Evidence map›Paper›PMID 40014176›Full record

ArticleDiscover oncology2025

Association of skeletal muscle quantity and quality with mortality in women with nonmetastatic breast cancer.

Mirele Savegnago Mialich, Bruna Ramos da Silva, Barbara Toledo Amstalden, Jorge Elias, Alceu Afonso Jordao

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Novel insights into phase angle in breast cancer - stage-specific associations between body composition and metabolic age.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2026
    Article
  5. 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

5 authors.

Mirele Savegnago MialichDepartment of Health Sciences, Faculty of Medicine of Ribeirão Preto, University of São Paulo (USP), Rua Miguel Covian, 120, Ribeirão Preto, SP, 14049-900, Brazil. mirele.mialich@usp.br.ORCID https://orcid.org/0000-0001-6647-7774
Bruna Ramos da SilvaDepartment of Health Sciences, Faculty of Medicine of Ribeirão Preto, University of São Paulo (USP), Rua Miguel Covian, 120, Ribeirão Preto, SP, 14049-900, Brazil.ORCID https://orcid.org/0000-0002-8674-5753
Barbara Toledo AmstaldenDepartment of Health Sciences, Faculty of Medicine of Ribeirão Preto, University of São Paulo (USP), Rua Miguel Covian, 120, Ribeirão Preto, SP, 14049-900, Brazil.ORCID https://orcid.org/0000-0002-8188-3727
Jorge EliasDepartment of Medical, Imaging, Hematology and Oncology at Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.ORCID https://orcid.org/0000-0002-1158-1045
Alceu Afonso JordaoDepartment of Health Sciences, Faculty of Medicine of Ribeirão Preto, University of São Paulo (USP), Rua Miguel Covian, 120, Ribeirão Preto, SP, 14049-900, Brazil.ORCID https://orcid.org/0000-0003-1288-0802

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2017/07963-0
6 · The paper itself

Abstract

Women with breast cancer are predisposed to muscle mass loss, to compromised muscle quality, and to decreased strength, and these abnormalities may serve as important predictors of adverse outcomes, including mortality. The aim of this study was to evaluate the possible associations between muscle mass markers, assessed by computed tomography with the phase angle (PhA) obtained by Bioelectrical impedance analysis (BIA), and health outcomes in women with breast cancer.

methodsretrospective study with 54 women newly diagnosed with breast cancer, aged ≥ 18 years and < 65 years; histologically confirmed diagnosis of early breast cancer (stage I-III range), and in the first chemotherapy-cycled treatment. Measurements performed: anthropometric assessments, BIA, third lumbar vertebra by computed tomography (CT) and physical function (handgrip strength, gait speed test 4 m, fatigue assessment), and blood biochemical analysis.

resultsLower skeletal muscle index were correlated with reduced PhA values (R² = 0.222, p = 0.0047), suggesting a worse prognosis. Logistic regression analysis showed that individuals with low muscle mass had a significantly lower likelihood of survival compared to those with normal muscle mass regardless of age and cancer stage.

conclusionlow muscle mass negatively affected patient survival and was associated with lower PhA values. Phase angle emerges as a promising marker of overall health and could be a valuable clinical tool in assessing prognosis.

Indexed as

Body compositionBreast cancerMuscle massPhase angleRadiodensity

Identifiers

PMID40014176
PMCPMC11867992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.