Side-effects in women treated with adjuvant endocrine therapy for breast cancer

Many women with breast cancer prematurely discontinue adjuvant endocrine therapy, leading to increased mortality. We performed a cross-sectional survey (n = 456) within the Dutch UMBRELLA-cohort to gain insight into the prevalence of side-effects and its association with premature discontinuation. A...

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Main Authors: L.M. Rademaker, R. Gal, A.M. May, M.C.T. Batenburg, F. van der Leij, R.M. Bijlsma, H.M. Verkooijen, A. Doeksen, M.F. Ernst, D.J. Evers, C.C. van der Pol, E.M. Monninkhof
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Breast
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Online Access:http://www.sciencedirect.com/science/article/pii/S0960977625000359
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author L.M. Rademaker
R. Gal
A.M. May
M.C.T. Batenburg
F. van der Leij
R.M. Bijlsma
H.M. Verkooijen
A. Doeksen
M.F. Ernst
D.J. Evers
C.C. van der Pol
E.M. Monninkhof
author_facet L.M. Rademaker
R. Gal
A.M. May
M.C.T. Batenburg
F. van der Leij
R.M. Bijlsma
H.M. Verkooijen
A. Doeksen
M.F. Ernst
D.J. Evers
C.C. van der Pol
E.M. Monninkhof
author_sort L.M. Rademaker
collection DOAJ
description Many women with breast cancer prematurely discontinue adjuvant endocrine therapy, leading to increased mortality. We performed a cross-sectional survey (n = 456) within the Dutch UMBRELLA-cohort to gain insight into the prevalence of side-effects and its association with premature discontinuation. Almost all current endocrine therapy users experienced side-effects (92.7 %), most frequent were vasomotor- and musculoskeletal symptoms. The most reported reason for premature discontinuation was side-effects (88.1 %). Former treatment with chemotherapy was associated with more reported side-effects (97.2 % vs 82.5 %, ORadj 6.31), but less premature discontinuation of endocrine therapy (18.6 % vs 28.6 %, p-value 0.016).
format Article
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institution Kabale University
issn 1532-3080
language English
publishDate 2025-04-01
publisher Elsevier
record_format Article
series Breast
spelling doaj-art-2eb9d28e90f24c5e935c12badfa2ba652025-08-20T03:42:56ZengElsevierBreast1532-30802025-04-018010441610.1016/j.breast.2025.104416Side-effects in women treated with adjuvant endocrine therapy for breast cancerL.M. Rademaker0R. Gal1A.M. May2M.C.T. Batenburg3F. van der Leij4R.M. Bijlsma5H.M. Verkooijen6A. Doeksen7M.F. Ernst8D.J. Evers9C.C. van der Pol10E.M. Monninkhof11Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the NetherlandsDivision of Imaging and Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, the NetherlandsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the NetherlandsDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Medical Oncology, University Medical Centre Utrecht, Cancer Centre, Utrecht, the NetherlandsDivision of Imaging and Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, the NetherlandsDepartment of Surgery, St. Antonius Hospital, Nieuwegein, the NetherlandsDepartment of Surgery, Alexander Monro Clinics, Bilthoven, the NetherlandsDepartment of Surgery, Hospital Group Twente, Almelo, the NetherlandsDepartment of Surgery, Alrijne Hospital, Leiderdorp, the NetherlandsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands; Corresponding author.Many women with breast cancer prematurely discontinue adjuvant endocrine therapy, leading to increased mortality. We performed a cross-sectional survey (n = 456) within the Dutch UMBRELLA-cohort to gain insight into the prevalence of side-effects and its association with premature discontinuation. Almost all current endocrine therapy users experienced side-effects (92.7 %), most frequent were vasomotor- and musculoskeletal symptoms. The most reported reason for premature discontinuation was side-effects (88.1 %). Former treatment with chemotherapy was associated with more reported side-effects (97.2 % vs 82.5 %, ORadj 6.31), but less premature discontinuation of endocrine therapy (18.6 % vs 28.6 %, p-value 0.016).http://www.sciencedirect.com/science/article/pii/S0960977625000359Adjuvant therapyEndocrine therapyER positiveSide-effectsDiscontinuation of therapy
spellingShingle L.M. Rademaker
R. Gal
A.M. May
M.C.T. Batenburg
F. van der Leij
R.M. Bijlsma
H.M. Verkooijen
A. Doeksen
M.F. Ernst
D.J. Evers
C.C. van der Pol
E.M. Monninkhof
Side-effects in women treated with adjuvant endocrine therapy for breast cancer
Breast
Adjuvant therapy
Endocrine therapy
ER positive
Side-effects
Discontinuation of therapy
title Side-effects in women treated with adjuvant endocrine therapy for breast cancer
title_full Side-effects in women treated with adjuvant endocrine therapy for breast cancer
title_fullStr Side-effects in women treated with adjuvant endocrine therapy for breast cancer
title_full_unstemmed Side-effects in women treated with adjuvant endocrine therapy for breast cancer
title_short Side-effects in women treated with adjuvant endocrine therapy for breast cancer
title_sort side effects in women treated with adjuvant endocrine therapy for breast cancer
topic Adjuvant therapy
Endocrine therapy
ER positive
Side-effects
Discontinuation of therapy
url http://www.sciencedirect.com/science/article/pii/S0960977625000359
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