internet and family/friends are the most common sources of cannabis information. Furthermore, most participants believe that cannabis products are safe and are unaware that the safety of many products is untested.

Indexed as

Breast NeoplasmsCannabisMedical MarijuanaFemaleHumansNauseaSurveys and QuestionnairesMedical Marijuanabreast cancercannabismarijuanapalliation

Identifiers

PMID34636036
PMCPMC9413357
OpenAlexW3207606572

What OpenQuestion holds

Textmetadata
LicenceTDM
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.