Evidence map›Paper›PMID 41154357›Full record

ArticleCancers2025

Physical Therapy Utilization and Morbidity Outcomes After Breast Cancer Surgery: A Longitudinal Analysis of Three Combined Cohorts.

Ifat Klein, Danit R Shahar, Michael Friger, Irena Rosenberg, Daphna Barsuk, Merav A Ben-David, Sergio Susmallian

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Ifat KleinPhysical Therapy Department, Assuta Medical Centers, Tel Aviv 6971028, Israel.ORCID 0000-0003-0650-4798
Danit R ShaharDepartment of Epidemiology, Biostatistics and Community Health, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel.ORCID 0000-0003-1000-1819
Michael FrigerDepartment of Epidemiology, Biostatistics and Community Health, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel.
Irena RosenbergPhysical Therapy Department, Assuta Medical Centers, Tel Aviv 6971028, Israel.ORCID 0009-0005-2602-6502
Daphna BarsukBreast Surgery Department, Assuta Medical Centers, Tel Aviv 6971028, Israel.ORCID 0000-0002-7736-6364
Merav A Ben-DavidFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer sheva 8410501, Israel.ORCID 0000-0002-4928-3529
Sergio SusmallianSurgery Department, Assuta Medical Centers, Tel Aviv 6971028, Israel.ORCID 0000-0003-3069-8334

Funding

Israel Cancer Society 2024007The Office of the Chief Scientist, Ministry of Health, Israel 0001
6 · The paper itself

Abstract

backgroundUpper-extremity morbidity after breast cancer surgery-including pain, lymphedema, and restricted shoulder range of motion-often develops gradually, emerging months after treatment and limiting daily activities. We aimed to characterize morbidity trajectories, physical therapy utilization, and predictors of physical therapy use.

methodsA retrospective multicenter cohort included 1602 women treated with breast surgery 0-36 months earlier. Patient-reported outcomes included Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), pain, range of motion limitation, axillary web syndrome, and lymphedema. Clinical variables included surgery type and nodal procedure. Outcomes were summarized across four postoperative windows (0-6, 7-12, 13-24, 25-36 months). Logistic and multinomial regression identified predictors of physical therapy uptake and timing (early, ≤3 months vs. late, >3 months; No physical therapy).

resultsAnxiety declined across postoperative windows (

conclusionsLong-term postoperative morbidity is common. Early assessment and structured follow-up can mitigate its impact and should be embedded as core elements of survivorship health-promotion policy.

Indexed as

breast cancer surgeryphysical therapy utilizationrehabilitation accesstimely interventionupper extremity morbidity

Identifiers

PMID41154357
PMCPMC12562795

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.