Evidence map›Paper›PMID 40372578›Full record

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

Improving our understanding of the quality of life of patients with metastatic or recurrent/persistent anal cancer: a systematic review.

Samantha C Sodergren, Rowan Edwards, Rahul Krishnatry, Marianne G Guren, Kristopher Dennis, Pierfrancesco Franco, Francesca de Felice, Anne-Sophie Darlington, Vassilios Vassiliou

Abstract readSystematic Review
In one paragraph

Synthesis 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

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

  1. Salvage abdominoperineal resection for anal squamous cell carcinoma: A systematic review and meta-analysis of proportions.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Pooled it
  2. Article
  3. Article
  4. Review
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

9 authors.

Samantha C SodergrenUniversity of Southampton, Southampton, UK. S.C.Sodergren@soton.ac.uk.ORCID http://orcid.org/0000-0001-8755-146X
Rowan EdwardsUniversity of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-2600-4099
Rahul KrishnatryTata Memorial Centre, Homi Bhabha National Institute University, Mumbai, India.
Marianne G GurenOslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0003-0593-0218
Kristopher DennisOttawa Hospital, Ottawa, Canada.ORCID http://orcid.org/0000-0002-5588-1007
Pierfrancesco FrancoUniversity Hospital 'Maggiore della Carità', Novara, Italy.
Francesca de FeliceSapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-5119-8358
Anne-Sophie DarlingtonUniversity of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-4387-7278
Vassilios VassiliouBank of Cyprus Oncology Center, Strovolos, Cyprus.

Funding

European Organisation for Research and Treatment of Cancer 006-2022
6 · The paper itself

Abstract

purposeChemoradiation (CRT) is used to treat anal carcinomas which, for most patients with loco-regional disease, results in a cure but is associated with acute and chronic complications impairing quality of life (QoL). Patients with metastatic disease or recurrence are likely to experience additional QoL concerns. This paper identifies the QoL issues of these patients and determines whether the EORTC QLQ-ANL27 (QLQ-ANL27), a measure of QoL of patients treated with CRT for anal cancer used alongside the core EORTC QLQ-C30 (QLQ-C30), is suitable or needs adapting.

methodsA systematic review was conducted of studies published between 2014 and 2024 reporting QoL of patients with metastatic or recurrent/persistent anal cancer or follow-up data of patients treated with CRT for anal cancer.

resultsThis review included 23 papers, only three focused exclusively on metastatic and/or recurrent anal cancer. Most of the 53 reported symptoms related to bowel, urinary, and sexual functioning, with 60% covered by the QLQ-ANL27 or the QLQ-C30. Issues not captured include, for example, neuropathy, hair loss, musculoskeletal problems, urinary incontinence, and embarrassment.

conclusionThere is a paucity of research looking specifically at QoL outcomes of patients with metastatic or recurrent anal cancer. Whilst the QLQ-ANL27 captures most QoL issues affecting these patients, it might require adapting to improve its sensitivity.

Indexed as

Anus NeoplasmsChemoradiotherapyNeoplasm Recurrence, LocalQuality of LifeHumansNeoplasm MetastasisAnal cancerMetastaticPatient-reported outcomesPersistenceQuality of lifeRecurrenceSystemic therapy

Identifiers

PMID40372578
PMCPMC12081495

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.