Evidence map›Paper›PMID 40164841›Full record

ArticleJournal of cancer research and clinical oncology2025

Pain and overall quality of life in palliatively treated colorectal cancer patients 1 year after diagnosis- results from the EDIUM cohort.

Sophie Klara Schellack, Clara Breidenbach, Christoph Kowalski, Ulrich Wedding, Birgitt van Oorschot, Thomas Seufferlein, Stefan Benz, Martin Schnell, Jörg Köninger, Christina Klein and 15 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

25 authors.

Sophie Klara SchellackGerman Cancer Society, Kuno-Fischer-Straße 8, 14057, Berlin, Germany.
Clara BreidenbachGerman Cancer Society, Kuno-Fischer-Straße 8, 14057, Berlin, Germany.
Christoph KowalskiGerman Cancer Society, Kuno-Fischer-Straße 8, 14057, Berlin, Germany.
Ulrich WeddingUniversity Medicine Jena, Kastanienstraße 1, 07747, Jena, Germany.
Birgitt van OorschotUniversity of Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany.
Thomas SeufferleinUniversity Medicine Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Stefan BenzKlinikum Sindelfingen-Böblingen, Calwer Straße 68, 71034, Böblingen, Germany.
Martin SchnellHegau-Bodensee-Klinikum Singen, Virchowstr. 10, 78224, Singen, Germany.
Jörg KöningerKlinikum Stuttgart, Kriegsbergstraße 60, 70174, Stuttgart, Germany.
Christina KleinHelios Park-Klinikum Leipzig, Strümpellstraße 41, 04289, Leipzig, Germany.
Johann OckengaBremen Klinikum Bremen-Mitte, Sankt-Jürgen-Str. 1, 28205, Bremen, Germany.
Björn FreitagSt. Josef-Hospital, Gudrunstraße 56, 44791, Bochum, Germany.
Uwe A WittelKliniken Nordoberpfalz- Klinikum Weiden, Söllnerstraße 16, 92637, Weiden in der Oberpfalz, Germany.
Roger WahbaHelios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125, Berlin, Germany.
Mia KimMünchen Klinik Neuperlach, Sanatoriumspl. 2, 81545, München, Germany.
Saleem ElhabashJohannes Wesling Klinikum Minden, Hans-Nolte-Straße 1, 32429, Minden, Germany.
Pompiliu PisoBarmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Germany.
Dirk WeyhePius Hospital University Medicine Oldenburg, Georgstraße 12, 26121, Oldenburg, Germany.
Jörg BunseSana Klinikum Lichtenberg, Fanningerstraße 32, 10365, Berlin-Lichtenberg, Germany.
Maren RiechmannSana Klinikum Hof, Hochfranken, Eppenreuther Straße 9, 95032, Hof, Germany.
Marco von StraussSt. Claraspital Basel, Kleinriehenstrasse 30, Basel, 4058, Switzerland.
Sebastian PetzoldtDRK Kliniken Berlin-Treptow- Köpenick, Salvador-Allende-Str. 2- 8, 12559, Berlin, Germany.
Philipp-Alexander NeumannKlinikum rechts der Isar, TUM University Hospital, TU Munich, Ismaninger Str. 22, Munich, Germany.
Vanessa KolbOnkoZert GmbH, Gartenstraße 24, Neu-Ulm, Germany.
Nora Tabea SibertGerman Cancer Society, Kuno-Fischer-Straße 8, 14057, Berlin, Germany. noratabea.sibert@med.uni-duesseldorf.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDiagnosis with UICC stage IV colorectal cancer often indicates palliative treatment to alleviate symptoms. Data on pain in these patients are still scarce but can help improve symptom management. This study therefore aimed to describe patient-reported pain and quality of life.

methods147 palliatively treated stage IV colorectal cancer patients diagnosed between 2018 and 2023 completed the EORTC QLQ-C30 and QLQ-CR29 before and 12 months after treatment initiation within the EDIUM study. Descriptive results for pain and quality of life were examined and compared to reference values. A logistic regression analysis investigated the relationship between quality of life and pain and 1-year survival.

resultsThe mean (SD) for the "overall pain" score was 26 (32) (T0) and 35 (32) (T1) for rectal cancer patients and 34 (33) (T0) and 35 (32) (T1) for colon cancer patients. This is higher than the reference value (24 (30)) and indicates high average pain levels. The "overall quality of life" score showed means below the reference value (61 (23)), indicating poorer quality of life (colon: 51 (25) (T0), 56 (22) (T1); rectum: 52 (24) (T0), 51 (22) (T1)). Higher pain levels persisted at both time points, with no patients reporting absence of pain. The logistic regression results suggest a small relationship between pain and quality of life and 1-year survival. DISCUSSION: This study reveals high levels of pain among palliatively treated colorectal cancer patients, impacting their quality of life. Effective pain management and close monitoring are necessary to improve the quality of life for these patients. TRAIL NUMBER: DRKS00008724.

Indexed as

Cancer PainColorectal NeoplasmsPalliative CareQuality of LifeAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedColorectal neoplasmsPainPalliative carePatient reported outcomesQuality of life

Identifiers

PMID40164841
PMCPMC11958386

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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.