Evidence map›Paper›PMID 29975412›Full record

ArticleCancer2018

Putting the life in lifestyle: Lifestyle choices after a diagnosis of cancer predicts overall survival.

Andrew Krane, Lauren Terhorst, Dana H Bovbjerg, Michael F Scheier, Barbara Kucinski, David A Geller, Wallis Marsh, Allan Tsung, Jennifer L Steel

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Impact of lung cancer diagnosis on patient lifestyle and physical activity.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Observational
  2. Review
  3. Article
  4. Article
  5. The impacts of cancer treatment on lifestyle habits and mental health in Vietnamese women: an exploratory qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  6. Article
  7. Dispositional optimism and optimistic bias: Associations with cessation motivation, confidence, and attitudes.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  8. Article
  9. Review
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

9 authors at 2 institutions in 1 country.

Andrew KraneDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Lauren TerhorstDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.
Dana H BovbjergDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Michael F ScheierDepartment of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania.
Barbara KucinskiDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania.
David A GellerDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Wallis MarshDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Allan TsungDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Jennifer L SteelDepartment of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-9520-963X
University of Pittsburgh · USCarnegie Mellon University · US

Funding

Biobehavioral pathways linking stress and cancer progressionR01CA176809 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STEEL, JENNIFER L. · 2012 to 2014
$1.3M
NCI NIH HHS R01 CA176809
6 · The paper itself

Abstract

backgroundThe aim of this study was to examine predictors of health behaviors over time and the link between health behaviors and survival after a diagnosis of advanced cancer.

methodsPatients with a diagnosis of advanced cancer were administered a battery of questionnaires measuring optimism, depressive symptoms, physical activity, intake of fruits and vegetables, and alcohol and tobacco use over an 18-month period. Analyses included generalized linear mixed models and Cox regression survival analyses.

resultsOf the 334 patients enrolled in the study, the mean age at cancer diagnosis was 62 years; the majority were male (62.3%) and white (91%). Twenty percent of the patients reported using alcohol, 19% reported using tobacco, 19% reported eating fewer fruits and vegetables than recommended by the Centers for Disease Control and Prevention and 28% reported physical inactivity after the diagnosis of advanced cancer. Clinical levels of depressive symptoms were associated with lower intake of fruits and vegetables (t = 2.67, P = .007) and physical inactivity (t = 2.11, P = .035). Dispositional optimism was positively associated with physical activity (t = -2.16, P = .031) and a lower frequency of tobacco use (Z = -2.42, P = .015). Multivariate analyses revealed that after adjusting for demographic variables (age and sex), depressive symptoms, and disease-specific factors (diagnosis, tumor size, cirrhosis, vascular invasion, and number of lesions), alcohol use (χ

conclusionsGreater dissemination and implementation of effective interventions to reduce alcohol use and increase physical activity in cancer patients are recommended.

Indexed as

Life StyleAdultAgedAged, 80 and overChoice BehaviorDisease ProgressionExerciseFeeding BehaviorFemaleHealth BehaviorHumansMaleMiddle AgedNeoplasmsPrognosisRisk Factorscancerdepressionhealth behaviorsoncologyoptimismsurvival

Identifiers

PMID29975412
PMCPMC6108933
OpenAlexW2849642264

What OpenQuestion holds

Textmetadata
LicenceTDM
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.