Evidence map›Paper›PMID 39706786›Full record

ReviewEuropean urology2025

Increasing Life Expectancy in Patients with Genitourinary Malignancies: Impact of Treatment Burden on Disease Management and Quality of Life.

Marie-Pier St-Laurent, Bernard Bochner, James Catto, Benjamin J Davies, Christian Daniel Fankhauser, Tullika Garg, Jill Hamilton-Reeves, Viraj Master, Bente T Jensen, Susanne V Lauridsen and 2 more

Abstract readReview
In one paragraph

Review in European urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Advances in the management of localized bladder cancers.Nature reviews. Clinical oncology · 2026
    Review
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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.

Marie-Pier St-LaurentDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Bernard BochnerUrology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
James CattoDepartment of Urology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Benjamin J DaviesDepartment of Urology Division of Health Services Research University of Pittsburgh School of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Christian Daniel FankhauserUniversity of Lucerne, Lucerne, Switzerland; University of Zurich, Zurich, Switzerland.
Tullika GargDepartment of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Jill Hamilton-ReevesDepartment of Urology, University of Kansas Medical Center, Kansas City, KS, USA.
Viraj MasterDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Bente T JensenDepartment of Urology, Aarhus University Hospital, Aarhus, Denmark.
Susanne V LauridsenWHO-CC/Clinical Health Promotion Centre, the Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark; Center for Perioperative Optimization, Department of Surgery, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Elizabeth Wulff-BurchfieldMedical Oncology Division and Palliative Medicine Division, Department of Internal Medicine, University of Kansas School of Medicine, University of Kansas Cancer Center, The University of Kansas Health System, Kansas City, KS, USA.
Sarah P PsutkaDepartment of Urology, University of Washington, Seattle, WA, USA; Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA. Electronic address: spsutka@uw.edu.

Funding

Transgenic & Gene-Targeting Shared ResourceP30CA168524 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ROY A. JENSEN · 2012 to 2026
$40.1M
Effect of Immune-Enhancing Nutrition on Radical Cystectomy Outcomes- MERIT extensionR37CA218118 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI HAMILTON-REEVES, JILL REEVES · 2018 to 2024
$4.0M
Predicting Functional Decline and Clinical Outcomes in Newly Diagnosed Older Patients with Localized Bladder CancerR03AG073990 · NIA · UNIVERSITY OF WASHINGTON · PI PSUTKA, SARAH PATRICIA · 2022 to 2023
$301k
NCI NIH HHS P30 CA168524NCI NIH HHS R37 CA218118NIA NIH HHS R03 AG073990
6 · The paper itself

Abstract

BACKGROUND AND

objectiveTreatment burden refers to the overall impact of medical treatments on a patient's well-being and daily life. Our objective is to evaluate the impact of treatment burden on quality of life (QoL) in patients with genitourinary (GU) malignancies, highlighting the importance of patient-reported outcomes (PROs) in clinical trials to inform treatment decisions and improve patient care.

methodsWe conducted a narrative review of clinical trials focused on GU malignancy (prostate, bladder, and kidney) between January 2000 and June 2024, analyzing related PROs and findings regarding treatment burden. KEY FINDINGS AND LIMITATIONS: Recent landmark clinical trials demonstrate significant improvements in overall survival across GU malignancies with novel therapies. However, the reporting of QoL outcomes in these trials is often inadequate, with many lacking comprehensive data or long-term impact. Current publications are increasingly evaluating treatment burden and its impact on patient well-being as a critical outcome, but most clinical trials to date have failed to assess treatment burden across key domains including financial, time and travel, and medication management. CONCLUSIONS AND CLINICAL IMPLICATIONS: While advancements in treatment have extended longevity in patients with GU malignancies, the treatment burden associated with the receipt of novel agents and its implications for QoL remain inadequately uncharacterized.

Indexed as

Cost of IllnessLife ExpectancyQuality of LifeUrogenital NeoplasmsDisease ManagementHumansMalePatient Reported Outcome MeasuresClinical trialsGenitourinary malignanciesHealth-related quality of lifeOverall survivalPatient-reported outcomesTreatment burden

Identifiers

PMID39706786
PMCPMC13097184

What OpenQuestion holds

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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.