Evidence map›Paper›PMID 40207746›Full record

GuidelineJournal of evidence-based medicine2025

Using Integrative Therapies to Improve Patient-Reported Outcomes in Breast Cancer Survivors: A Living Evidence-Based Clinical Practice Guideline.

Tingting Lu, Honghao Lai, Hongsheng Lin, Fei Ma, Li Hou, Lili Tang, Yi Zhu, Huijuan Mao, Anthony Lin Zhang, Myeong Soo Lee and 12 more

Abstract readPractice Guideline
In one paragraph

Guideline in Journal of evidence-based medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Pooled it
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

22 authors.

Tingting LuInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Honghao LaiEvidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China.
Hongsheng LinGuang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Fei MaCancer Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Li HouDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Lili TangRehabilitation Department, Peking University Cancer Hospital, Beijing, China.
Yi ZhuMusculoskeletal Pain Rehabilitation diagnosis and Treatment Center, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Huijuan MaoSchool of Acupuncture and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Anthony Lin ZhangSchool of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, Bundoora, Australia.
Myeong Soo LeeKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, South Korea.ORCID https://orcid.org/0000-0001-6651-7641
Akihiko OzakiBreast and Thyroid Center, Jyoban Hospital of Tokiwa Foundation, Fukushima, Japan.ORCID https://orcid.org/0000-0003-4415-9657
Mariana Cabral SchveitzerDepartamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de So Paulo-Unifesp, São Paulo, Brazil.
Hui ZhaoChina Center for Evidence Based Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Lidan ZhongSchool of Biological Sciences, Nanyang Technological University, Singapore.
Baohui JiaGuang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Lei FanGuang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Jiajie HuangSchool of Nursing, Gansu University of Chinese Medicine, Lanzhou, China.
Baojin HanGuang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Weilong ZhaoEvidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China.
Long GeEvidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0000-0002-3555-1107
Jie LiuGuang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.ORCID https://orcid.org/0000-0002-6112-2947
Luqi HuangChina Center for Evidence Based Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China.

Funding

the National Administration of Traditional Chinese Medicine International Cooperation Special Traditional Chinese Medicine Overseas Development and Promotion Base No.XDZYJZC-002the Research on the Construction of an Ecological Chain of Evidence for the Integration of Advantageous Diseases in Chinese and Western Medicine No.CI2021A05502
6 · The paper itself

Abstract

aimBreast cancer imposes a serious disease and economic burden on patients. This guideline aims to develop a living evidence-based clinical practice recommendations to guide the use of integrative therapies for the improvement of patient-reported outcomes (PROs) in breast cancer survivors.

methodsWe searched systematic reviews and meta-analyses or conducted de nova systematic reviews and meta-analyses to support the recommendations. The grading of recommendations, assessment, development, and evaluation approach was used to rate the certainty of evidence and the strength of recommendations.

resultsThe guideline panel issued 17 recommendations: for alleviating anxiety, strong recommendations in favor of muscle relaxation training, yoga, acceptance and commitment therapy, cognitive behavioral therapy, psychological education, and Tai Chi in general breast cancer survivors; for alleviating depression, strong recommendations in favor of mindfulness therapy, cognitive behavioral therapy, group psychotherapy, muscle relaxation training, acceptanceand commitment therapy in general breast cancer survivors, and exercise intervention for patients received radiotherapy; for sleep quality, conditional recommendations for all therapies; for pain, strong recommendations in favor of exercise intervention for postoperative breast cancer survivors; for alleviating fatigue, strong recommendations in favor of mindfulness therapy and group psychotherapy in general breast cancer survivors; for improving the quality of life, strong recommendations in favor of mindfulness therapy in general breast cancer survivors, Baduanjin and exercise intervention for patients undergoing anticancer treatment.

conclusionThis proposed guideline provides recommendations for improving the PROs of breast cancer survivors. We hope these recommendations can help support practicing physicians and other healthcare providers for breast cancer survivors.

Indexed as

Breast NeoplasmsCancer SurvivorsIntegrative MedicinePatient Reported Outcome MeasuresFemaleHumansQuality of Lifebreast cancer survivorsclinical practice guidelineintegrative therapiespatient‐reported outcomes

Identifiers

PMID40207746
PMCPMC11984063

What OpenQuestion holds

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LicenceCC BY-NC
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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.