Evidence map›Paper›PMID 35500200›Full record

SynthesisJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses.

Anna C Singleton, Rebecca Raeside, Karice K Hyun, Stephanie R Partridge, Gian Luca Di Tanna, Nashid Hafiz, Qiang Tu, Justin Tat-Ko, Stephanie Che Mun Sum, Kerry A Sherman and 2 more

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06699875 (Comparative Study of the Effectiveness Between Models of Conventional Therapy vs Telerehabilitation With TRAK in Patients Undergoing Axillary Lymph Node Removal), which is not on this map. Cited by 75 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 19 pooled it
–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.

NCT06699875 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparative Study of the Effectiveness Between Models of Conventional Therapy vs Telerehabilitation With TRAK in Patients Undergoing Axillary Lymph Node Removal (Axillary Lymphadenectomy) as Part of Therapy Against Breast Cancer.

TypeinterventionalSponsorTrak Health Solutions S.L.Ran2023 to 2026Enrolled40ConditionsBreast Cancer FemaleArmsTrak exercise prescription protocol at home, Conventional rehabilitation plan at home
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 19 syntheses or guidelines pooled it.

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  16. Effect of telehealth interventions on adherence to endocrine therapy among patients with breast cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Anna C SingletonFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-7071-0118
Rebecca RaesideFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Karice K HyunFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-0164-7725
Stephanie R PartridgeFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-5390-3922
Gian Luca Di TannaThe George Institute for Global Health, University of NSW, Kensington, New South Wales, Australia.ORCID 0000-0002-5470-3567
Nashid HafizFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-5444-1624
Qiang TuFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-8602-3347
Justin Tat-KoFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-7857-5889
Stephanie Che Mun SumFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Kerry A ShermanDepartment of Psychology, Center for Emotional Health, Macquarie University, Sydney, New South Wales, Australia.
Elisabeth ElderWestmead Breast Cancer Institute, Westmead Hospital, Westmead, New South Wales, Australia.ORCID 0000-0002-6686-9898
Julie RedfernFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-8707-5563

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOngoing supportive care using electronic health (eHealth) interventions has the potential to provide remote support and improve health outcomes for patients with breast cancer. This study aimed to evaluate the effectiveness of eHealth interventions on patient-reported outcomes (quality of life [QOL], self-efficacy, and mental or physical health) for patients during and after breast cancer treatment and patient-reported experience measures (acceptability and engagement).

methodsSystematic review with meta-analyses (random-effects model) of randomized controlled trials was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Nine databases were searched using a prespecified search strategy. Patient-directed eHealth interventions for adult patients during or after active breast cancer treatment measuring QOL, self-efficacy, and mental (depressive, anxiety, and distress symptoms) or physical (physical activity, nutrition, and fatigue) health outcomes were included. Data from eligible full-text articles were independently extracted by six observers.

resultsThirty-two unique studies (4,790 patients) were included. All were health self-management interventions, and most were multicomponent (videos, forums, and electronic reminder systems) websites. Meta-analyses revealed a significant effect of eHealth interventions on QOL (standardized mean difference [SMD], 0.20 [95% CI, 0.03 to 0.36]), self-efficacy (SMD, 0.45 [95% CI, 0.24 to 0.65]), distress (SMD, -0.41 [95% CI,-0.63 to -0.20]), and fatigue (SMD, -0.37 [95% CI, -0.61 to -0.13]). Twenty-five studies (78.1%) measured patient-reported experience measures. Acceptability (n = 9) was high, with high ratings for satisfaction (range, 71%-100%), usefulness (range, 71%-95%), and ease-of-use (range, 73%-92%). Engagement (n = 25) decreased over time, but disease-focused information and interactive support were most engaging.

conclusioneHealth interventions may provide an acceptable and effective strategy for improving QOL, distress, self-efficacy, and fatigue among patients with breast cancer.

Indexed as

Breast NeoplasmsQuality of LifeTelemedicineAnxietyDepressionFatigueHumans

Identifiers

PMID35500200
PMCPMC9273371

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.