Evidence map›Paper›PMID 37093518›Full record

SynthesisJournal of cancer survivorship : research and practice2024

Body composition and chemotherapy toxicity among women treated for breast cancer: a systematic review.

Heather Wopat, Tom Harrod, Rachel F Brem, Rebecca Kaltman, Kendall Anderson, Kim Robien

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer survivorship : research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

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  9. Enhanced muscle and fat segmentation for CT-based body composition analysis: a comparative study.International journal of computer assisted radiology and surgery · 2024
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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

6 authors at 3 institutions in 1 country.

Heather WopatDepartment of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Avenue, NW, 2nd Floor, Washington, DC, 20052, USA.
Tom HarrodHimmelfarb Health Sciences Library, George Washington University, Washington, DC, USA.
Rachel F BremDepartment of Radiology, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
Rebecca KaltmanInova Schar Cancer Institute, Fairfax, VA, USA.
Kendall AndersonGW Cancer Center, George Washington University, Washington, DC, USA.
Kim RobienDepartment of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Avenue, NW, 2nd Floor, Washington, DC, 20052, USA. krobien@gwu.edu.ORCID 0000-0002-2120-2280
George Washington University · USMilken Institute · USVirginia Cancer Institute · US

Funding

Body composition and chemotherapy toxicity among women being treated for breast cancerR21CA259790 · NCI · GEORGE WASHINGTON UNIVERSITY · PI ROBIEN, KIMBERLY Z · 2021 to 2022
$406k
NCI NIH HHS R21 CA259790NIH HHS R21 CA259790
6 · The paper itself

Abstract

purposeToxicity is a significant problem among women receiving systemic chemotherapy for breast cancer, with up to 60% experiencing hematologic and 14% experiencing non-hematologic toxicity. Chemotherapy is dosed using body surface area, which does not account for heterogeneity in lean body mass (LBM) and adipose tissue (AT). This systematic review, registered with the PROSPERO International Prospective Register of Systematic Reviews (#CRD42021279874), evaluates associations between body composition and chemotherapy-related toxicity during breast cancer treatment.

methodsScientific literature databases (PubMed, Scopus, CINAHL, and CENTRAL) were systematically searched in November 2021 for studies evaluating associations between body composition (assessed using computed tomography or dual x-ray absorptiometry) and chemotherapy-related toxicity among women receiving breast cancer treatment. Eligibility was not limited by year or country of publication. Article screening and data abstraction was conducted using the Covidence Systematic Review Management System. Predetermined criteria were used to evaluate rigor of participant recruitment, representativeness of the population, and use of validated measures of body composition and toxicity.

resultsAn inverse association between LBM and toxicity was reported in seven of the eight included studies, although definitions of low LBM differed across studies. Three studies evaluated the association between AT and chemotherapy toxicity with inconsistent findings. Heterogeneity in body composition measures/definitions and treatment regimens precluded the ability to perform meta-analyses.

conclusionLow LBM appears to be a risk factor for chemotherapy toxicity, but the role of AT is unclear. IMPLICATIONS FOR CANCER SURVIVORS: Further research that accounts for guideline concordance in chemotherapy prescriptions and the use of supportive care medications is needed.

Indexed as

Antineoplastic AgentsBody CompositionBreast NeoplasmsDrug-Related Side Effects and Adverse ReactionsFemaleHumansAntineoplastic AgentsBody compositionBreast cancerChemotherapyToxicity

Identifiers

PMID37093518
PMCPMC11299853
OpenAlexW4366821573

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.