Evidence map›Paper›PMID 33926885›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Prevalence of erectile dysfunction in male survivors of cancer: a systematic review and meta-analysis of cross-sectional studies.

Damiano Pizzol, Tao Xiao, Lee Smith, Guillermo F López Sánchez, Andrea Garolla, Christopher Parris, Yvonne Barnett, Petre Cristian Ilie, Pinar Soysal, Jae Il Shin and 4 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  6. Spanish Society of Medical Oncology recommendations for comprehensive assessment and care of cancer survivors' needs.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  7. Article
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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

14 authors at 12 institutions in 9 countries.

Damiano PizzolItalian Agency for Development Cooperation, Khartoum, Sudan.
Tao XiaoCollege of Mathematics and Statistics, Shenzhen University, Shenzhen, China.
Lee SmithCambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK.
Guillermo F López SánchezFaculty of Sport Sciences, University of Murcia, Spain.ORCID 0000-0002-9897-5273
Andrea GarollaUnit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padua, Italy.
Christopher ParrisBiomedical Research Group, Faculty of Science and Engineering, Anglia Ruskin University, Cambridge, UK.
Yvonne BarnettBiomedical Research Group, Faculty of Science and Engineering, Anglia Ruskin University, Cambridge, UK.
Petre Cristian IlieQueen Elizabeth Hospital King's Lynn NHS Foundation Trust, King's Lynn, UK.
Pinar SoysalDepartment of Geriatric Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Jae Il ShinDepartment of Paediatrics, Yonsei University College of Medicine, Seoul, Korea.
Mark A TullySchool of Health Sciences, Institute of Mental Health Sciences, Ulster University, Newtownabbey, Northern Ireland.
Lin YangDepartment of Cancer Epidemiology and Prevention Research, Alberta Health Services, Holy Cross Centre, Canada.
Nicola VeroneseNeuroscience Institute, Aging Branch, National Research Council, Padua, Italy.
Igor GrabovacDepartment of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria.
Anglia Ruskin University · GBAlberta Health Services · CABezmiâlem Vakıf Üniversitesi · TRMedical University of Vienna · ATNeuroscience Institute · ITNorwegian Agency for Development Cooperation · NOQueen Elizabeth Hospital King's Lynn NHS Foundation Trust · GBShenzhen University · CNUniversidad de Murcia · ESUniversity of Padua · ITUniversity of Ulster · GBYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevalence of erectile dysfunction (ED) in male survivors of cancer across cancer types has not been systematically analysed.

aimTo estimate the prevalence of ED in all types of cancer and identify characteristics associated with ED in survivors of cancer. DESIGN AND

settingSystematic review and meta-analysis (MA) of cross-sectional studies.

methodMEDLINE, CINAHL, PsycINFO, and EMBASE were searched, targeting reports published from inception to 1 February 2020. All retrospective or prospective studies reporting prevalence of ED in male patients with cancer and using a validated tool for detection of ED were included. A random-effects MA model was used to pool prevalence of ED as absolute estimates at three different stages, that is, 'healthy', 'at diagnosis', and 'after treatment'. A univariate MA regression including the three-level group variable as the only independent variable was used to assess the difference in ED prevalence across the three groups. Further MAs were conducted for studies involving patients at diagnosis and after treatment, and statistical inferences were made with setting for multiple testing controlling for a false discovery rate (FDR) <0.05.

resultsIn total, 1301 studies were assessed for inclusion. Of these, 141 were potentially eligible and subsequently scrutinised in full text. Finally, 43 studies were included with a total of 13 148 participants. Overall, pooled data of the included studies showed an ED prevalence of 40.72% (95% confidence interval [CI] = 31.80 to 50.29) in patients with cancer, with prevalences of 28.60% (95% CI = 12.10 to 53.83) at time of diagnosis and 42.70% (95% CI = 32.97 to 53.03) after treatment, with significant difference between these two stages and across cancer locations, controlling for an FDR <0.05.

conclusionErectile dysfunction was particularly high in male survivors of cancer and was associated with cancer treatment, cancer site, and age.

Indexed as

Erectile DysfunctionNeoplasmsCross-Sectional StudiesHumansMalePrevalenceProspective StudiesRetrospective StudiesSurvivorserectile dysfunctionmale cancermeta-analysisprevalencesystematic review

Identifiers

PMID33926885
PMCPMC8087306
OpenAlexW3110718265

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.