Evidence map›Paper›PMID 37783846›Full record

ReviewNature reviews. Endocrinology2024

Diabetes mellitus in breast cancer survivors: metabolic effects of endocrine therapy.

Nisha S Thomas, Rebecca L Scalzo, Elizabeth A Wellberg

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Recent advances in non-pharmacological interventions for symptom burden management in breast cancer patients treated with ovarian function suppression.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. CeOAsian journal of pharmaceutical sciences · 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

3 authors at 2 institutions in 1 country.

Nisha S ThomasDepartment of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Rebecca L ScalzoDivision of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID http://orcid.org/0000-0001-9291-7390
Elizabeth A WellbergDepartment of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. elizabeth-wellberg@ouhsc.edu.ORCID http://orcid.org/0000-0001-7342-390X
Oklahoma State University Oklahoma City · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Growth Factor Signaling in Obesity Associated Breast CancerR01CA241156 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI WELLBERG, ELIZABETH · 2019 to 2023
$1.6M
NCI NIH HHS R01 CA241156
6 · The paper itself

Abstract

Breast cancer is the most common invasive malignancy in the world, with millions of survivors living today. Type 2 diabetes mellitus (T2DM) is also a globally prevalent disease that is a widely studied risk factor for breast cancer. Most breast tumours express the oestrogen receptor and are treated with systemic therapies designed to disrupt oestrogen-dependent signalling. Since the advent of targeted endocrine therapy six decades ago, the mortality from breast cancer has steadily declined; however, during the past decade, an elevated risk of T2DM after breast cancer treatment has been reported, particularly for those who received endocrine therapy. In this Review, we highlight key events in the history of endocrine therapies, beginning with the development of tamoxifen. We also summarize the sequence of reported adverse metabolic effects, which include dyslipidaemia, hepatic steatosis and impaired glucose tolerance. We discuss the limitations of determining a causal role for breast cancer treatments in T2DM development from epidemiological data and describe informative preclinical studies that suggest complex mechanisms through which endocrine therapy might drive T2DM risk and progression. We also reinforce the life-saving benefits of endocrine therapy and highlight the need for better predictive biomarkers of T2DM risk and preventive strategies for the growing population of breast cancer survivors.

Indexed as

Breast NeoplasmsCancer SurvivorsDiabetes Mellitus, Type 2EstrogensFemaleHumansTamoxifenEstrogensTamoxifen

Identifiers

PMID37783846
PMCPMC11487546
OpenAlexW4387256365

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.