Evidence map›Paper›PMID 36428759›Full record

ReviewCancers2022

The Prevalence of Lower Limb and Genital Lymphedema after Prostate Cancer Treatment: A Systematic Review.

Andries Clinckaert, Klaas Callens, Anne Cooreman, Annabel Bijnens, Lisa Moris, Charlotte Van Calster, Inge Geraerts, Steven Joniau, Wouter Everaerts

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07607431 (Addressing the Forgotten Sex in Lymphedema Research), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.1field-weighted citation impact, top 3% 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.

NCT07607431 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Addressing the Forgotten Sex in Lymphedema Research: Risk Factors, Incidence, and Progression of Lymphedema Among Men With Prostate Cancer. The AWARE Cohort

TypeobservationalSponsorRigshospitalet, DenmarkRan2024 to 2026Enrolled214ConditionsProstate Cancer, Lower Limb LymphedemaArmsRadical Prostatectomy and Radiotherapy
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
  2. Lower extremity lymphedema after pelvic nodal dissection for urologic cancers is associated with metastatic recurrence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Incidence of lymphedema related to various cancers.Medical oncology (Northwood, London, England) · 2024
    Review
  17. Article
  18. Etiology and treatment of cancer-related secondary lymphedema.Clinical & experimental metastasis · 2024
    Review
  19. Article
  20. 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

9 authors at 1 institution in 1 country.

Andries ClinckaertDepartment of Cellular and Molecular Medicine, University of Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-5588-7329
Klaas CallensDepartment of Urology, University Hospitals of Leuven, 3000 Leuven, Belgium.
Anne CooremanDepartment of Urology, University Hospitals of Leuven, 3000 Leuven, Belgium.
Annabel BijnensDepartment of Urology, University Hospitals of Leuven, 3000 Leuven, Belgium.
Lisa MorisDepartment of Urology, University Hospitals of Leuven, 3000 Leuven, Belgium.
Charlotte Van CalsterDepartment of Rehabilitation Sciences, University of Leuven, 3000 Leuven, Belgium.
Inge GeraertsDepartment of Rehabilitation Sciences, University of Leuven, 3000 Leuven, Belgium.
Steven JoniauDepartment of Urology, University Hospitals of Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-3195-9890
Wouter EveraertsDepartment of Cellular and Molecular Medicine, University of Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-3157-7115
KU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Secondary lymphedema is a chronic, progressive, and debilitating condition with an important impact on quality of life. Lymphedema is a frequently reported complication in oncological surgery but has not been systematically studied in the setting of prostate cancer. (2) Methods: Pubmed/MEDLINE and Embase were systematically searched to identify articles reporting on lower limb or genital lymphedema after primary treatment (surgery of radiation therapy) of the prostate and the pelvic lymph nodes in men with prostate cancer. Primary outcome was the prevalence of lower limb and genital lymphedema. (3) Results: Eighteen articles were eligible for qualitative synthesis. Risk of bias was high in all included studies, with only one study providing a prespecified definition of secondary lymphedema. Eleven studies report the prevalence of lower limb (0-14%) and genital (0-1%) lymphedema after radical prostatectomy with pelvic lymph node dissection (PLND) Seven studies report a low prevalence of lower limb (0-9%) and genital (0-8%) lymphedema after irradiation of the pelvic lymph nodes. However, in the patient subgroups that underwent pelvic irradiation after staging pelvic lymph node dissections, the prevalence of lower limb (18-29%) and genital (2-22%) lymphedema is substantially elevated. (4) Conclusion: Prostate cancer patients undergoing surgery or irradiation of the pelvic lymph nodes are at risk of developing secondary lymphedema in the lower limbs and the genital region. Patients receiving pelvic radiation after pelvic lymph node dissection have the highest prevalence of lymphedema. The lack of a uniform definition and standardized diagnostic criteria for lower limb and genital lymphedema hampers the accurate estimation of their true prevalence. Future clinicals trials are needed to specifically evaluate secondary lymphedema in patients undergoing prostate cancer treatments, to identify potential risk factors and to determine the impact on quality of life.

Indexed as

external beam radiotherapygenital lymphedemalower limb lymphedemapelvic lymph node dissectionprostate cancerradical prostatectomy

Identifiers

PMID36428759
PMCPMC9688147
OpenAlexW4309284774

What OpenQuestion holds

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LicenceCC BY
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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.