Evidence map›Paper›PMID 21935751›Full record

ArticleJournal of general internal medicine2012

Comorbidities, treatment and ensuing survival in men with prostate cancer.

Karim Chamie, Timothy J Daskivich, Lorna Kwan, Jessica Labo, Atreya Dash, Sheldon Greenfield, Mark S Litwin

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Observational
  4. Comorbidity burden and health-related quality of life in men with advanced prostate cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Observational
  5. Article
  6. Determinants of patient activation and its association with cardiovascular disease risk in chronic kidney disease: A cross-sectional study.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Is pathology necessary to predict mortality among men with prostate-cancer?BMC medical informatics and decision making · 2014
    Article
  13. Article
  14. Article
  15. Comorbidities, treatment and survival.Journal of general internal medicine · 2012
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Karim ChamieUCLA Department of Urology, Health Services Research Group, 924 Westwood Blvd., Suite 1000, Los Angeles, California 90024, USA. kchamie@mednet.ucla.edu
Timothy J Daskivich
Lorna Kwan
Jessica Labo
Atreya Dash
Sheldon Greenfield
Mark S Litwin
University of California, Los Angeles · USUniversity of California, Irvine · USUCLA Jonsson Comprehensive Cancer CenterVA Greater Los Angeles Healthcare System · US

Funding

Quality of care in patients with bladder cancer.F32CA144461 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHAMIE, KARIM · 2009 to 2011
$125k
NCI NIH HHS 1 F32 CA144461-01NCI NIH HHS F32 CA144461NIDDK NIH HHS N01-DK-1-2460
6 · The paper itself

Abstract

backgroundComorbidity is poorly integrated into prostate cancer decision making.

objectiveWe sought to characterize treatment type and subsequent survival for men with no more than a single comorbid condition. DESIGN AND

participantsWe conducted a retrospective study of 1,031 veterans with non-metastatic prostate cancer diagnosed in 1997-2004 at the Greater Los Angeles and Long Beach Veterans Affairs Medical Centers and followed until 2010. We used multivariate analyses to determine probabilities and relative risks of undergoing treatment for each health state and competing-risks regression analyses to model non-prostate cancer mortality.

resultsCompared with subjects without any comorbid conditions, only men with moderate-severe chronic obstructive pulmonary disease were less likely to receive definitive treatment for their prostate cancer (RR 0.74; 95% CI 0.44-0.99). Men with all other individual comorbidities were equally likely as men without comorbidity to receive definitive treatment. Compared with men without any comorbidities, a higher hazard rate for non-prostate cancer mortality was identified among men with diabetes without end-organ damage (HR 2.32; 95% CI 1.32-4.08), peripheral vascular disease (HR 2.77; 95% CI 1.14-6.73), moderate-severe chronic obstructive pulmonary disease (HR 5.46; 95% CI 2.68-11.12), diabetes with end-organ damage (HR 4.27; 95% CI 1.64-11.10), those in need of a mobility device (HR 3.29; 95% CI 1.87-5.80), and men with history of alcoholism (HR 1.77; 95% CI 1.07-2.93).

conclusionMen with comorbid conditions and health states that portend poor prognoses are nonetheless aggressively treated for their prostate cancer. Advancing age modulates this effect.

Indexed as

Diabetes ComplicationsAgedComorbidityHumansMaleMultivariate AnalysisPrognosisProstateProstatic NeoplasmsRetrospective StudiesRisk FactorsSurvival Analysis

Identifiers

PMID21935751
PMCPMC3326114
OpenAlexW2115865221

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.