Evidence map›Paper›PMID 34787775›Full record

ArticleJournal of cancer survivorship : research and practice2022

The prevalence and risk of symptom and function clusters in colorectal cancer survivors.

Arnold L Potosky, Kristi D Graves, Li Lin, Wei Pan, Jane M Fall-Dickson, Jaeil Ahn, Kristin M Ferguson, Theresa H M Keegan, Lisa E Paddock, Xiao-Cheng Wu and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Symptom clusters in colorectal cancer: a systematic review of assessment tools, statistical methods, and symptom patterns.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. The relationship between the latent profiles of cancer-related fatigue characteristics and exercise adherence in colorectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Article
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  8. Observational
  9. Relationship between core symptoms, function, and quality of life in colorectal cancer patients: a network analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  10. Shared decision making in routine oncology appointments with Black patients with lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  11. Health-related quality of life profiles of adults with arthritis and/or fibromyalgia: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  12. Article
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  15. Cancer survivor preferences on the timing and content of interventions to mitigate financial toxicity associated with cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

12 authors at 8 institutions in 1 country.

Arnold L PotoskyCancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 2115 Wisconsin Ave NW, Suite 300, Washington, DC, 20007, USA. Arnold.Potosky@georgetown.edu.
Kristi D GravesCancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 2115 Wisconsin Ave NW, Suite 300, Washington, DC, 20007, USA.
Li LinDepartment of Population Health Sciences, Center for Health Measurement, Duke University School of Medicine, Durham, NC, 27701, USA.
Wei PanDepartment of Population Health Sciences, Duke University School of Nursing, Duke University School of Medicine, Durham, NC, 27701, USA.
Jane M Fall-DicksonDepartment of Professional Nursing Practice, School of Nursing & Health Studies, Georgetown University Medical Center, Washington, DC, 20057, USA.
Jaeil AhnDepartment of Biostatistics, Bioinformatics and Biomathematics, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, 20057, USA.
Kristin M FergusonMedStar Georgetown University Hospital, Washington, DC, 20007, USA.
Theresa H M KeeganDivision of Hematology and Oncology, Department of Internal Medicine, University of California-Davis Comprehensive Cancer Center, Sacramento, CA, 95817, USA.
Lisa E PaddockRutgers School of Public Health and Cancer Institute of New Jersey, New Brunswick, NJ, 08901, USA.
Xiao-Cheng WuSciences Center School of Public Health, Louisiana Tumor Registry, Louisiana State University Health, New Orleans, LA, 70112, USA.
Rosemary CressPublic Health Institute, Cancer Registry of Greater California, Sacramento, CA, USA.
Bryce B ReeveDepartment of Population Health Sciences, Center for Health Measurement, Duke University School of Medicine, Durham, NC, 27701, USA.
Duke University · USGeorgetown University Medical Center · USGeorgetown University · USLouisiana State University Health Sciences Center New Orleans · USMedStar Georgetown University Hospital · USPublic Health Institute · USRutgers Cancer Institute of New JerseyUniversity of California, Davis · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
Validation of PROMIS in Diverse Cancer PopulationsU01AR057971 · NIAMS · GEORGETOWN UNIVERSITY · PI MOINPOUR, CAROL M, POTOSKY, ARNOLD L · 2009 to 2013
$5.7M
Elucidating the Prevalence, Etiology, and Trajectories of Symptom Clusters in Early Cancer SurvivorsR01NR018841 · NINR · GEORGETOWN UNIVERSITY · PI POTOSKY, ARNOLD L · 2020 to 2022
$996k
NCI NIH HHS P30 CA051008NIAMS NIH HHS U01 AR057971NINR NIH HHS R01 NR018841
6 · The paper itself

Abstract

purposeOur purpose was to describe the prevalence and predictors of symptom and function clusters in a diverse cohort of colorectal cancer survivors.

methodsWe used data from a cohort of 909 adult colorectal cancer survivors. Participants were surveyed at a median of 9 months after diagnosis to ascertain the co-occurrence of eight distinct symptom and functional domains. We used factor analysis to identify co-occurring domains and latent profile analysis (LPA) to identify subgroups of survivors with different symptom and function clusters. Multinomial logistic regression models were used to identify risk/protective factors.

resultsFactor analysis demonstrated a single underlying factor structure that included all eight health domains with depression and anxiety highly correlated (r = 0.87). The LPA identified three symptom and function clusters, with 30% of survivors in the low health-related quality of life (HRQOL) profile having the highest symptom burden and lowest functioning. In multivariable models, survivors more likely to be in the low HRQOL profile included being non-White, female, those with a history of cardiac or mental health conditions, and chemotherapy recipients. Survivors less likely to be in the low HRQOL profile included those with older age, greater financial well-being, and more spirituality.

conclusionNearly one-third of colorectal cancer survivors experienced a cluster of physical and psychosocial symptoms that co-occur with clinically relevant deficits in function. IMPLICATIONS FOR CANCER SURVIVORS: Improving the identification of risk factors for having the highest symptom and lowest function profile can inform the development of clinical interventions to mitigate their adverse impact on cancer survivors' HRQOL.

Indexed as

Cancer SurvivorsColorectal NeoplasmsAdultFemaleHumansPrevalenceQuality of LifeSurvivorsCancer survivorsColorectal neoplasmsPopulation healthQuality of lifeSymptom assessment

Identifiers

PMID34787775
PMCPMC9110561
OpenAlexW3211478621

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.