Evidence map›Paper›PMID 41268174›Full record

ArticleObesity science & practice2025

Obesity and Early-Stage Breast Cancer: A Comprehensive Analysis of Tumor Biology, Staging Accuracy, and Long-Term Outcomes.

Marco Yusef, Augusto Lombardi, Valeria Vitale, Gianluca Stanzani, Niccolò Petrucciani, Francesco Maria Carrano, Francesco Spinelli, Danila Capoccia, Gianfranco Silecchia

Abstract read
In one paragraph

Article in Obesity science & practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Marco YusefDepartment of Medical and Surgical Sciences and Translational Medicine Faculty of Medicine and Psychology St Andrea University Hospital Sapienza University Rome Italy.
Augusto LombardiDepartment of Medical and Surgical Sciences and Translational Medicine Faculty of Medicine and Psychology St Andrea University Hospital Sapienza University Rome Italy.ORCID https://orcid.org/0000-0002-4520-0183
Valeria VitaleBreast Unit S. Andrea University Hospital Rome Italy.
Gianluca StanzaniBreast Unit S. Andrea University Hospital Rome Italy.
Niccolò PetruccianiDepartment of Medical and Surgical Sciences and Translational Medicine Faculty of Medicine and Psychology St Andrea University Hospital Sapienza University Rome Italy.ORCID https://orcid.org/0000-0002-4639-5613
Francesco Maria CarranoDepartment of Medical and Surgical Sciences and Translational Medicine Faculty of Medicine and Psychology St Andrea University Hospital Sapienza University Rome Italy.
Francesco SpinelliGeneral Surgery Residency Program Faculty of Medicine and Psychology Sapienza University of Rome Rome Italy.
Danila CapocciaDepartment of Medico-surgical Sciences and Biotechnologies Faculty of Pharmacy and Medicine Santa Maria Goretti Hospital of Latina Sapienza University Rome Italy.
Gianfranco SilecchiaDepartment of Medical and Surgical Sciences and Translational Medicine Faculty of Medicine and Psychology St Andrea University Hospital Sapienza University Rome Italy.ORCID https://orcid.org/0000-0003-2356-0505

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Obesity increases the risk of breast cancer by approximately 10% for every 5-unit increase in body mass index (BMI), underscoring its role as a key modifiable risk factor. Objective: To determine the prevalence of obesity among early-stage breast cancer patients at an academic breast unit and to evaluate its association with tumor characteristics, surgical outcomes, and survival, with a particular focus on premenopausal women. Methods: Prospectively collected data from patients treated between January 2005 and December 2023 were retrospectively analyzed. Statistical analyses, including chi-squared tests, ANOVA, Kaplan-Meier, and univariate regression analyses, were used to assess obesity prevalence, tumor size, axillary staging accuracy, molecular subtypes, surgical margins, recurrence, survival, and menopausal status. Results: Among 1187 patients, 55.6% were normal weight, 25.4% were overweight, and 19% were living with obesity (BMI > 30). Obesity was more common in patients > 50 years of age (22% vs. 10%; Conclusion: Obesity is associated with larger tumors, poorer axillary staging, and a higher prevalence of aggressive histological subtypes among premenopausal patients. However, obesity did not significantly influence overall survival. Targeted screening and multidisciplinary management strategies are essential to improve early detection and individualize treatment for patients with obesity.

Indexed as

axillary stagingbreast cancerearly stagenobesitypremenopausalweight stigma

Identifiers

PMID41268174
PMCPMC12626897

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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.