Evidence map›Paper›PMID 41606506›Full record

SynthesisBMC cancer2026

"Prevalence of sexual dysfunction and narrative synthesis of associated factors in patients with different type of cancer: a systematic review and meta-analysis".

Amirmohammad Dahouri, Mina Hosseinzadeh, Mohammad Hasan Sahebihagh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

3 authors.

Amirmohammad DahouriDepartment of community health nursing, Faculty of Nursing and Midwifery, Research Center of Psychiatric and Behavioral Sciences, Razi Hospital, Tabriz University of Medical Sciences, Tabriz, Iran. amirmohammaddahouri61@gmail.com.
Mina HosseinzadehDepartment of community health nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Mohammad Hasan SahebihaghTabriz Health Services Management Research Center, Department of Community Health Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.

Funding

Tabriz University of Medical Sciences 74730
6 · The paper itself

Abstract

backgroundSexual dysfunction (SD) is a prevalent but underrecognized consequence of cancer and its treatment, affecting patients’ quality of life, psychological well-being, and intimate relationships. Despite its clinical importance, the literature on SD remains fragmented, with previous reviews focusing primarily on specific cancer types. This systematic review and meta-analysis aimed to estimate the overall prevalence of SD across various cancer types and to identify demographic, clinical, psychosocial, and treatment-related factors associated with its occurrence.

methodA systematic search was conducted in both English and Persian databases, including PubMed, Scopus, Web of Science, Embase, CINAHL, Google Scholar, and regional platforms (SID, Magiran, IranMedex) for observational studies reporting on prevalence of SD and its determinants in cancer patients. The inclusion criteria were developed based on the SPIDER framework, targeting quantitative studies that focused on the prevalence and risk factors associated with SD. Eligible studies were screened independently by two reviewers and assessed using the Observational Studies Quality Evaluation (OSQE) tool. A random-effects meta-analysis was used to calculate pooled prevalence estimates 39 included studies. Subgroup analyses and meta-regression were conducted to explore potential sources of heterogeneity using Comprehensive Meta-Analysis version 4 software. Additionally, a narrative synthesis of associated factors was performed based on 37 included studies.

resultsA total of 39 studies involving 17,970 participants were included. The overall pooled prevalence of SD was 54.0% (95% CI: 50.4%–58.8%), with significant heterogeneity (I2 = 95%). Subgroup analysis revealed the highest prevalence among patients with gynecological (93.7%), breast (59.2%), and colorectal (57.4%) cancers. Meta-regression identified publication year, cancer type, and geographical region as significant moderators. However, a large portion of heterogeneity remained unexplained due to insufficient reporting of key socio-demographic and clinical variables. Narrative synthesis identified age, treatment modality, menopausal status, body image, psychological distress, and social factors as major determinants of SD.

conclusionThese findings underscore the urgent need for standardized assessment tools, individualized care strategies, and theory-informed interventions that integrate sexual health into routine oncology care. Future research should focus on longitudinal designs and individual-level data to better understand the complex interplay of factors contributing to SD in cancer patients.

Indexed as

NeoplasmsSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalFemaleHumansMalePrevalenceQuality of LifeRisk FactorsMeta-regressionNeoplasmPrevalenceRisk factorsSexual dysfunction

Identifiers

PMID41606506
PMCPMC12934054

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LicenceCC BY-NC-ND
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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.