Evidence map›Paper›PMID 40025343›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Sex-related differences in eating-related distress experienced by patients with advanced cancer.

Saori Koshimoto, Koji Amano, Jane B Hopkinson, Satomi Okamura, Tatsuma Sakaguchi, Sayaka Arakawa, Akihiro Tokoro, Naoharu Mori, Junko Nozato, Tetsuji Iriyama and 2 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Saori Koshimoto *Liaison Psychiatry and Psycho-Oncology Unit, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.
Koji Amano *Department of Supportive and Palliative Care, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-Ku, Osaka, 541-8567, Japan. kojiamano4813@gmail.com.
Jane B HopkinsonSchool of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, 35-43 Eastgate House, Newport Road, Cardiff, Wales, CF24 0AB, UK.
Satomi OkamuraDepartment of Medical Innovation, Osaka University Hospital, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Tatsuma SakaguchiDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Sayaka ArakawaDepartment of Palliative Medicine, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.
Akihiro TokoroDepartment of Psychosomatic Internal Medicine and Supportive and Palliative Care Team, NHO Kinki Chuo Chest Medical Center, 1180 Nagasone-Cho, Kita-Ku, Sakai City, Osaka, 591-8555, Japan.
Naoharu MoriDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Junko NozatoDepartment of Palliative Care, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.
Tetsuji IriyamaDepartment of Palliative Care, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.
Shingo SatoDepartment of Palliative Care, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.
Takashi TakeuchiLiaison Psychiatry and Psycho-Oncology Unit, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8519, Japan.

Funding

JSPS KAKENHI 23K10970
6 · The paper itself

Abstract

backgroundSex-related differences in eating-related distress (ERD) experienced by cancer patients have not previously been clarified.

methodsWe conducted a multicenter survey among advanced cancer patients referred to palliative care. Data on patient characteristics were collected from the electronic medical records, and data on measurement outcomes were obtained from a questionnaire. Patients were categorized into male and female groups. We measured ERD using the Questionnaire for Eating-Related Distress among Patients with advanced cancer (QERD-P). The QERD-P comprises 3 items in each of the 7 factors, for a total of 21 items, and each item is rated on a 7-point Likert scale. High scores indicate worse distress. Comparisons were calculated using the Mann-Whitney U test. To assess associations between sexes and ERD, multivariate logistic regression analysis was performed.

resultsA total of 192 patients were enrolled and divided into the male (n = 92) and female (n = 100) groups. The total score of the QERD-P was significantly higher in the male group (p = 0.018). The subtotal scores of "reasons why I cannot eat," "insufficient information," and "arguments with my family" were significantly higher in the male group (p = 0.035, 0.032, and 0.003, respectively). The male group had significantly higher risks for ERD associated with "arguments with my family" and "time with my family" (odds ratio [OR] 2.69, 95% confidence interval [CI] 1.38-5.24; OR 2.28, 95% CI 1.15-4.53).

conclusionsMales had significantly worse ERD and were at higher risk of ERD in family relationships than females.

Indexed as

NeoplasmsStress, PsychologicalAdultAgedAged, 80 and overFemaleHumansLogistic ModelsMaleMiddle AgedPalliative CareSex FactorsSurveys and QuestionnairesCachexiaCancerDistressQuality of lifeSymptomSystemic inflammation

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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.