Evidence map›Paper›PMID 39401323›Full record

ArticleThe oncologist2025

Opioid use and adverse health effects in breast cancer survivors.

Reina Haque, Lie Hong Chen, Jiaxiao Shi, Zheng Gu, Moira Brady-Rogers, Rowan T Chlebowski, Rulin C Hechter

Abstract read
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Opioid prescription patterns in long-term disease-free cancer survivors: a retrospective analysis at a single NCI-designated comprehensive cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
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.

Reina HaqueDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101, United States.ORCID 0000-0001-8563-3330
Lie Hong ChenDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101, United States.
Jiaxiao ShiDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101, United States.
Zheng GuDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101, United States.
Moira Brady-RogersAlive & Well Women, South Pasadena, CA 91030, United States.
Rowan T ChlebowskiThe Lundquist Research Institute for Biomedical Innovation at UCLA-Harbor & Division of Medical Oncology and Hematology, Torrance, CA 90502, United States.
Rulin C HechterDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101, United States.

Funding

California Breast Cancer Research Program B26TR1481
6 · The paper itself

Abstract

backgroundLittle information exists on adverse effects related to opioid use in breast cancer survivors following active cancer treatment, and no studies included an age-matched comparison group. Thus, we examined opioid use and risk of falls, fractures, lung problems, and cardiovascular events in breast cancer survivors in the years following active cancer treatment along with a comparison group.

methodsWe conducted a longitudinal cohort study 33 989 breast cancer survivors and 157 609 age-matched women without cancer. Rates of adverse events, and multivariable hazards ratios for association between opioid use and the adverse health effects were calculated.

resultsWomen with breast cancer had greater opioid use (60% vs 48%); longer median opioid duration (18 vs 16 days); and were prescribed stronger opioids than the matched cohort over 5.6 median years of follow-up. In multivariable models, the risk of falls was 12% higher (HR, 95% CI, 1.12 [1.07-1.17]), and fracture risk was 56% (HR = 1.56 [1.48-1.65]) greater in women with breast cancer who used opioids vs the matched cohort unexposed to opioids. In an analysis restricted to women with breast cancer, opioid use was strongly associated with the risk of falls (HR = 1.74 [1.63-1.85]); fractures (HR = 2.10 [1.95-2.27]); lung problems (HR = 1.53 [1.43-1.64]); and cardiovascular events (HR = 1.70 [1.39-2.08]) than opioid non-use.

conclusionsAfter active cancer treatment, opioid use and high dosage use were common in breast cancer survivors, and were associated with increased risk for falls, lung problems, fractures, and cardiovascular events. Findings underscore the need for careful monitoring of opioid use in these survivors and the exploration of alternative pain management strategies.

Indexed as

Analgesics, OpioidBreast NeoplasmsCancer SurvivorsAccidental FallsAdultAgedFemaleFractures, BoneHumansLongitudinal StudiesMiddle AgedAnalgesics, Opioidadverse effectsbreast cancer; survivorshipcardiovascular eventschronic obstructive pulmonary diseasefallsfracturesopioids

Identifiers

PMID39401323
PMCPMC11954500

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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.