Evidence map›Paper›PMID 16311851›Full record

ArticleWorld journal of surgery2005

Gender differences in quality of life of patients with rectal cancer. A five-year prospective study.

Christian E Schmidt, Beate Bestmann, Thomas Küchler, Walter E Longo, Volker Rohde, Bernd Kremer

Abstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Psychological interventions for the sexual sequelae of cancer: a review of the literature.Journal of cancer survivorship : research and practice · 2010
    Pooled it
  4. Does gender influence outcomes from a multidisciplinary intervention for quality of life designed for patients with advanced cancer?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013
    Trial
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Social determinants of health, diet, and symptom experiences in colorectal cancer survivors: A scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Article
  11. Observational
  12. Article
  13. Review
  14. Article
  15. Quality of life in Tunisian colorectal cancer patients: a cross-sectional study.Journal of cancer research and clinical oncology · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Is WHODAS 2.0 Useful for Colorectal Cancer Survivors?Annals of rehabilitation medicine · 2017
    Article
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.

Christian E SchmidtDepartment of General and Thoracic Surgery, University Clinic of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 7, Kiel, 24105, Germany. christain.schmidt@uk-sh.de
Beate Bestmann
Thomas Küchler
Walter E Longo
Volker Rohde
Bernd Kremer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To determine how quality of life changes over time and to assess gender-related differences in quality of life of rectal cancer patients we conducted a 5-year study. Little is known about how quality of life (QoL) changes over time in patients after surgery for rectal cancer, and whether gender of the patients is associated with a different perception of QoL. The aim of this study was to assess prospectively, changes in quality of life after surgery for rectal cancer, with a focus on gender related differences. Over a 5-year period, the EORTC-QLQ-C-30 and a tumor-specific module were prospectively administered to patients before surgery, at discharge, 3, 6, 12, and 24 months postoperatively. Comparisons were made between female and male patients. A total of 519 patients participated in the study, 264 men and 255 women. The two groups were comparable in terms of surgical procedures, adjuvant treatment, tumor stage, and histology. Most QoL scores dropped significantly below baseline in the early postoperative period. From the third month onward, global health, emotional and physical functioning, improved. Female gender was associated with significantly worse global health and physical functioning and with higher scores on treatment strain and fatigue. Men reported difficulties with sexual enjoyment; furthermore, over time, sexual problems created high levels of strain in men, worse than baseline levels in the early postoperative period. These problems tended to continue over the course of time. The findings in this study confirm that QoL changes after surgery and differs between men and women. Women appear to be affected by impaired physical functioning and global health. Female gender is associated with significantly higher fatigue levels and increased strain values after surgery. Through impaired sexual enjoyment, men are put more under strain than woman.

Indexed as

Quality of LifeSex FactorsAgedAged, 80 and overFemaleFollow-Up StudiesHealth StatusHumansMaleMiddle AgedProspective StudiesRectal NeoplasmsSurveys and QuestionnairesSurvival RateTime FactorsTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.