Evidence map›Paper›PMID 39666941›Full record

ArticleThe Journal of urology2025

Long-Term Urinary and Sexual Outcomes in Pediatric Genitourinary Rhabdomyosarcoma Survivors: A Qualitative Study.

Rachel A Saunders, Andrea K Balthazar, Christopher D Jaeger, Monah Javidan-Nejad, Candace Y Chung, Judith A Vessey, Richard S Lee, Hsin-Hsiao Scott Wang

Abstract read
In one paragraph

Article in The Journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Rachel A SaundersDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-6044-5480
Andrea K BalthazarDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-7605-5249
Christopher D JaegerDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-9729-0291
Monah Javidan-NejadDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Candace Y ChungDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0009-0005-1142-7928
Judith A VesseyDepartment of Nursing, Boston College, Boston, Massachusetts.ORCID 0000-0002-7251-0291
Richard S LeeDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Hsin-Hsiao Scott WangDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Funding

Research Training in Pediatric Urology/CHB T32T32DK060442 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI ADAM, ROSALYN M · 2002 to 2023
$2.5M
AHRQ HHS K08 HS029526NIDDK NIH HHS T32 DK060442
6 · The paper itself

Abstract

purposeGenitourinary rhabdomyosarcoma (GU-RMS) often requires multimodal therapy treatment including radiation, chemotherapy, and radical surgery for disease control. The long-term effects of the disease and associated treatments are unclear. We sought to investigate the long-term genitourinary quality of life for adult survivors of pediatric GU-RMS. MATERIALS AND

methodsIn total, 14 participants (43% female, median age = 32.5 years [IQR = 23.25-39.25], range = 20-52 years, 2 bladder, 1 cervical, 5 paratesticular, 3 vaginal, 2 pelvic, and 1 prostate RMS) agreed to interview about impact of GU-RMS treatment during childhood on quality of life. A semistructured interview guide based on the long-term service and support quality-of-life model and grounded in known GU-RMS experiences was created. Two coders independently coded using thematic analysis methodology.

resultsSix themes emerged: (1) unknown fertility status; (2) lack of education; (3) relationships and difficult communication; (4) incontinence, clean intermittent catheterization, and a bag; (5) lifestyle and learned adaptation; and (6) threats to body image. Across these themes, participants reported insufficient knowledge regarding GU-RMS treatment and its impact on function. Participants were principally concerned with anatomical changes, fertility, pregnancy expectations, and survivorship challenges such as communication with romantic partners.

conclusionsSurvivors of GU-RMS have significant urinary and sexual function concerns that are important to address in long-term survivorship. Clinicians can potentially improve survivors' quality of life through open and honest age-appropriate education on expectations for treatment, fertility preservation options, and long-term effects of treatment.

Indexed as

Cancer SurvivorsQuality of LifeRhabdomyosarcomaSexual Dysfunction, PhysiologicalUrogenital NeoplasmsAdultChildFemaleHumansMaleMiddle AgedQualitative ResearchTime FactorsYoung Adultquality of liferhabdomyosarcomasurvivorship

Identifiers

PMID39666941
PMCPMC12254723

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Registered trials

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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.