Evidence map›Paper›PMID 38350335›Full record

ArticleESMO open2024

Investigating sexual health after breast cancer by longitudinal assessment of patient-reported outcomes.

M A Franzoi, M Aupomerol, J Havas, D Soldato, M Lambertini, C Massarotti, H Hang, B Pistilli, L Fasse, O Tredan and 10 more

Abstract read
In one paragraph

Article in ESMO open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Sexual dysfunction in women with breast cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  3. Preliminary evaluation of the acceptability, appropriateness, and feasibility of an online sexual health educational video series for breast cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
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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

20 authors.

M A FranzoiBreast Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy Institute, Villejuif. Electronic address: mariaalice.borinelli-franzoi@gustaveroussy.fr.
M AupomerolMedical Oncology Department, Gustave Roussy, Villejuif, France.
J HavasBreast Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy Institute, Villejuif.
D SoldatoBreast Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy Institute, Villejuif.
M LambertiniDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova; Gynecology Department, Policlinico San Martino, University of Genova, Genova; Department of Medical Oncology, U.O. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova.
C MassarottiPhysiopatology of Human Reproduction Unit, IRCCS Ospedale Policlinico San Martino, Genova; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal-Child Health (DiNOGMI department), School of Medicine, University of Genova, Genova, Italy.
H HangBreast Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy Institute, Villejuif.
B PistilliMedical Oncology Department, Gustave Roussy, Villejuif, France.
L FasseInterdisciplinary and Patient Pathway Department, Institut Gustave Roussy, Villejuif.
O TredanCentre Léon Bérard, Lyon.
E GillandersBreast Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy Institute, Villejuif.
F JolyCentre François Baclesse, Caen.
P CottuInstitut Curie, Paris.
M-A Mouret-ReynierCentre Jean Perrin, Clermont-Ferrand.
C TarpinInstitut Paoli Calmettes, Marseille.
A ArnaudInstitut Sainte Catherine.
S EverhardUNICANCER, Paris, France.
A-L MartinUNICANCER, Paris, France.
A Di MeglioBreast Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy Institute, Villejuif.
I Vaz-LuisBreast Cancer Survivorship Group, INSERM Unit 981, Gustave Roussy Institute, Villejuif.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSexual concerns are a major unaddressed need among survivors of breast cancer (BC) with significant negative effects on quality of life. We longitudinally analyzed sexual health over time, using patient-reported outcomes.

methodsPatients with stage I-III BC prospectively included from the CANcer TOxicity cohort (CANTO) provided data at diagnosis, then 1, 2, and 4 years afterward. Sexual concerns outcomes included poor body image (score ≤91/100), poor sexual functioning (≤16/100), poor sexual enjoyment (≤66/100), and sexual inactivity (EORTC QLQ-B23). Multivariate generalized estimating equation models assessed associations with sexual concerns after diagnosis, adjusting for age, sociodemographic, tumor, treatment, and clinical characteristics.

resultsNearly 78.1% among 7895 patients reported at least one sexual concern between diagnosis and 4 years' follow-up. Over time, the proportion of patients reporting sexual concerns either increased or remained constant with diagnosis. Less than half (46%, range 11.4-57) of the patients with sexual concerns reported the use of supportive care strategies, including gynecological or psychological consultations (range 11.4-57.4). Factors consistently associated with sexual concerns up to 4 years after diagnosis included already reporting the same concern at diagnosis [odds ratio (OR)

conclusionsSexual concerns seem frequent, persistent, and insufficiently addressed. Pretreatment concerns, endocrine therapy, and emotional distress are commonly associated factors. A proactive evaluation of sexual health across the care continuum is needed, to promptly identify patients suitable for multidisciplinary counseling, referral, and supportive interventions.

Indexed as

Breast NeoplasmsSexual HealthFemaleHumansPatient Reported Outcome MeasuresQuality of LifeSurvivorsbody imagebreast cancerpatient-reported outcomessexual enjoymentsexual functioningsexual healthsexual inactivitysurvivorship

Identifiers

PMID38350335
PMCPMC10937197

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.