Arthralgia and myalgia associated with aromatase inhibitors: frequency and characterization in real-life patients

Camejo, Natalia - Castillo, Cecilia - Santana, Diego - Argenzio, Lucía - Amarillo, Dahiana - Herrera, Guadalupe - Krygier, Gabriel

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.

Detalles Bibliográficos
2024
Breast neoplasm
Aromatase inhibitor
Adverse effects
Arthralgia
ARTRALGIA
NEOPLASIAS DE LA MAMA
EFECTOS ADVERSOS A LARGO PLAZO
INHIBIDORES DE LA AROMATASA
MIALGIA
MUJERES
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/56140
Acceso abierto
Licencia Creative Commons Atribución (CC - By 4.0)
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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.
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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.
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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.
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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