Evidence map›Paper›PMID 39868625›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2025

Chronic pain after colorectal cancer treatment: A population-based cross-sectional study.

Hossam Elfeki, Reem A Alharbi, Therese Juul, Asbjørn M Drewes, Peter Christensen, Søren Laurberg, Katrine J Emmertsen

Abstract read
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 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. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Chronic pain after colorectal cancer treatment: A population-based cross-sectional study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  7. 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

7 authors.

Hossam ElfekiDepartment of Surgery, Mansoura University Hospital, Mansoura, Egypt.ORCID 0000-0003-0704-4068
Reem A AlharbiDepartment of Clinical Science, College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.ORCID 0000-0003-1485-5336
Therese JuulDanish Cancer Society National Research Centre on Survivorship and Late Adverse Effects after Cancer in Pelvic Organs, Aarhus, Denmark.ORCID 0000-0002-5411-4826
Asbjørn M DrewesDanish Cancer Society National Research Centre on Survivorship and Late Adverse Effects after Cancer in Pelvic Organs, Aarhus, Denmark.ORCID 0000-0001-7465-964X
Peter ChristensenDanish Cancer Society National Research Centre on Survivorship and Late Adverse Effects after Cancer in Pelvic Organs, Aarhus, Denmark.ORCID 0000-0002-6611-3935
Søren LaurbergDanish Cancer Society National Research Centre on Survivorship and Late Adverse Effects after Cancer in Pelvic Organs, Aarhus, Denmark.ORCID 0000-0001-7158-1998
Katrine J EmmertsenDanish Cancer Society National Research Centre on Survivorship and Late Adverse Effects after Cancer in Pelvic Organs, Aarhus, Denmark.ORCID 0000-0001-6153-4346

Funding

Kræftens Bekæmpelse
6 · The paper itself

Abstract

aimsWith the recently validated tool for estimating chronic pain after colorectal cancer surgery, the aims of this study were to calculate the prevalence and to identify predictive risk factors for chronic pain after colorectal cancer treatment.

methodClinical data from colorectal cancer patients treated between 2001 and 2014 were obtained from the Danish Colorectal Cancer Group database. In 2016, all survivors were invited to participate in a national cross-sectional questionnaire study on long-term functional outcomes, including the chronic pain questionnaire. The prevalence of chronic pain was analysed in groups based on demographic data and treatment-related factors. Multivariate logistic regression analysis was performed to determine significant predictors of chronic pain, displayed as odds ratios (OR) and 95% confidence intervals.

resultsThe response rate was 63.8%, representing 11 600 patients (7127 colon and 4473 rectal cancer patients). The overall prevalence of pain was 41.5%, with 15.4% having major pain. Major pain was more prevalent in rectal cancer patients than colon cancer patients (16.7% vs. 14.5%, p < 0.001). Predictors for major pain were: young age <60 years [OR 1.7 (95% CI 1.51-1.91)]; female sex [OR 1.63 (95% CI 1.46-1.82)]; an open surgical approach [OR 1.18 (95% CI 1.05-1.33)]; chemotherapy [OR 1.32 (95% CI 1.18-1.49)]; radiotherapy [OR 1.39 (95% CI 1.17-1.65)]; permanent stoma [1.56 (95% CI 1.31-1.86)]; comorbidity [OR 1.69 (95% CI 1.5-1.9)]; anastomotic leakage [OR 1.31 (95% CI 1.05-1.64)].

conclusionChronic pain is prevalent after colorectal cancer surgery. All patients should be informed about the risks before cancer treatment, particularly those who are at an increased risk of developing major pain.

Indexed as

Chronic PainColorectal NeoplasmsPostoperative PainAdultAgedAged, 80 and overAge FactorsCross-Sectional StudiesDenmarkFemaleHumansLogistic ModelsMaleMiddle AgedPrevalenceRisk Factorschronic paincolorectal cancerquality of life

Identifiers

PMID39868625
PMCPMC11771563

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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.