Evidence map›Paper›PMID 41441939›Full record

Observational studyJournal of patient-reported outcomes2025

Patient- and clinician-reported acute radiation-induced diarrhoea in patients with prostate cancer during curative external radiation therapy: A prospective observational cohort study.

Mette Overgaard Holm, Ursula Falkmer, Randi Tobberup, Martin Skovmos Nielsen, Bjarke Mortensen, Rasmus Froberg Brøndum, Christine Vestergård Madsen, Henrik Højgaard Rasmussen, Mette Karen Yilmaz, Jimmi Søndergaard and 2 more

Registry-linked trialAbstract 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. It is linked to trial NCT05684432 (Frequency and Classification of Radiation-induced Diarrhoea in Patients With Prostate and Rectal Cancer During Curative External Radiotherapy), which is not on this map. Not yet cited in PubMed.

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

NCT05684432 completednot on this map

Frequency and Classification of Radiation-induced Diarrhoea in Patients With Prostate and Rectal Cancer During Curative External Radiotherapy

TypeobservationalSponsorAalborg University HospitalRan2022 to 2024Enrolled40ConditionsRadiation-induced Diarrhoea in Prostate and Rectal CancerArmsNo intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Mette Overgaard HolmCenter for Nutrition and Intestinal Failure, Department of Gastroenterology, Aalborg University Hospital, Aalborg, Denmark. mo.holm@rn.dk.ORCID http://orcid.org/0000-0002-5278-2759
Ursula FalkmerDepartment of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-9245-7678
Randi TobberupCenter for Nutrition and Intestinal Failure, Department of Gastroenterology, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-9425-2318
Martin Skovmos NielsenDepartment of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-3955-7266
Bjarke MortensenDepartment for Medical Physics, University Hospital of Southern Denmark, Vejle Hospital, Vejle, Denmark.ORCID http://orcid.org/0009-0002-8889-2797
Rasmus Froberg BrøndumCenter for Clinical Data Science, Aalborg University Hospital and Aalborg University, Aalborg, Denmark.ORCID http://orcid.org/0000-0001-5537-6767
Christine Vestergård MadsenDepartment of Oncology, University Hospital of Southern Denmark, Vejle Hospital, Vejle, Denmark.ORCID http://orcid.org/0000-0002-8314-3888
Henrik Højgaard RasmussenCenter for Nutrition and Intestinal Failure, Department of Gastroenterology, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-8951-5494
Mette Karen YilmazDepartment of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0009-0009-4557-0748
Jimmi SøndergaardDepartment of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0009-0005-2808-8993
Mette MoeDepartment of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0009-0002-1022-7260
Laurids Østergaard PoulsenDepartment of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-0466-976X

Funding

Aalborg Universitet Aalborg UniversitetAalborg Universitetshospital Aalborg Universitetshospital
6 · The paper itself

Abstract

backgroundAcute radiation-induced diarrhoea (RID) typically develops from gut mucosa inflammation within 2 weeks of external beam radiation therapy (EBRT) to the pelvis. The Common Terminology Criteria for Adverse Events (CTCAE) commonly assesses RID. In patients with prostate cancer undergoing curative EBRT, acute RID was evaluated using both a clinician-reported outcome (ClinRO)-CTCAE, and a patient-reported (PRO) stool diary.

methodsDuring 2022–2024, 40 newly diagnosed patients with prostate cancer receiving curative EBRT were enrolled at the Oncology Departments in two centres. CTCAE was assessed at baseline (week 1), at end of EBRT (week 8 or 9), 2 weeks after end of EBRT (week 10 or 11), and 8 weeks after end of EBRT (week 16 or 17). Simultaneously, patients maintained a daily PRO diary from baseline to week 10, and at week 16. Patients’ registration of stool frequency was converted to grades according to the CTCAE criteria.

resultsThe clinicians assessed all 40 patients with RID Grade 0/1 using CTCAE, whereas the PRO stool diary showed 29/40 with Grade 0/1, 6/40 with Grade 2, and 5/40 with Grade 3. Grade 2 appeared in week 2 and Grade 3 in week 4. There was a significant difference (p < 0.001) between CTCAE and PRO grades from baseline to week 16 or 17. No correlation was observed between irradiation data and RID Grades 2/3. Significant weight loss differences were noted from baseline to week 8 or 9 between patients with RID Grades 0/1 and those with Grades 2/3.

conclusionAccording to the PRO stool diary, one in four patients with prostate cancer undergoing curative EBRT experienced acute RID Grade 2/3, but none with ClinRO CTCAE. A PRO stool diary effectively monitored the onset, course of acute RID, and body weight changes. The CTCAE does not adequately assess acute RID and needs PRO stool diary supplementation.

trial registrationClinicaltrials.gov, NCT05684432. Registered 5 January 2023.

Indexed as

DiarrheaPatient Reported Outcome MeasuresProstatic NeoplasmsRadiation InjuriesRadiotherapyAgedAged, 80 and overHumansMaleMiddle AgedProspective StudiesDiagnostic toolDiaryPatient-reported outcome measuresWeight changes

Identifiers

PMID41441939
PMCPMC12847486

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Registered trials

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.