Evidence map›Paper›PMID 30518498›Full record

ArticleClinical breast cancer2019

Beliefs About Medication and Uptake of Preventive Therapy in Women at Increased Risk of Breast Cancer: Results From a Multicenter Prospective Study.

Rachael Jane Thorneloe, Rob Horne, Lucy Side, Michael Scott Wolf, Samuel George Smith, ENGAGE Investigators

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Clinical breast cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  13. Sociodemographic, clinical, psychosocial, and healthcare-related factors associated with beliefs about adjuvant endocrine therapy among breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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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

6 authors at 3 institutions in 2 countries.

Rachael Jane ThorneloeLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.
Rob HorneCentre for Behavioural Medicine, School of Pharmacy, University College London, London, United Kingdom.
Lucy SideWessex Clinical Genetics Service, University Hospitals Southampton, Southampton, United Kingdom.
Michael Scott WolfDivision of General Internal Medicine and Geriatrics, Northwestern University, Evanston, IL.
Samuel George SmithLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom. Electronic address: s.smith1@leeds.ac.uk.
ENGAGE Investigators
University of Leeds · GBNorthwestern University · USUniversity College London · GB

Funding

Cancer Research UK 17965Cancer Research UK C42785/A17965
6 · The paper itself

Abstract

introductionUptake of preventive therapies for breast cancer is low. We examined whether women at increased risk of breast cancer can be categorized into groups with similar medication beliefs, and whether belief group membership was prospectively associated with uptake of preventive therapy. PATIENTS AND

methodsWomen (n = 732) attending an appointment to discuss breast cancer risk were approached; 408 (55.7%) completed the Beliefs About Medicines and the Perceived Sensitivity to Medicines questionnaires. Uptake of tamoxifen at 3 months was reported in 258 (63.2%). The optimal number of belief groups were identified using latent profile analysis.

resultsUptake of tamoxifen was 14.7% (38/258). One in 5 women (19.4%; 78/402) reported a strong need for tamoxifen. The model fit statistics supported a 2-group model. Both groups held weak beliefs about their need for tamoxifen for current and future health. Group 2 (38%; 154/406 of the sample) reported stronger concerns about tamoxifen and medicines in general, and stronger perceived sensitivity to the negative effects of medicines compared with group 1 (62%; 252/406). Women with low necessity and lower concerns (group 1) were more likely to initiate tamoxifen (18.3%; 33/180) than those with low necessity and higher concerns (group 2) (6.4%; 5/78). After adjusting for demographic and clinical factors, the odds ratio was 3.37 (95% confidence interval, 1.08-10.51; P = .036).

conclusionUptake of breast cancer preventive therapy was low. A subgroup of women reported low need for preventive therapy and strong medication concerns. These women were less likely to initiate tamoxifen. Medication beliefs are targets for supporting informed decision-making.

Indexed as

CultureDrug MonitoringHealth Knowledge, Attitudes, PracticeAntineoplastic Agents, HormonalBreast NeoplasmsDecision MakingFemaleFollow-Up StudiesHumansMedication AdherenceMiddle AgedPremedicationPreventive MedicinePrognosisProspective StudiesRisk FactorsAntineoplastic Agents, HormonalTamoxifenBMQBreast cancer preventionChemopreventionDecision-makingMedication beliefs

Identifiers

PMID30518498
PMCPMC6395889
OpenAlexW2902630415

What Socratic holds

Textmetadata
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 Socratic graph.