Evidence map›Paper›PMID 39304562›Full record

ArticleUrologie (Heidelberg, Germany)2025

[Comorbidities after radical prostatectomy : Which subjective health restrictions are relevant for long-term survivors?]

Tobiasz Klorek, Anton N J H Schlichte, Cornelia Peter, Matthias Jahnen, Andreas Dinkel, Stefan Schiele, Lukas Lunger, Helga Schulwitz, Jürgen E Gschwend, Kathleen Herkommer

Abstract readEnglish Abstract
In one paragraph

Article in Urologie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Self-efficacy in long-term prostate cancer survivors.International journal of clinical and health psychology : IJCHP
    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

10 authors.

Tobiasz KlorekKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Anton N J H SchlichteKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Cornelia PeterKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Matthias JahnenKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Andreas DinkelKlinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, München, Deutschland.
Stefan SchieleKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Lukas LungerKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Helga SchulwitzKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Jürgen E GschwendKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Kathleen HerkommerKlinik und Poliklinik für Urologie, Technische Universität München, School of Medicine, TUM Universitätsklinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland. kathleen.herkommer@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadical prostatectomy (RP) is one of the most common therapeutic strategies for treating localized prostate cancer (PCa). Currently, the significance of postoperative functional limitations for affected patients in the long-term course, especially in comparison to age-related comorbidities, is unclear.

objectiveThe aim of this study was to quantify the prevalence of subjective health restrictions alongside functional deficits in long-term PCa survivors after RP and their relevance for subjective impairments in everyday life. MATERIALS AND

methodsUsing the German version of the Self-Administered Comorbidity Questionnaire (SCQ-D), 3173 long-term survivors after RP reported their comorbidities in 13 predefined categories and in 3 free-text fields along the dimensions "problem," "treatment," and "impairment".

resultsThe mean age at survey was 79.5 years (standard deviation, SD ± 6.4), with a mean time since RP of 17.4 years (SD ± 3.7). The three most frequently identified comorbidities/percentage of patients who felt impaired were: hypertension (62.2%/8.5%), back pain (44.1%/54.5%), and osteoarthritis (36.1%/54.1%). The most frequently mentioned additional health problems can be subsumed under the umbrella term "urological problems" (6.1%/72.7%): incontinence (4.8%/74.3%), bladder problems (1.1%/61.8%), and erectile dysfunction (0.5%/47.1%).

conclusionIn summary, non-cancer-related comorbidities in the long-term course after RP are often perceived as "problems" but rarely lead to subjective impairment. In contrast, treatment-related urological problems are rarely reported as "problems", but they very often lead to subjective impairment in everyday life.

Indexed as

Postoperative ComplicationsProstatectomyProstatic NeoplasmsActivities of Daily LivingAgedAged, 80 and overBack PainComorbidityGermanyHumansHypertensionMaleMiddle AgedQuality of LifeSurveys and QuestionnairesImpairmentPatient-reported outcomesProstate cancer survivors“Self-Administered Comorbidity Questionnaire”Subjective health restrictions

Identifiers

PMID39304562
PMCPMC11732866

What OpenQuestion holds

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LicenceCC BY
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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.