Evidence map›Paper›PMID 37563982›Full record

ArticleCancer medicine2023

The impact of preexisting comorbidities on receipt of cancer therapy among women with Stage I-III breast cancer in the Detroit Research on Cancer Survivors cohort.

Sreejata Raychaudhuri, Jaclyn M Kyko, Julie J Ruterbusch, Stephanie S Pandolfi, Jennifer L Beebe-Dimmer, Ann G Schwartz, Michael S Simon

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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 at 2 institutions in 1 country.

Sreejata RaychaudhuriDepartment of Medical Oncology/Hematology, University of Pittsburgh, Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-7664-6946
Jaclyn M KykoDepartment of Oncology, Karmanos Cancer Institute at Wayne State University, Detroit, Michigan, USA.
Julie J RuterbuschDepartment of Oncology, Karmanos Cancer Institute at Wayne State University, Detroit, Michigan, USA.
Stephanie S PandolfiDepartment of Oncology, Karmanos Cancer Institute at Wayne State University, Detroit, Michigan, USA.
Jennifer L Beebe-DimmerDepartment of Oncology, Karmanos Cancer Institute at Wayne State University, Detroit, Michigan, USA.
Ann G SchwartzDepartment of Oncology, Karmanos Cancer Institute at Wayne State University, Detroit, Michigan, USA.
Michael S SimonDepartment of Oncology, Karmanos Cancer Institute at Wayne State University, Detroit, Michigan, USA.ORCID 0000-0002-3237-6761
Wayne State University · USUPMC Hillman Cancer Center · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI Julie Lynn Boerner · 1985 to 2026
$68.4M
The impact of the COVID-19 pandemic on African American cancer survivors and their caregiversU01CA199240 · NCI · WAYNE STATE UNIVERSITY · PI Jennifer L Beebe-Dimmer, Ann G. Schwartz · 2017 to 2026
$15.2M
NCI NIH HHS P30 CA022453NCI NIH HHS U01 CA199240
6 · The paper itself

Abstract

purposePre-existing comorbidities play an important role in choice of cancer treatment. We retrospectively evaluated the relationship between pre-existing comorbidities and receipt of local and systemic therapy in a cohort of Black women with Stage I-III breast cancer.

methodsThe study population for analysis included 1169 women with Stage I-III disease enrolled in the Detroit Research on Cancer Survivors (ROCS) cohort. Information on comorbidities, socio-demographic, and clinical variables were obtained from self-reported questionnaires and the cancer registry. Comorbidities were analyzed individually, and comorbidity burden was categorized as low (0-1), moderate (2-3) or high (≥4). We used logistic regression analysis to evaluate factors associated with receipt of local treatment (surgery ± radiation; N = 1156), hormonal (N = 848), and chemotherapy (N = 680). Adjusted models included variables selected a priori that were significant predictors in univariate analysis.

resultsReceipt of treatment was categorized into local (82.6%), hormonal (73.7%), and/or chemotherapy (79.9%). Prior history of arthritis and depression were both associated with a lower likelihood to receive local treatment, [odds ratio (OR), 95% confidence interval (CI), 0.66, 0.47-0.93, and 0.53, 0.36-0.78], respectively. Obesity was associated with higher likelihood of receiving hormonal therapy (OR: 1.64, 95% CI: 1.19, 2.26), and heart failure a lower likelihood (OR: 0.46, 95% CI: 0.23, 0.90). Older age (P

conclusionHistory of prior co-morbidities has a potentially detrimental influence on receipt of recommended cancer-directed treatment among women with Stage I-III breast cancer.

Indexed as

Breast NeoplasmsCancer SurvivorsCombined Modality TherapyComorbidityFemaleHumansRetrospective Studiesadvanced agecancer treatmentcomorbiditiesracial disparitiesStage I-III breast cancer

Identifiers

PMID37563982
PMCPMC10557862
OpenAlexW4385751186

What OpenQuestion holds

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Registered trials

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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.