Evidence map›Paper›PMID 40360855›Full record

ArticleBreast cancer research and treatment2025

Utilization of weight management treatment and subsequent cardiovascular events among patients with breast cancer.

Margaux Wooster, Ling Chen, Melissa K Accordino, Claire Sathe, Jason D Wright, Dawn L Hershman

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Article in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Margaux WoosterDepartment of Medicine, Division of Hematology and Oncology, Columbia University Irving Medical Center, New York, NY, USA. Mw3380@cumc.columbia.edu.
Ling ChenHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, USA.
Melissa K AccordinoDepartment of Medicine, Division of Hematology and Oncology, Columbia University Irving Medical Center, New York, NY, USA.
Claire SatheDepartment of Medicine, Division of Hematology and Oncology, Columbia University Irving Medical Center, New York, NY, USA.
Jason D WrightHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, USA.
Dawn L HershmanDepartment of Medicine, Division of Hematology and Oncology, Columbia University Irving Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOverweight and obese breast cancer (BC) survivors face higher risks of recurrence and all-cause mortality, including from cardiovascular disease (CVD). Weight management therapy (WMT) may reduce cardiovascular events (CVE). We assessed trends in WMT in BC survivors and evaluated rates of CVE.

methodsWe conducted a retrospective cohort study using the MarketScan Database, including overweight and obese patients (18-95 years) with invasive BC (2009 -2021), who underwent breast surgery. Exclusions were prior bariatric surgery or secondary cancers. Patients were categorized by weight status and by WMT, including nutrition counseling, medications, and bariatric surgery. We utilized descriptive statistics, univariate analysis for factors associated with WMT receipt and rates of CVE, and a multivariable logistic regression model to determine WMT-associated factors.

resultsWe identified 35,206 patients: 18.8% overweight, 53.7% obese class I/II/unspecified, and 27.4% obese class III. WMT was utilized by 5.3%, 6.4%, and 9.6%, respectively (p < 0.001). Among 2,484 patients who received WMT, 72.7% had nutrition counseling, 26.7% received weight loss medication, and 4.9% underwent bariatric surgery. From 2009 to 2021, WMT use increased from 3.7% to 11.3% (p < 0.001), and use of weight loss medication increased from 0.3% to 5.1% (p < 0.001). Factors associated with receipt of WMT included younger age, greater degree of obesity, more recent year of surgery, lumpectomy, higher comorbidity score, and prior WMT. CVE incidence was lower in WMT recipients (0.8% vs.1.3%, p = 0.02).

conclusionIn patients with BC, WMT has increased over time, and most markedly weight loss medication use. WMT is associated with lower incidence of CVE.

Indexed as

Breast NeoplasmsCardiovascular DiseasesObesityOverweightWeight Reduction ProgramsAdolescentAdultAgedAged, 80 and overFemaleHumansMiddle AgedRetrospective StudiesYoung AdultBreast CancerGLP-1 receptor agonistsObesityWeight management

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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.