Evidence map›Paper›PMID 36826073›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

Adherence to Adjuvant Endocrine Therapy in Breast Cancer Patients.

Roberta Rosso, Marta D'Alonzo, Valentina Elisabetta Bounous, Silvia Actis, Isabella Cipullo, Elena Salerno, Nicoletta Biglia

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 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.

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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Mapping the landscape of Chinese patent medicines in breast cancer: a multi-database bibliometric analysis (1991-2025).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  16. Impact of motivational interviewing on psychosocial and symptom outcomes during breast cancer endocrine therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  18. The impact of COVID-19 pandemic on treatment adherence of patients with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

7 authors.

Roberta RossoDivision of Gynecology and Obstetrics, Department of Surgical Sciences, School of Medicine, University of Turin, 10100 Turin, Italy.
Marta D'AlonzoDivision of Gynecology and Obstetrics, Department of Surgical Sciences, School of Medicine, University of Turin, 10100 Turin, Italy.
Valentina Elisabetta BounousDivision of Gynecology and Obstetrics, Department of Surgical Sciences, School of Medicine, University of Turin, 10100 Turin, Italy.ORCID 0000-0002-6826-4788
Silvia ActisDivision of Gynecology and Obstetrics, Department of Surgical Sciences, School of Medicine, University of Turin, 10100 Turin, Italy.
Isabella CipulloDivision of Gynecology and Obstetrics, Department of Surgical Sciences, School of Medicine, University of Turin, 10100 Turin, Italy.ORCID 0000-0003-0450-1833
Elena SalernoDivision of Gynecology and Obstetrics, Department of Surgical Sciences, School of Medicine, University of Turin, 10100 Turin, Italy.
Nicoletta BigliaDivision of Gynecology and Obstetrics, Department of Surgical Sciences, School of Medicine, University of Turin, 10100 Turin, Italy.ORCID 0000-0003-1009-5309

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdjuvant endocrine therapy (AET) reduces breast cancer recurrence and mortality of women with hormone-receptor-positive tumors, but poor adherence remains a significant problem. The aim of this study was to analyze AET side effects and their impact on adherence to treatment.

methodsA total of 373 breast cancer patients treated with AET filled out a specific questionnaire during their follow up visits at the Breast Unit of our Centre.

resultsSide effects were reported by 81% of patients, 84% of those taking tamoxifen and 80% of those taking aromatase inhibitors (AIs). The most common side effect in the tamoxifen group was hot flashes (55.6%), while in the AI group it was arthralgia (60.6%). The addition of GnRH agonists to both tamoxifen and AI significantly worsened all menopausal symptoms. Overall, 12% of patients definitively discontinued AET due to side effects, 6.4% during the first 5 years and 24% during extended therapy. Patients who had previously received chemotherapy or radiotherapy reported a significantly lower discontinuation rate.

conclusionsAET side effects represent a significant problem in breast cancer survivors leading to irregular assumption and discontinuation of therapy. Adherence to AET may be improved by trustful patient-physician communication and a good-quality care network.

Indexed as

Breast NeoplasmsAntineoplastic Agents, HormonalChemotherapy, AdjuvantFemaleHumansNeoplasm Recurrence, LocalTamoxifenAntineoplastic Agents, HormonalTamoxifenadherence to treatmentadjuvant endocrine therapyaromatase inhibitorsbreast cancerGnRH agonistquestionnaireside effectstamoxifen

Identifiers

PMID36826073
PMCPMC9955792

What OpenQuestion holds

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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.