Evidence map›Paper›PMID 40778019›Full record

ArticleFrontiers in urology2023

Understanding the health-related quality of life and treatment-related side-effects in patients who have been in remission from testicular cancer for 12-24 months.

Walter Cazzaniga, Janette Kinsella, Adam Kieran Pearce, Masood Moghul, Louis Fox, Mieke Van Hemelrijck, Alison Reid, Robert Huddart, David Nicol

Abstract read
In one paragraph

Article in Frontiers in urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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.

Walter CazzanigaDepartment of Uro-Oncology, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Janette KinsellaDepartment of Uro-Oncology, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Adam Kieran PearceUrology Department, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Masood MoghulDepartment of Uro-Oncology, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Louis FoxCentre for Cancer, Society, and Public Health, King's College London, London, United Kingdom.
Mieke Van HemelrijckCentre for Cancer, Society, and Public Health, King's College London, London, United Kingdom.
Alison ReidDepartment of Uro-Oncology, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Robert HuddartDepartment of Uro-Oncology, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
David NicolDepartment of Uro-Oncology, The Royal Marsden NHS Foundation Trust, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Despite the excellent long-term prognosis after treatment for testicular cancer (TCa), therapy-related side effects can be persistent and severe. The aim of this study was to determine the nature and prevalence of post-treatment symptoms and their impact on health-related quality of life (HRQoL) in TCa patients 12 to 24 months after treatment. Materials and methods: Cross-sectional, single-center study. All patients who were aged 18 and over, had completed TCa treatment 12-24 months previously and had no evidence of disease recurrence were considered eligible. Participants were stratified into four groups: 1) orchidectomy only; 2) orchidectomy and single dose adjuvant carboplatin; 3) multi-agent induction chemotherapy (CBOP-BEP, BEPx3 or x4, or Epx4 regimens); and 4) post-chemo retroperitoneal lymph node dissection (PC-RPLND). Eligible patients were asked to complete the EQ-5D-5L questionnaire and the EORTC QLQ-TC26 questionnaire. We performed a thematic analysis of free-text commentary to evaluate the sensitivity of PROMs used across the treatment groups. Descriptive results were reported. For categorical variables, numbers and percentages were used, and for continuous variables median and IQR values were used. Results: The EQ-5D-5L questionnaire showed that patients treated with orchidectomy only and orchidectomy and adjuvant carboplatin experienced only minor physical medium- to long-term side-effects. In contrast, more intensive treatment regimens, such as multi-agent chemotherapy or PC-RPLND, were associated with a higher burden of medium- to long-term side-effects. Similar results were obtained with the EORTC QLQ-TC26 questionnaire. Conclusions: This study reports the medium- to long-term HRQoL and side effects of TCa treatments, using both EQ-5D-5L and EORTC QLQ-TC26 questionnaires, and identifies possibly "unasked" questions from a patient perspective in relation to supportive care needs following TCa treatment. This information will help clinicians to better understand the consequences of treatment and in turn provide better patient counseling before treatment.

Indexed as

health-related quality of life (HRQoL)PROMsside effectstesticular cancertesticular cancer treatment

Identifiers

PMID40778019
PMCPMC12327304

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.