Evidence map›Paper›PMID 40994543›Full record

ReviewEuropean urology open science2025

Impact of PARP Inhibitors on Health-related Quality of Life in Patients with Metastatic Castration-resistant Prostate Cancer: A Systematic Review and Meta-analysis.

Navid Roessler, Marcin Miszczyk, Akihiro Matsukawa, Alessandro Dematteis, Ahmed R Alfarhan, Angelo Cormio, Abdulrahman S Alqahtani, Pawel Rajwa, Victor M Schuettfort, Malte W Vetterlein and 6 more

Abstract readReview
In one paragraph

Review in European urology open science, 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. Trial
  2. 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

16 authors.

Navid RoesslerDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Marcin MiszczykDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Akihiro MatsukawaDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Alessandro DematteisDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Ahmed R AlfarhanDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Angelo CormioDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Abdulrahman S AlqahtaniDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Pawel RajwaDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Victor M SchuettfortDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Malte W VetterleinDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Timo F W SoeterikDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Tamás FazekasDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Margit FischDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Michael S LeapmanDepartment of Urology, Yale University, New Haven, CT, USA.
Pierre I KarakiewiczCancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montréal Health Center, Montréal, Canada.
Shahrokh F ShariatDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: PARP inhibitor (PARPi) agents, alone or in combination with antiandrogens, are considered a standard of care for patients with metastatic castration-resistant prostate cancer (mCRPC). This meta-analysis evaluates the impact of PARPi agents on health-related quality of life (HRQoL) using data from prospective trials. Methods: In this prospectively registered systematic review and meta-analysis (PROSPERO: CRD420251011282), we searched the MEDLINE, Embase, and Web of Science databases in March 2025 for prospective trials assessing the impact of PARPi on patient HRQoL in mCRPC. Results for the mean differences (MD) in Functional Assessment of Cancer Therapy-Prostate (FACT-P) total scores at early and late time points were pooled using a random-effects model. Key findings and limitations: Reports for seven prospective trials (2861 patients) were included. The PROfound trial ( Conclusions and clinical implications: We observed no statistically or clinically meaningful deterioration in HRQoL with PARPi treatment in patients with mCRPC, with one study suggesting a potential benefit. Predefined thresholds may not capture the individual and complex nature of HRQoL in the palliative mCRPC setting, where even modest changes can have important clinical and personal significance, which underscores the importance of nuanced interpretation of HRQoL data in guiding treatment decisions. Patient summary: We did not find evidence that drugs called PARP inhibitors have a negative effect on health-related quality of life (HRQoL) for men with advanced prostate cancer. However, the current tools used to measure HRQoL may not fully reflect the individual and complex experiences of patients receiving palliative treatment for their cancer.

Indexed as

EQ-5D-5L questionnaireFunctional Assessment of Cancer Therapy-ProstateHealth-related quality of lifeMetastatic cancerProstate cancer

Identifiers

PMID40994543
PMCPMC12454867

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.