Evidence map›Paper›PMID 41889392›Full record

ArticleFrontiers in oncology2026

Functional exercise, fear of recurrence, and sleep quality: a longitudinal path analysis of quality of life in postoperative breast cancer patients.

Yujie Fei, Fenghe Liu, Xinru Ding, Jingyi Tang, Xu Ye, Tianhao Zhou, Haiping Xu

Abstract read
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Yujie Fei *School of Nursing, Nanjing Medical University, Nanjing, China.
Fenghe Liu *School of Nursing, Nanjing Medical University, Nanjing, China.
Xinru Ding *School of Nursing, Nanjing Medical University, Nanjing, China.
Jingyi TangSchool of Nursing, Nanjing Medical University, Nanjing, China.
Xu YeSchool of Nursing, Nanjing Medical University, Nanjing, China.
Tianhao ZhouSchool of Nursing, Nanjing Medical University, Nanjing, China.
Haiping XuSchool of Nursing, Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to investigate the impacts of functional exercise, fear of cancer recurrence (FCR), and sleep quality on the quality of life (QoL) of postoperative breast cancer patients and to elucidate their interrelationships via path analysis. Methods: A total of 50 eligible breast cancer patients were enrolled via convenience sampling (first diagnosis of primary breast cancer, age ≥18 years, modified radical mastectomy, normal communication and understanding ability, ability of patients or their family members to use electronic devices). The Functional Assessment of Cancer Therapy-Breast (FACT-B), Postoperative Functional Exercise Compliance Scale, Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF), and Pittsburgh Sleep Quality Index (PSQI) were used to assess participants at three time points: pre-discharge (T1), 1 month post-surgery (T2), and 3 months post-surgery (T3). Four participants were lost to follow-up (attrition rate of 7.4%). Missing data from participant attrition were handled using generalized estimating equations (GEE), which yield valid inferences under the missing completely at random (MCAR) assumption. Results: The QoL scores fluctuated significantly over time (T1: 87.44 ± 11.32, T2: 104.16 ± 8.94, T3: 100.50 ± 11.02). GEE analysis identified that older age ( Conclusion: This exploratory study found that functional exercise, FCR, and sleep quality are dynamic and interrelated factors that significantly influence QoL after breast cancer surgery in the studied sample. Clinicians should implement staged, personalized interventions targeting these modifiable factors to improve postoperative patient outcomes.

Indexed as

breast cancerfear of cancer recurrencefunctional exerciselongitudinal studypath analysisQuality of Lifesleep quality

Identifiers

PMID41889392
PMCPMC13012971

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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.