Evidence map›Paper›PMID 32944337›Full record

ArticleJournal of thoracic disease2020

Gender effects on quality of life and symptom burden in patients with lung cancer: results from a prospective, cross-cultural, multi-center study.

Myriam Koch, Marianne Jensen Hjermstad, Krzysztof Tomaszewski, Iwona Tomaszewska, Kjersti Hornslien, Amelie Harle, Juan Arraras, Ofir Morag, Cecilia Pompili, Georgios Ioannidis and 10 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Dual trajectories of patient-reported fatigue and sleep disturbance in lung cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  7. Review
  8. Article
  9. Gender Differences in Self-Advocacy Among Cancer Survivors: How Women and Men Vary in How They Learn to Engage in Decision-Making and Social Support.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Age and gender differences in symptom experience and health-related quality of life in kidney transplant recipients: a cross-sectional study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  15. Article
  16. Validation of the Arabic Version of the Edmonton Symptom Assessment System.International journal of environmental research and public health · 2023
    Article
  17. Article
  18. Article
  19. Article
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

20 authors.

Myriam KochDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Marianne Jensen HjermstadEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, Oslo, Norway.
Krzysztof TomaszewskiFaculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Kraków, Poland.
Iwona TomaszewskaDepartment of Medical Education, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Kjersti HornslienDepartment of Oncology, Oslo University Hospital​, Oslo, Norway.
Amelie HarleOncology, Poole Hospital NHS Foundation Trust, Poole, UK.
Juan ArrarasOncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.
Ofir MoragOncology, Sheba Medical Center at Tel Hashomer, Tel Hashomer, Israel.
Cecilia PompiliThoracic Surgery, St. James's University Hospital, Leeds, UK.
Georgios IoannidisOncology Department, Nicosia General Hospital, Nicosia, Cyprus.
Chiara NavarraPsychology, Universita degli Studi di Roma La Sapienza, Rome, Italy.
Weichu ChieGraduate Institute of Epidemiology and Preventive Medicine and Department of Public Health, College of Public Health, National Taiwan University, Taipei.
Colin JohnsonSurgical Unit, University of Southampton, Southampton, UK.
Thomas BohrerThoraxchirurgie, Klinikum Kulmbach, Kulmbach, Germany.
Annelies JanssensThoracic Oncology, Universitair Ziekenhuis Antwerpen, Antwerp, Belgium.
Dagmara KulisQuality of Life Department, European Organisation for Research and Treatment of Cancer, Brussels, Belgium.
Andrew BottomleyQuality of Life Department, European Organisation for Research and Treatment of Cancer, Brussels, Belgium.
Christian SchulzDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Florian ZemanCenter for Clinical Studies, University Hospital Regensburg, Regensburg, Germany.
Michael KollerCenter for Clinical Studies, University Hospital Regensburg, Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer causes impairment of health-related quality of life (QoL), but little is known about gender aspects in QoL and symptom burden of lung cancer patients. The aim of this study was to investigate gender differences in QoL as assessed by the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and the updated lung cancer module.

methodsIn a prospective, international, cross-cultural, multicenter study that was undertaken to update the lung cancer-specific module EORTC QLQ-LC13, patients filled in the core questionnaire EORTC QLQ-C30 and the updated lung cancer module. Gender differences were calculated for all QoL scores using ANCOVAs that controlled for known and suspected confounders. Comparisons with historic data were drawn.

resultsA total of 200 patients (82 female and 118 male, median age 65 years) were recruited. With the exception of coughing (estimated marginal means: women 33.86 and men 43.52, P=0.022) and diarrhea (estimated marginal means: women 26.01 and men 17.93, P=0.038) there were no significant QoL gender differences. Fatigue was the most pronounced symptom in both, men and women, outpacing typical respiratory symptoms. Quite generally, our sample of lung cancer patients showed considerably worse QoL in all scores when compared to EORTC reference data (lung cancer and combined cancer diagnoses, mean differences up to 13.70 and 21.54 score points, respectively) and to a German norm reference sample (up to 35.37 score points).

conclusionsThis study adds to the literature in showing that the typical QoL gender difference effect (women doing worse than men) may not be generalizable across all patient samples.

Indexed as

EORTC QLQ-LC29European Organization for Research and Treatment of Cancer QLQ-C30 (EORTC QLQ-C30)gender differenceslung cancerQuality of life (QoL)

Identifiers

PMID32944337
PMCPMC7475557

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.