Evidence map›Paper›PMID 41438121›Full record

ArticleThe breast journal2025

Adherence to Aromatase Inhibitor Therapy in Breast Cancer: Insights From a Multicenter Italian Study.

Maria Agnese Fabbri, Alberto Fulvi, Matteo Vergati, Giuliana D'Auria, Patrizia Vici, Lorena Filomeno, Teresa Arcuri, Antonella Palazzo, Fabrizio Nelli, Cristina Fiore and 15 more

Abstract readMulticenter Study
In one paragraph

Article in The breast journal, 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. Article
  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

25 authors.

Maria Agnese FabbriUOC Oncologia, Ospedale Belcolle, Viterbo, Italy.ORCID 0000-0002-3357-6343
Alberto FulviUOC Oncologia Medica 1, IRCCS Istituto Nazionale Tumori Regina Elena, Roma, Italy.
Matteo VergatiUOC Oncologia Interpresidio Pertini/S. Eugenio, Roma, Italy.
Giuliana D'AuriaUOC Oncologia Interpresidio Pertini/S. Eugenio, Roma, Italy.
Patrizia ViciUOSD Sperimentazioni di Fase IV, IRCCS Istituto Nazionale Tumori Regina Elena, Roma, Italy.
Lorena FilomenoUOSD Sperimentazioni di Fase IV, IRCCS Istituto Nazionale Tumori Regina Elena, Roma, Italy.
Teresa ArcuriUOSD Sperimentazioni di Fase IV, IRCCS Istituto Nazionale Tumori Regina Elena, Roma, Italy.
Antonella PalazzoUOC Oncologia medica, Fondazione Policlinico Gemelli IRCCS, Roma, Italy.
Fabrizio NelliUOC Oncologia, Ospedale Belcolle, Viterbo, Italy.
Cristina FioreUOC Oncologia, Ospedale Belcolle, Viterbo, Italy.
Ilaria PortarenaUOC Oncologia Medica, Policlinico Tor Vergata, Roma, Italy, ptvonline.it.
Pina Tiziana FalboUOC Oncologia, Azienda Ospedaliera San Giovanni Addolorata, Roma, Italy.
Rosalinda RossiUOC Oncologia, Azienda Ospedaliera San Giovanni Addolorata, Roma, Italy.
Daniele AlesiniUOSD Centro Oncologico SSP-NRM, Ospedale Santo Spirito in Sassia, Roma, Italy.
Valentina SiniUOSD Centro Oncologico SSP-NRM, Ospedale Santo Spirito in Sassia, Roma, Italy.
Roberta PaceUOC Oncologia, Ospedale San Camillo de Lellis, Rieti, Italy, provincia.foggia.it.
Patrizia FrittelliUOC Chirurgia Senologica, Ospedale Isola Tiberina Gemelli Isola, Roma, Italy.
Domenico Cristiano CorsiUOC Oncologia Isola Tiberina, Roma, Italy.
Lucia PalombiUOC Oncologia San Camillo, Roma, Italy.
Simona PisegnaDepartment of Experimental Medicine, Sapienza University, Roma, Italy, uniroma1.it.
Andrea BotticelliDepartment of Experimental Medicine, Sapienza University, Roma, Italy, uniroma1.it.
Simone ScagnoliDepartment of Experimental Medicine, Sapienza University, Roma, Italy, uniroma1.it.ORCID 0000-0003-4943-5622
Giorgio PistillucciUOC Oncologia Medica, Ospedale Santa Maria Goretti, Latina, Italy.
Erica GiordaniUOC Oncologia Medica, Ospedale Santa Maria Goretti, Latina, Italy.
Annalisa La CesaUOC Oncologia Campus Biomedico, Roma, Italy, unicampus.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In estrogen-receptor positive breast cancer (BC), oral adjuvant endocrine therapy (ET) administered for at least 5 years significantly reduces risks of disease recurrence and mortality. Among available therapies, aromatase inhibitors (AI) showed high efficacy. However, adherence to ET is very poor. Effective support by physicians requires the identification of factors influencing AI treatment adherence. Materials and Methods: A prospective/retrospective multicentric study was conducted in adult BC women currently undergoing adjuvant treatment with AI. Study endpoints were assessed through a questionnaire after at least 12 months of adjuvant therapy. The primary objective was the assessment of the adherence to AI; secondary objectives were the assessment of adverse events (AEs) of the therapy and the solutions adopted for AEs. Results: Overall, 903 patients with a median age of 63 years were enrolled. Two hundred and forty-three patients (26.9%) stated they do not respect the intake times. Adherence was not influenced by the number of drugs other than the ones for BC or by age. Most patients (87%) suffered from one or more AEs. The most frequent are musculoskeletal symptoms, which occurred in 86.2% of the patients. 74.5% and 74.4% of participants reported hot flashes and tiredness, respectively. No structured or uniform responses were reported regarding the strategy for solving side effects: answers were almost generic, but for more than 50% of patients, the final outcome was positive. AEs were a driver for nonadherence in only 19.6% of patients. Conclusion: Survey results should be considered as an overview of AI therapy adherence in BC patients. We showed that the oncologist has a key role in improving therapeutic adherence and, as a consequence, in improving clinical outcome. Through a dialogue with the patient and a synergistic interaction with other clinical specialists, a greater awareness of the importance of the treatment could be warranted.

Indexed as

Antineoplastic Agents, HormonalAromatase InhibitorsBreast NeoplasmsMedication AdherenceAdultAgedAged, 80 and overChemotherapy, AdjuvantFemaleHumansItalyMiddle AgedProspective StudiesRetrospective StudiesSurveys and QuestionnairesAntineoplastic Agents, HormonalAromatase Inhibitorsadherenceadjuvant hormonal therapyaromatase inhibitorsbreast cancerside effects

Identifiers

PMID41438121
PMCPMC12721728

What OpenQuestion holds

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Registered trials

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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.