Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients
Resumen:
Introduction: Adjuvant treatment with aromatase inhibitors (AI) in oestrogen receptor-positive and/or progesterone receptor-positive breast cancer (BC) has been shown to increase overall survival. However, arthralgias and myalgias are common adverse effects in patients treated with AI. Objective: To evaluate the frequency and characteristics of arthralgias and myalgias in patients with early BC-treated adjuvantly with AI in the Mastology Unit of the Oncology Service of the Hospital de Clínicas and the Departmental Hospital of Soriano. Materials and methods: A prospective, cross-sectional and descriptive study was performed. A questionnaire was administered to patients to assess the presence and characteristics of arthralgias and myalgias associated with AI. Statistical analysis: 'Age' was described with measures of central tendency and dispersion. Qualitative variables were presented in absolute and relative frequencies. Logistic models were used to evaluate the association between patient characteristics, tumour characteristics, treatment characteristics and the presence of pain. Results were presented by odds ratio and p-value, using R software (version 4.1.2) with a significance threshold of 5%. Results: 83 patients were included, with a median age of 69 years. 75.9% presented arthralgias and/or myalgias related to treatment, with an average intensity of 5-7. 80.9% received non-steroidal anti-inflammatory drugs (NSAIDs), achieving satisfactory analgesia. The presence of arthralgias and myalgias was significantly associated with age and time since the last menstrual period (LMP), being more frequent in patients older than 50 years and those with more than 5 years since the LMP. Conclusion: Approximately 70% of the patients presented arthralgias or myalgias. These findings suggest a possible role of oestrogen withdrawal in its mechanism of development. Multidisciplinary and translational research is crucial to evaluate the ethology and therapeutic options for patients with AI-related arthralgia.
| 2024 | |
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Breast neoplasm Aromatase inhibitor Adverse effects Arthralgia ARTRALGIA NEOPLASIAS DE LA MAMA EFECTOS ADVERSOS A LARGO PLAZO INHIBIDORES DE LA AROMATASA MIALGIA MUJERES |
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| Inglés | |
| Universidad de la República | |
| COLIBRI | |
| https://hdl.handle.net/20.500.12008/56140 | |
| Acceso abierto | |
| Licencia Creative Commons Atribución (CC - By 4.0) |
| _version_ | 1877555274132226048 |
|---|---|
| author | Camejo, Natalia |
| author2 | Castillo, Cecilia Santana, Diego Argenzio, Lucía Amarillo, Dahiana Herrera, Guadalupe Krygier, Gabriel |
| author2_role | author author author author author author |
| author_facet | Camejo, Natalia Castillo, Cecilia Santana, Diego Argenzio, Lucía Amarillo, Dahiana Herrera, Guadalupe Krygier, Gabriel |
| author_role | author |
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| collection | COLIBRI |
| dc.contributor.filiacion.none.fl_str_mv | Camejo Natalia, Hospital Departamental de Soriano (Uruguay) Castillo Cecilia, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de Oncología Santana Diego, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de Oncología Argenzio Lucía, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de Oncología Amarillo Dahiana, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de Oncología Herrera Guadalupe, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Métodos Cuantitativos Krygier Gabriel, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de Oncología |
| dc.creator.none.fl_str_mv | Camejo, Natalia Castillo, Cecilia Santana, Diego Argenzio, Lucía Amarillo, Dahiana Herrera, Guadalupe Krygier, Gabriel |
| dc.date.accessioned.none.fl_str_mv | 2026-07-17T18:38:45Z |
| dc.date.available.none.fl_str_mv | 2026-07-17T18:38:45Z |
| dc.date.issued.none.fl_str_mv | 2024 |
| dc.description.abstract.none.fl_txt_mv | Introduction: Adjuvant treatment with aromatase inhibitors (AI) in oestrogen receptor-positive and/or progesterone receptor-positive breast cancer (BC) has been shown to increase overall survival. However, arthralgias and myalgias are common adverse effects in patients treated with AI. Objective: To evaluate the frequency and characteristics of arthralgias and myalgias in patients with early BC-treated adjuvantly with AI in the Mastology Unit of the Oncology Service of the Hospital de Clínicas and the Departmental Hospital of Soriano. Materials and methods: A prospective, cross-sectional and descriptive study was performed. A questionnaire was administered to patients to assess the presence and characteristics of arthralgias and myalgias associated with AI. Statistical analysis: 'Age' was described with measures of central tendency and dispersion. Qualitative variables were presented in absolute and relative frequencies. Logistic models were used to evaluate the association between patient characteristics, tumour characteristics, treatment characteristics and the presence of pain. Results were presented by odds ratio and p-value, using R software (version 4.1.2) with a significance threshold of 5%. Results: 83 patients were included, with a median age of 69 years. 75.9% presented arthralgias and/or myalgias related to treatment, with an average intensity of 5-7. 80.9% received non-steroidal anti-inflammatory drugs (NSAIDs), achieving satisfactory analgesia. The presence of arthralgias and myalgias was significantly associated with age and time since the last menstrual period (LMP), being more frequent in patients older than 50 years and those with more than 5 years since the LMP. Conclusion: Approximately 70% of the patients presented arthralgias or myalgias. These findings suggest a possible role of oestrogen withdrawal in its mechanism of development. Multidisciplinary and translational research is crucial to evaluate the ethology and therapeutic options for patients with AI-related arthralgia. |
| dc.format.extent.es.fl_str_mv | 14 p. |
| dc.format.mimetype.es.fl_str_mv | application/pdf |
| dc.identifier.citation.es.fl_str_mv | Camejo N, Castillo C, Santana D y otros. Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients. Ecancermedicalscience [en línea]. 2024;18. 14 p. |
| dc.identifier.doi.none.fl_str_mv | 10.3332/ecancer.2024.1697 |
| dc.identifier.eissn.none.fl_str_mv | 1754-6605 |
| dc.identifier.uri.none.fl_str_mv | https://hdl.handle.net/20.500.12008/56140 |
| dc.language.iso.none.fl_str_mv | en eng |
| dc.publisher.es.fl_str_mv | European Institute of Oncology Cancer Intelligence |
| dc.relation.none.fl_str_mv | Ecancermedicalscience. 2024;18 |
| dc.rights.license.none.fl_str_mv | Licencia Creative Commons Atribución (CC - By 4.0) |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:COLIBRI instname:Universidad de la República instacron:Universidad de la República |
| dc.subject.es.fl_str_mv | Breast neoplasm Aromatase inhibitor Adverse effects Arthralgia |
| dc.subject.other.es.fl_str_mv | ARTRALGIA NEOPLASIAS DE LA MAMA EFECTOS ADVERSOS A LARGO PLAZO INHIBIDORES DE LA AROMATASA MIALGIA MUJERES |
| dc.title.none.fl_str_mv | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients |
| dc.type.es.fl_str_mv | Artículo |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article |
| dc.type.version.none.fl_str_mv | info:eu-repo/semantics/publishedVersion |
| description | Introduction: Adjuvant treatment with aromatase inhibitors (AI) in oestrogen receptor-positive and/or progesterone receptor-positive breast cancer (BC) has been shown to increase overall survival. However, arthralgias and myalgias are common adverse effects in patients treated with AI. Objective: To evaluate the frequency and characteristics of arthralgias and myalgias in patients with early BC-treated adjuvantly with AI in the Mastology Unit of the Oncology Service of the Hospital de Clínicas and the Departmental Hospital of Soriano. Materials and methods: A prospective, cross-sectional and descriptive study was performed. A questionnaire was administered to patients to assess the presence and characteristics of arthralgias and myalgias associated with AI. Statistical analysis: 'Age' was described with measures of central tendency and dispersion. Qualitative variables were presented in absolute and relative frequencies. Logistic models were used to evaluate the association between patient characteristics, tumour characteristics, treatment characteristics and the presence of pain. Results were presented by odds ratio and p-value, using R software (version 4.1.2) with a significance threshold of 5%. Results: 83 patients were included, with a median age of 69 years. 75.9% presented arthralgias and/or myalgias related to treatment, with an average intensity of 5-7. 80.9% received non-steroidal anti-inflammatory drugs (NSAIDs), achieving satisfactory analgesia. The presence of arthralgias and myalgias was significantly associated with age and time since the last menstrual period (LMP), being more frequent in patients older than 50 years and those with more than 5 years since the LMP. Conclusion: Approximately 70% of the patients presented arthralgias or myalgias. These findings suggest a possible role of oestrogen withdrawal in its mechanism of development. Multidisciplinary and translational research is crucial to evaluate the ethology and therapeutic options for patients with AI-related arthralgia. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | COLIBRI_f8a2436072b8ca8ef5fdb0c88134d4ce |
| identifier_str_mv | Camejo N, Castillo C, Santana D y otros. Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients. Ecancermedicalscience [en línea]. 2024;18. 14 p. 10.3332/ecancer.2024.1697 1754-6605 |
| instacron_str | Universidad de la República |
| institution | Universidad de la República |
| instname_str | Universidad de la República |
| language | eng |
| language_invalid_str_mv | en |
| network_acronym_str | COLIBRI |
| network_name_str | COLIBRI |
| oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/56140 |
| publishDate | 2024 |
| reponame_str | COLIBRI |
| repository.mail.fl_str_mv | karina.camps@seciu.edu.uy |
| repository.name.fl_str_mv | COLIBRI - Universidad de la República |
| repository_id_str | 4771 |
| rights_invalid_str_mv | Licencia Creative Commons Atribución (CC - By 4.0) |
| spelling | Camejo Natalia, Hospital Departamental de Soriano (Uruguay)Castillo Cecilia, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de OncologíaSantana Diego, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de OncologíaArgenzio Lucía, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de OncologíaAmarillo Dahiana, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de OncologíaHerrera Guadalupe, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Métodos CuantitativosKrygier Gabriel, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas Dr. Manuel Quintela. Servicio de Oncología2026-07-17T18:38:45Z2026-07-17T18:38:45Z2024Camejo N, Castillo C, Santana D y otros. Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients. Ecancermedicalscience [en línea]. 2024;18. 14 p.https://hdl.handle.net/20.500.12008/5614010.3332/ecancer.2024.16971754-6605Introduction: Adjuvant treatment with aromatase inhibitors (AI) in oestrogen receptor-positive and/or progesterone receptor-positive breast cancer (BC) has been shown to increase overall survival. However, arthralgias and myalgias are common adverse effects in patients treated with AI. Objective: To evaluate the frequency and characteristics of arthralgias and myalgias in patients with early BC-treated adjuvantly with AI in the Mastology Unit of the Oncology Service of the Hospital de Clínicas and the Departmental Hospital of Soriano. Materials and methods: A prospective, cross-sectional and descriptive study was performed. A questionnaire was administered to patients to assess the presence and characteristics of arthralgias and myalgias associated with AI. Statistical analysis: 'Age' was described with measures of central tendency and dispersion. Qualitative variables were presented in absolute and relative frequencies. Logistic models were used to evaluate the association between patient characteristics, tumour characteristics, treatment characteristics and the presence of pain. Results were presented by odds ratio and p-value, using R software (version 4.1.2) with a significance threshold of 5%. Results: 83 patients were included, with a median age of 69 years. 75.9% presented arthralgias and/or myalgias related to treatment, with an average intensity of 5-7. 80.9% received non-steroidal anti-inflammatory drugs (NSAIDs), achieving satisfactory analgesia. The presence of arthralgias and myalgias was significantly associated with age and time since the last menstrual period (LMP), being more frequent in patients older than 50 years and those with more than 5 years since the LMP. Conclusion: Approximately 70% of the patients presented arthralgias or myalgias. These findings suggest a possible role of oestrogen withdrawal in its mechanism of development. Multidisciplinary and translational research is crucial to evaluate the ethology and therapeutic options for patients with AI-related arthralgia.Submitted by Almiñana María Cecilia (marialminana@gmail.com) on 2026-07-17T15:39:26Z No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) Arthralgia and myalgia associated with aromatase inhibitors.pdf: 6205395 bytes, checksum: faced306c8ab879d17228a5b6315fd35 (MD5)Approved for entry into archive by Almiñana María Cecilia (marialminana@gmail.com) on 2026-07-17T18:37:57Z (GMT) No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) Arthralgia and myalgia associated with aromatase inhibitors.pdf: 6205395 bytes, checksum: faced306c8ab879d17228a5b6315fd35 (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2026-07-17T18:38:45Z (GMT). No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) Arthralgia and myalgia associated with aromatase inhibitors.pdf: 6205395 bytes, checksum: faced306c8ab879d17228a5b6315fd35 (MD5) Previous issue date: 202414 p.application/pdfenengEuropean Institute of Oncology Cancer IntelligenceEcancermedicalscience. 2024;18Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución (CC - By 4.0)Breast neoplasmAromatase inhibitorAdverse effectsArthralgiaARTRALGIANEOPLASIAS DE LA MAMAEFECTOS ADVERSOS A LARGO PLAZOINHIBIDORES DE LA AROMATASAMIALGIAMUJERESArthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patientsArtículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaCamejo, NataliaCastillo, CeciliaSantana, DiegoArgenzio, LucíaAmarillo, DahianaHerrera, GuadalupeKrygier, GabrielLICENSElicense.txtlicense.txttext/plain; charset=utf-84267http://localhost:8080/xmlui/bitstream/20.500.12008/56140/5/license.txt6429389a7df7277b72b7924fdc7d47a9MD55CC-LICENSElicense_urllicense_urltext/plain; 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- Universidad de la Repúblicafalse |
| spellingShingle | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients Camejo, Natalia Breast neoplasm Aromatase inhibitor Adverse effects Arthralgia ARTRALGIA NEOPLASIAS DE LA MAMA EFECTOS ADVERSOS A LARGO PLAZO INHIBIDORES DE LA AROMATASA MIALGIA MUJERES |
| status_str | publishedVersion |
| title | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients |
| title_full | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients |
| title_fullStr | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients |
| title_full_unstemmed | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients |
| title_short | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients |
| title_sort | Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients |
| topic | Breast neoplasm Aromatase inhibitor Adverse effects Arthralgia ARTRALGIA NEOPLASIAS DE LA MAMA EFECTOS ADVERSOS A LARGO PLAZO INHIBIDORES DE LA AROMATASA MIALGIA MUJERES |
| url | https://hdl.handle.net/20.500.12008/56140 |