Evidence map›Paper›PMID 40361422›Full record

ArticleCancers2025

A Comparison of Surgical and Functional Outcomes in Prostate Cancer Patients with Overweight and Obesity Participating in a Presurgical Weight Loss Trial.

Madeline F Morgan, Andrew D Frugé, Wendy Demark-Wahnefried, Jeffrey W Nix, Soroush Rais-Bahrami

Registry-linked trialAbstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01886677 (Exploring the Impact of Negative Energy Balance in Men With Prostate Cancer), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT01886677 nacompletednot on this map

Exploring the Impact of Negative Energy Balance in Men With Prostate Cancer

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2012 to 2015Enrolled40ConditionsProstate CancerArmsImmediate diet and exercise intervention, Delayed diet and exercise intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Madeline F MorganDepartment of Medicine, University of Alabama at Birmingham (UAB) Heersink School of Medicine, Birmingham, AL 35294, USA.
Andrew D FrugéCollege of Nursing, Auburn University, Auburn, AL 36849, USA.ORCID 0000-0001-9119-1380
Wendy Demark-WahnefriedO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL 35294, USA.ORCID 0000-0001-5241-932X
Jeffrey W NixO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL 35294, USA.
Soroush Rais-BahramiO'Neal Comprehensive Cancer Center at UAB, Birmingham, AL 35294, USA.ORCID 0000-0001-9466-9925

Funding

Cancer Prevention & Control Training ProgramR25CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY, MENESES, KAREN M · 1988 to 2016
$11.2M
Exploring the Impact of Negative Energy Balance in Men with Prostate CancerR21CA161263 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY · 2012 to 2013
$341k
NCI NIH HHS R21 CA161263NCI NIH HHS R25 CA047888
6 · The paper itself

Abstract

BACKGROUND/

objectivesObesity and abdominal adiposity are associated with worse surgical and functional outcomes in prostate cancer (PCa) patients. This exploratory study assessed whether reductions in total body fat mass (TFM) among overweight and obese PCa patients enrolled in a diet and exercise weight loss intervention prior to robotic-assisted radical prostatectomy (RARP) improved outcomes.

methodsIn this secondary analysis of an NIH-funded randomized controlled trial (NCT01886677) conducted 2012-2015, twenty-nine patients with newly diagnosed, pathology-confirmed PCa who participated and underwent RARP were evaluated for percent change in TFM and divided into High Fat Losers who lost ≥1% TFM per week and Low Fat Losers who lost <1% TFM per week. High versus Low Fat Losers were compared on operative time (OT), estimated blood loss (EBL), length of hospital stay (LOS), incidence of surgical or postoperative complications, and incontinence and impotence scores at first postoperative follow-up.

resultsThere was a statistically significant difference between High versus Low Fat Losers with respect to overall complications ( CONCLUSIONS AND RELEVANCE: Findings implicate the potential benefit of healthy weight loss as an adjunct to surgery, and support the need for larger trials to elucidate a clearer relationship between improvements in body composition and effects on specific surgical complications and functional outcomes.

Indexed as

abdominal adiposityfunctional outcomesobesityprostate cancersurgical complicationssurgical outcomestotal body fat mass

Identifiers

PMID40361422
PMCPMC12071145

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Registered trials

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.