Evidence map›Paper›PMID 40818052›Full record

ArticlePsycho-oncology2025

Comparative Effectiveness of Psychosocial Protective Factors for Prostate Cancer Survivorship - A UK Biobank Study.

Yan Yu, Olivia Miu Yung Ngan, Varut Vardhanabhuti, Xin-Yuan Guan, Fraide A Ganotice

Abstract readComparative Study
In one paragraph

Article in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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.

Yan YuLi Ka Shing Faculty of Medicine, Bau Institute of Medical & Health Sciences Education, The University of Hong Kong, Hong Kong, China.
Olivia Miu Yung NganMedical Ethics and Humanities Unit, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Varut VardhanabhutiDepartment of Diagnostic Radiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Xin-Yuan GuanDepartment of Clinical Oncology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Fraide A GanoticeLi Ka Shing Faculty of Medicine, Bau Institute of Medical & Health Sciences Education, The University of Hong Kong, Hong Kong, China.ORCID 0000-0003-3139-9926

Funding

Theme-based Research Funding Scheme T12-703/23-N
6 · The paper itself

Abstract

backgroundThis study investigates psychosocial and lifestyle factors to improve survival outcomes in prostate cancer patients.

methodsFrom the UK Biobank cohort, 13,110 male prostate cancer subjects were analysed to examine the relationship between psychosocial and lifestyle factors and survival with a mean follow-up of 14.2 years from recruitment.

resultsParticipation in sports club or gym (HR = 0.82, 95% CI 0.74-0.91, p < 0.005), religious groups (HR = 0.83, 95% CI 0.73-0.94, p < 0.005) and other group activity (HR = 0.87, 95% CI 0.78-0.97, p = 0.01) were associated with lower mortality risk in our analysis, after adjusting for age, deprivation and comorbidities, followed by. In contrast, neither the pub or social club nor the adult education class demonstrated a statistically significant survival benefit. A modest dose-response relationship between the number of social activities engaged in and mortality risk reduction is observed. There were no differential benefits in alcohol intake, while smoking demonstrated a graded risk increase in mortality (HR = 1.74, 95% CI 1.51-2.0, p < 0.005 in current smokers; HR = 1.21, 95% CI 1.1-1.32, p < 0.005 in previous smokers) compared to never smokers. Having close and frequent confidants (HR = 0.83, 95% CI 0.75-0.92, p < 0.005 for daily) also confers benefits to survival.

conclusionsThis study demonstrates that participation in sports club or gym, engaging in religious groups and other group activities, forming good health habits such as smoking cessation, and having people to confide in regularly is associated with reduced mortality risk in prostate cancer patients. These findings highlight the importance of integrating psychosocial resilience, health behaviour optimisation, and spiritual engagement into survivorship care. The hierarchical risk reduction profile supports prioritising interventions targeting modifiable health behaviours, spiritual/social support, and group activities. While religious participation is associated with notable survival benefits, this study recognises the complex interplay of cultural, social, and personal factors influencing engagement in such activities. These findings advocate for stratified survivorship care models prioritising engagement modalities with dual physiological, psychosocial, and spiritual benefits.

Indexed as

Cancer SurvivorsLife StyleProstatic NeoplasmsSurvivorshipAgedBiological Specimen BanksHumansMaleMiddle AgedProtective FactorsSocial SupportUK BiobankUnited Kingdom

Identifiers

PMID40818052
PMCPMC12357647

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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.