Evidence map›Paper›PMID 40512268›Full record

Observational studyJournal of patient-reported outcomes2025

Quality of life and climacteric symptoms in women with endometrial cancer: examining the impact of lower limb lymphedema.

Chia-Chun Li, Ting-Chang Chang, Chi-Wen Chang, Chun-Hsia Huang, Yun-Fang Tsai, Chiu-Lan Huang, Lynn Chen

Abstract readObservational Study
In one paragraph

Observational study in Journal of patient-reported outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Endometrial cancer therapy in 2026.Current opinion in obstetrics & gynecology · 2026
    Review
  2. 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

7 authors.

Chia-Chun LiSchool of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Township, Taoyuan County, Tao-Yuan, 333, Taiwan. chiachunli@mail.cgu.edu.tw.ORCID http://orcid.org/0000-0002-7891-1301
Ting-Chang ChangCollege of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
Chi-Wen ChangSchool of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Township, Taoyuan County, Tao-Yuan, 333, Taiwan.
Chun-Hsia HuangSchool of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Township, Taoyuan County, Tao-Yuan, 333, Taiwan.
Yun-Fang TsaiSchool of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Township, Taoyuan County, Tao-Yuan, 333, Taiwan.
Chiu-Lan HuangSchool of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Township, Taoyuan County, Tao-Yuan, 333, Taiwan.
Lynn ChenSchool of Nursing, University of Maryland at Baltimore, Baltimore, MD, USA.

Funding

Chang Gung Memorial Hospital, Linkou BMRPD37AMinistry of Science and Technology, Taiwan MOST 105-2628-B-182-007-MY2
6 · The paper itself

Abstract

backgroundWomen undergoing treatment for endometrial cancer (EC) often experience climacteric-like symptoms, and some may develop lower limb lymphedema (LLL). LLL can significantly impact women's quality of life (QoL) and exacerbate climacteric symptoms. In this study, we investigated the prevalence of LLL and explored the differences in climacteric symptoms and QoL between women with and without LLL.

methodsA cross-sectional, observational, and comparative study design was employed. Clinical data for 105 women diagnosed with EC were gathered, encompassing demographic details, LLL, climacteric symptoms, and QoL. Instruments used included a demographic-disease survey, the Gynecological Cancer Lymphedema Questionnaire, the Greene Climacteric Scale, and EORTC QLQ-C30 and QLQ-EN24 questionnaires. Descriptive statistics and independent-sample t-tests were utilized for data analysis.

resultsIn this study, 39% of women with EC experienced LLL, with primary symptoms being aching, heaviness, and swelling. Women with LLL also had significantly more severe climacteric symptoms, including anxiety, depression, and vasomotor issues, and they reported poorer physical, role, emotional, cognitive, and social functioning. Additionally, they faced increased fatigue, pain, dyspnea, and more severe specific symptoms like lymphedema, urological and gastrointestinal issues, body image concerns, back/pelvic pain, and hair loss compared to those without LLL.

conclusionThe findings of this study enhance understanding of the impact of LLL on climacteric symptoms and QoL in women with EC. Health-care professionals, when advising treatment for EC, should inform women about the likelihood of LLL and assist in early management of its symptoms during and after EC treatment.

Indexed as

ClimactericEndometrial NeoplasmsLower ExtremityLymphedemaQuality of LifeAdultAgedCross-Sectional StudiesFemaleHumansMiddle AgedSurveys and QuestionnairesClimacteric symptomsEndometrial cancerLower limb lymphedemaQuality of life

Identifiers

PMID40512268
PMCPMC12165921

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.