Evidence map›Paper›PMID 29537491›Full record

Trial reportCancer2018

Pilot study of a multimodal intervention to enhance sexual function in survivors of hematopoietic stem cell transplantation.

Areej El-Jawahri, Sarah R Fishman, Julie Vanderklish, Don S Dizon, Nicole Pensak, Lara Traeger, Joseph A Greer, Elyse R Park, Netana Markovitz, Lauren Waldman and 8 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 14% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Sexual problems in patients with hematological diseases: a systematic literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Sexual Health in Hematopoietic Stem Cell Transplantation Survivors.Journal of the National Comprehensive Cancer Network : JNCCN · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
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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

18 authors at 5 institutions in 1 country.

Areej El-JawahriDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-3556-1495
Sarah R FishmanDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Julie VanderklishDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Don S DizonDepartment of Medical Oncology, Lifespan Cancer Institute, Rhode Island Hospital, Providence, Rhode Island.ORCID 0000-0001-6541-9580
Nicole PensakDepartment of Clinical Psychology, Georgetown University Medical Center, Washington, DC.
Lara TraegerDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Joseph A GreerDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Elyse R ParkDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Netana MarkovitzDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Lauren WaldmanDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Chrisa HunnewellDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Meredith SaylorDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Jessica DriscollDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Zhigang LiDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon, New Hampshire.
Thomas R SpitzerDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Steven McAfeeDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Yi-Bin ChenDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Jennifer S TemelDepartment of Hematology Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Harvard University · USMassachusetts General Hospital · USBrown University · USDartmouth College · USGeorgetown University · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Relation Between In-utero Vitamin D and Immune Function in Early Childhood P20GM104416 · NIGMS · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA · 2013 to 2022
$23.7M
Dana Farber/Harvard Cancer Consortium Career Development Program in Clinical OncologyK12CA087723 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI David Tsai Ting · 2002 to 2026
$17.9M
Optimizing Palliative and End of Life Care for Patients with CancerK24CA181253 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TEMEL, JENNIFER SUE · 2014 to 2018
$737k
NCI NIH HHS K12 CA087723NCI NIH HHS K24 CA181253NCI NIH HHS L30 CA209031NCI NIH HHS P30 CA023108NIGMS NIH HHS P20 GM104416
6 · The paper itself

Abstract

backgroundAlthough sexual dysfunction is common after hematopoietic stem cell transplantation (HCT), interventions to address sexual function are lacking.

methodsWe conducted a pilot study to assess the feasibility and preliminary efficacy of a multimodal intervention to address sexual dysfunction in allogeneic HCT survivors. Transplant clinicians screened HCT survivors ≥3 months post-HCT for sexual dysfunction causing distress. Those who screened positive attended monthly visits with a trained transplant clinician who: 1) performed an assessment of the causes of sexual dysfunction; 2) educated and empowered the patient to address his or her sexual concerns; and 3) implemented therapeutic interventions targeting the patient's needs. Feasibility was defined as having approximately 75% of patients who screened positive agreeing to participate and 80% attending at least 2 intervention visits. We administered the Patient-Reported Outcomes Measurement Information System (PROMIS) sexual function and satisfaction measure, the Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT), and the Hospital Anxiety and Depression Scale (HADS) to evaluate sexual function, quality of life (QOL), and mood, respectively, at baseline and 6 months postintervention.

resultsApproximately 33.1% of patients (50 of 151 patients) screened positive for sexual dysfunction causing distress and 94.0% (47 of 50 patients) agreed to participate, with 100% attending 2 intervention visits. Participants reported improvements in satisfaction (P<.0001) and interest in sex (P<.0001), as well as orgasm (P<.0001), erectile function (P<.0001), vaginal lubrication (P = .0001), and vaginal discomfort (P = .0005). At baseline, approximately 32.6% of participants were not sexually active, compared with 6.5% after the intervention (P = .0005). Participants reported improvement in their QOL (P<.0001), depression (P = .0002), and anxiety (P = .0019).

conclusionsA multimodal intervention to address sexual dysfunction integrated within the transplant clinic is feasible with encouraging preliminary efficacy for improving sexual function, QOL, and mood in HCT survivors. Cancer 2018;124:2438-46. © 2018 American Cancer Society.

Indexed as

Quality of LifeAdultAgedCancer SurvivorsCombined Modality TherapyFeasibility StudiesFemaleHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedPatient Education as TopicPatient Reported Outcome MeasuresPatient SatisfactionPilot Projectshematologic malignancieshematopoietic stem cell transplantation (HCT)sexual dysfunctionsupportive caresurvivorship caretransplantation survivors

Identifiers

PMID29537491
PMCPMC5992040
OpenAlexW2793958830

What OpenQuestion holds

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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.