Evidence map›Paper›PMID 24510400›Full record

ArticleCancer2014

Contemporary prevalence of pretreatment urinary, sexual, hormonal, and bowel dysfunction: Defining the population at risk for harms of prostate cancer treatment.

Matthew J Resnick, Daniel A Barocas, Alicia K Morgans, Sharon E Phillips, Vivien W Chen, Matthew R Cooperberg, Michael Goodman, Sheldon Greenfield, Ann S Hamilton, Karen E Hoffman and 6 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03009123 (Erectile Dysfunction and the Future Risk of Prostate Cancer), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.1field-weighted citation impact, top 4% 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.

NCT03009123 completednot on this mapstarted 2016, after this paper: background citation

Erectile Dysfunction and the Future Risk of Prostate Cancer: a Population-based Longitudinal Follow-up Study With Concurrent Double Comparison Cohorts

TypeobservationalSponsorKuang Tien General HospitalRan2016 to 2017Enrolled21,558ConditionsErectile DysfunctionArmsErectile dysfunction
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 42 citations in OpenAlex.

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  13. Treatment Decision Regret Among Long-Term Survivors of Localized Prostate Cancer: Results From the Prostate Cancer Outcomes Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
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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

16 authors at 9 institutions in 1 country.

Matthew J ResnickDepartment of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Geriatric Research Education and Clinical Center, Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee.
Daniel A Barocas
Alicia K Morgans
Sharon E Phillips
Vivien W Chen
Matthew R Cooperberg
Michael Goodman
Sheldon Greenfield
Ann S Hamilton
Karen E Hoffman
Sherri H Kaplan
Lisa E Paddock
Antoinette M Stroup
Xiao-Cheng Wu
Tatsuki Koyama
David F Penson
Vanderbilt University Medical Center · USLouisiana State University Health Sciences Center New Orleans · USUniversity of California, Irvine · USEmory University · USNew Jersey State Library · USRutgers, The State University of New Jersey · USThe University of Texas MD Anderson Cancer Center · USUniversity of California San Francisco Medical Center · USUniversity of Southern California · US

Funding

Comparative Effectiveness of Treatments for Localized Prostate CancerR01HS019356 · AHRQ · VANDERBILT UNIVERSITY · PI PENSON, DAVID F. · 2010 to 2010
$7.6M
Comparative Effectiveness of Modern Therapies for Localized Prostate CancerR01HS022640 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PENSON, DAVID F. · 2013 to 2013
$1.8M
AHRQ HHS 1R01HS019356AHRQ HHS R01 HS019356AHRQ HHS R01 HS022640
6 · The paper itself

Abstract

backgroundThe authors investigated the prevalence of pretreatment urinary, sexual, hormonal, and bowel dysfunction in a contemporary, population-based prostate cancer cohort. They also explored the associations between baseline function and age, comorbidity, and timing of baseline survey completion with respect to treatment.

methodsThe Comparative Effectiveness Analysis of Surgery and Radiation (CEASAR) study is a population-based, prospective cohort study that enrolled 3691 men with incident prostate cancer during 2011 and 2012. Pretreatment function was ascertained using the Expanded Prostate Cancer Index-26 (EPIC-26). Data were stratified by age, comorbidity, and timing of baseline survey completion with respect to treatment. Unadjusted and multivariable linear regression analyses were performed to evaluate the relations between exposures and pretreatment function.

resultsAfter applying exclusion criteria, the study cohort comprised 3072 men. A strikingly high proportion of men reported inability to obtain erections satisfactory for intercourse (45%) and some degree of urinary incontinence (17%) at baseline. Sexual function was particularly age-sensitive, with patients aged ≤60 years reporting summary scores in excess of 30 points higher than patients aged ≥75 years (P < .001). Compared with the healthiest men, highly comorbid patients reported less favorable function in each domain, including urinary incontinence (summary score, 89.5 vs 74.1; P < .001) and sexual function (summary score, 70.8 vs 32.9; P < .001). Although statistically significant differences in summary scores were identified between patients who completed the baseline questionnaire before treatment (52%) versus after treatment (48%), the absolute differences were small (range, 1-3 points).

conclusionsPatients with newly diagnosed prostate cancer exhibit a wide distribution of pretreatment function. The current data may be used to redefine the population "at risk" for treatment-related harms.

Indexed as

AgedAge FactorsCohort StudiesComorbidityErectile DysfunctionHormonesHumansIntestinal DiseasesLinear ModelsMaleMiddle AgedPrevalenceProspective StudiesProstatic NeoplasmsRisk FactorsUrinary IncontinenceHormonesbowel functionprostate cancerquality of lifesexual functionurinary function

Identifiers

PMID24510400
PMCPMC4930672
OpenAlexW2101972593

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.