Evidence map›Paper›PMID 41446440›Full record

ArticleThe breast journal2025

Fear of Cancer Recurrence Contributes Largely to Patient Anxiety and Depression and Quality of Life in a Prospective Cohort of Chinese Breast Cancer Patients for Postoperative Radiotherapy.

Zhensheng Li, Yunjiang Liu, Yue Li, Yuguang Shang, Jun Zhang, Xiaohui Ji, Zhiping Zhao, Xuejuan Duan, Wenhui Geng, Junpu Yin

Abstract read
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

10 authors.

Zhensheng LiDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0002-6928-0050
Yunjiang LiuDepartment of Breast Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0001-7202-2004
Yue LiDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0003-2658-6081
Yuguang ShangDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0009-0006-9076-7097
Jun ZhangDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0002-5617-2712
Xiaohui JiDepartment of Ultrasound, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0002-4383-3104
Zhiping ZhaoDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0003-0092-2331
Xuejuan DuanDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0002-7965-7173
Wenhui GengDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0001-6311-5671
Junpu YinDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, hebmu.edu.cn.ORCID 0000-0002-3779-6562

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fear of cancer recurrence (FCR) is common among Chinese breast cancer (BC) patients following surgery, chemotherapy, and radiotherapy (RT). Understanding the prevalence and impact of FCR, particularly during the RT period, on anxiety, depression, and quality of life may inform strategies to manage patient distress. Methods: From July 2015 to December 2016, 486 women undergoing RT for BC at the Fourth Hospital of Hebei Medical University, China, were prospectively enrolled in the study. Anxiety, depression, and quality-of-life changes were assessed using the Hospital Anxiety and Depression Scale (HADS) and the European Organization for Research and Treatment of Cancer's Quality-of-Life questionnaires (QLQ-C30, QLQ-BR23) before and after RT. FCR was assessed using a modified question from the QLQ-BR23, Results: Of the 486 women enrolled, 23 (4.7%) patients declined participation. Of the 463 analyzed patients, the mean age was 47 years old. 386 patients (83.4%) elected for mastectomies. FCR levels prior to RT were reported as " Conclusions: FCR is a significant contributor to psychological distress and reduced quality of life among Chinese breast cancer patients during the RT period. Routine screening for anxiety and depression and targeted intervention for FCR should be prioritized in this population.

Indexed as

AnxietyBreast NeoplasmsDepressionFearNeoplasm Recurrence, LocalQuality of LifeAdultAgedChinaEast Asian PeopleFemaleHumansMiddle AgedProspective StudiesSurveys and Questionnairesanxiety and depressionbreast cancerChinese womenfear of cancer recurrencequality of life

Identifiers

PMID41446440
PMCPMC12723078

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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.