Evidence map›Paper›PMID 40568283›Full record

ReviewCureus2025

How Obesity Complicates Breast Cancer Care: Insights From a Systematic Review of Case Reports.

Adam M Bowen, Dania Baraka, Bilal Ali, Shannon Pierce, Maha Bayya

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Adam M BowenHematology Oncology, Upstate University Hospital, Syracuse, USA.
Dania BarakaInternal Medicine, McLaren Greater Lansing, Lansing, USA.
Bilal AliInternal Medicine, McLaren Greater Lansing, Lansing, USA.
Shannon PierceInternal Medicine, McLaren Greater Lansing, Lansing, USA.
Maha BayyaHematology and Oncology, McLaren Greater Lansing, Lansing, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global rise in obesity has intersected with increasing breast cancer incidence, generating a critical need to understand how excess adiposity affects diagnostic accuracy, treatment delivery, and patient outcomes. Although large epidemiologic studies have established associations between obesity and worse breast cancer prognosis, individual-level clinical nuances remain underrepresented. This review systematically evaluates case-based evidence to identify how obesity contributes to diagnostic delays and treatment complications in breast cancer care. This systematic review was conducted according to PRISMA 2020 guidelines and registered with PROSPERO. Databases searched included PubMed, Embase, Scopus, and Google Scholar through April 2025, using terms related to breast cancer, obesity, and case reports. Eligible studies included English-language case reports or series describing diagnostic or therapeutic complications in obese women with breast cancer. The Joanna Briggs Institute checklist was used to assess methodological quality. Nine patients from eight reports met inclusion criteria. Thematic analysis revealed four key domains in which obesity affected care: delayed or misattributed diagnosis, increased risk of surgical site infections and reconstructive failure, altered metabolism and pharmacokinetics leading to treatment toxicity or underdosing, and compounded clinical complexity due to multimorbidity. Cases included rare infections, malabsorption of endocrine therapy post-bariatric surgery, and fatal toxicities amplified by obesity-related comorbidities. Obesity introduces clinically significant barriers throughout breast cancer diagnosis and treatment. This review emphasizes how real-world patient cases echo trends from population studies while revealing additional mechanistic and procedural challenges. Greater awareness of obesity-specific risks can inform personalized strategies to mitigate diagnostic errors, optimize treatment efficacy, and improve outcomes amid the ongoing obesity epidemic.

Indexed as

breast cancercancer therapy toxicitydiagnostic delayobesity-related complicationssurgical site infection

Identifiers

PMID40568283
PMCPMC12191438

What OpenQuestion holds

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LicenceCC BY
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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.