Evidence map›Paper›PMID 32921790›Full record

ArticleBritish journal of cancer2020

Vascular aging in long-term survivors of testicular cancer more than 20 years after treatment with cisplatin-based chemotherapy.

Johannes Stelwagen, Sjoukje Lubberts, Lars C Steggink, Gerrie Steursma, Lara M Kruyt, Jan Willem Donkerbroek, Arie M van Roon, Anne I van Gessel, Saskia C van de Zande, Coby Meijer and 7 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02572934 (Health Status and Burden of Late Effects in Very Long-term Testicular Cancer Survivors), which is not on this 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
2.7field-weighted citation impact, top 8% 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.

NCT02572934 active not recruitingnot on this map

Health Status and Burden of Late Effects in Very Long-term Testicular Cancer Survivors (STANDBY-study)

TypeobservationalSponsorUniversity Medical Center GroningenRan2015 to 2026Enrolled281ConditionsTesticular Cancer
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Platinum accumulation in chemotherapy: toxicity mechanisms, challenges, and mitigation strategies.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Cardiovascular Disease in Testicular Cancer Survivors: Identification of Risk Factors and Impact on Quality of Life.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  11. Review
  12. Review
  13. Article
  14. Testicular cancer survivorship: Long-term toxicity and management.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Johannes StelwagenDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Sjoukje LubbertsDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Lars C StegginkDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0001-8955-8702
Gerrie SteursmaDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Lara M KruytDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Jan Willem DonkerbroekDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Arie M van RoonDepartment of Internal Medicine, division of Vascular Medicine, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Anne I van GesselDepartment of Internal Medicine, division of Vascular Medicine, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Saskia C van de ZandeDepartment of Internal Medicine, division of Vascular Medicine, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Coby MeijerDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Christine H Gräfin Zu EulenburgDepartment of Epidemiology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Sjoukje F OostingDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0003-2754-6997
Janine NuverDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Annemiek M E WalenkampDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Igle Jan de JongDepartment of Urology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Joop D LefrandtDepartment of Internal Medicine, division of Vascular Medicine, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands.
Jourik A GietemaDepartment of Medical Oncology, University Medical Centre Groningen and University of Groningen, Groningen, The Netherlands. j.a.gietema@umcg.nl.ORCID http://orcid.org/0000-0003-0629-7354
University Medical Center Groningen · NL

Funding

KWF Kankerbestrijding (Dutch Cancer Society) RUG2011-5267
6 · The paper itself

Abstract

backgroundLate effects of cisplatin-based chemotherapy in testicular cancer survivors (TCS) include cardiovascular morbidity, but little data is available beyond 20 years. The objective was to assess vascular damage in very long-term TCS.

methodsTCS (treated with chemotherapy or orchiectomy only) and age-matched healthy controls were invited. Study assessment included vascular stiffness with ultrasound measurement of carotid-femoral pulse wave velocity (cf-PWV).

resultsWe included 127 TCS consisting of a chemotherapy group (70 patients) and an orchiectomy group (57 patients) along with 70 controls. Median follow-up was 28 years (range: 20-42). The cf-PWV (m/s) was higher in TCS than in controls (geometrical mean 8.05 (SD 1.23) vs. 7.60 (SD 1.21), p = 0.04). The cf-PWV was higher in the chemotherapy group than in the orchiectomy group (geometrical mean 8.39 (SD 1.22) vs. 7.61 (SD 1.21), p < 0.01). In the chemotherapy group cf-PWV increased more rapidly as a function of age compared to controls (regression coefficient b 7.59 × 10

conclusionVery long-term TCS treated with cisplatin-based chemotherapy show increased vascular damage compatible with "accelerated vascular aging" and continue to be at risk for cardiovascular morbidity, thus supporting the need for intensive cardiovascular risk management. CLINICAL

trial registrationThe clinical trial registration number is NCT02572934.

Indexed as

Cancer SurvivorsAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsCarotid-Femoral Pulse Wave VelocityCisplatinHumansMaleMiddle AgedTesticular NeoplasmsVascular StiffnessYoung AdultCisplatin

Identifiers

PMID32921790
PMCPMC7686327
OpenAlexW3085524748

What OpenQuestion holds

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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.