Evidence map›Paper›PMID 37338627›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Technology-based supportive care for metastatic breast cancer patients.

Kathryn H Schmitz, Beth Kanski, Brett Gordon, Maxime Caru, Monali Vasakar, Cristina I Truica, Ming Wang, Shawna Doerksen, Abby Lorenzo, Renata Winkels and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04673019 (Nurse AMIE for Echo Show), which is not on this map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT04673019 nacompletednot on this map

Nurse AMIE for Echo Show: Randomized Control Trial

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2021 to 2022Enrolled42ConditionsMetastatic Breast CancerArmsNurse AMIE (Addressing Metastatic Individuals Every day)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Using digital technology to support wellbeing and independence among people living with incurable cancers: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  5. Review
  6. Article
  7. Article
  8. Review
  9. Conversational Agents to Support Pain Management: A Scoping Review.European journal of pain (London, England) · 2025
    Article
  10. Article
  11. Article
  12. Article
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

12 authors at 5 institutions in 2 countries.

Kathryn H SchmitzDivision of Hematology and Oncology, University of Pittsburgh, Pittsburgh, PA, USA. schmitzk@upmc.edu.
Beth KanskiDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Brett GordonDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Maxime CaruDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Monali VasakarDivision of Hematology and Oncology, Penn State College of Medicine, Hershey, PA, USA.
Cristina I TruicaDivision of Hematology and Oncology, Penn State College of Medicine, Hershey, PA, USA.
Ming WangDivision of Biostatistics, Case Western Reserve University, Cleveland, OH, USA.
Shawna DoerksenDivision of Hematology and Oncology, University of Pittsburgh, Pittsburgh, PA, USA.
Abby LorenzoDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Renata WinkelsDivision of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands.
Ling QiuCollege of Information Sciences and Technology, Penn State University, State College, PA, USA.
Saeed AbdullahCollege of Information Sciences and Technology, Penn State University, State College, PA, USA.
Pennsylvania State University · USPenn State Milton S. Hershey Medical Center · USUniversity of Pittsburgh · USCase Western Reserve University · USWageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMetastatic breast cancer (MBC) patients are living longer. However, symptom burden remains a significant issue. Technology-based interventions may assist. The purpose of this study was to test a virtual assistant for addressing symptoms in MBC using the Amazon Echo Show with Alexa.

methodsIn this partial crossover randomized trial, the immediate treatment group was exposed to the intervention, called Nurse AMIE (Addressing Metastatic Individuals Everyday) for 6 months. The comparison group was unexposed for the first 3 months and then exposed for 3 months. The randomized controlled trial (RCT) during the first 3 months allowed for the evaluation of intervention effects on symptoms and function. The partial crossover maximized exposure to the intervention for evaluation of feasibility, usability, and satisfaction. RCT outcome data were collected at baseline and 3 months. Feasibility, usability, and satisfaction data were collected throughout the first 3 months of intervention exposure.

resultsForty-two MBC patients were randomized (1:1). Participants were 53 ± 11 years old and 4 ± 7 years from diagnosis with metastatic disease. No significant effects on psychosocial distress, pain, sleep disturbance, fatigue (vitality), quality of life, or chair stands were noted, despite high levels of acceptability (51%), feasibility (65%), and satisfaction (70%).

conclusionA high level of participant acceptability, feasibility, usability, and satisfaction all suggest further research on this platform is warranted. The lack of statistically significant effects on symptoms, quality of life, and function may be the result of small sample size. CLINICALTRIALS: GOV REGISTRATION NUMBER: NCT04673019 (registration date: December 17, 2020).

Indexed as

Breast NeoplasmsNeoplasms, Second PrimaryAdultFatigueFemaleHumansMiddle AgedPainQuality of LifeArtificial intelligenceExerciseMetastatic breast cancerSupportive careSymptoms

Identifiers

PMID37338627
OpenAlexW4381308066

What OpenQuestion holds

Textmetadata
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.