Evidence map›Paper›PMID 41647995›Full record

ArticleESMO gastrointestinal oncology2025

Fertility and sexuality in early-onset colorectal cancer patients: a monocentric survey.

A Spring, M A Calegari, G Valente, G Caira, D Barone, F Schietroma, L Chiofalo, V Beccia, G Trovato, M Chiaravalli and 5 more

Abstract read
In one paragraph

Article in ESMO gastrointestinal oncology, 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. Review
  2. Review
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

15 authors.

A SpringComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
M A CalegariComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
G ValenteComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
G CairaComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
D BaroneComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
F SchietromaComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
L ChiofaloComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
V BecciaComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
G TrovatoComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
M ChiaravalliComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
M BensiComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
M BassoComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
C PozzoComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
G TortoraComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
L SalvatoreComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Evidence concerning the impact of chemotherapy on sexual health and fertility in early-onset colorectal cancer (EO-CRC) patients is scarce. Patients and methods: We aimed to assess through an anonymous online survey the effect of chemotherapy on sexual quality of life and fertility preservation management in patients with stage II-IV EO-CRC treated at our center. Sexual health was evaluated with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Sexual Health (EORTC QLQ-SH22) questionnaire. Fertility issues were assessed through a structured survey form. Results: From 2010 to 2022, 139 out of 6444 patients were diagnosed with EO-CRC at our center. A total of 84 patients (60.4%) completed the survey, while 55 (39.6%) did not participate; 50 (59.5%) were women and 42 (50%) had stage II-III disease. Only 11.9% (8/67) of patients reported having discussed sexual issues with their oncologist, while 45% (18/40) received specific counseling about fertility preservation, with no statistically significant differences between sexes. Libido decrease and sexual pain were reported more often by women compared with men in each setting; the difference was statistically significant ( Conclusions: Clinicians tend to discuss fertility issues more often than sexual health with patients, regardless of sex. Women seem to experience more libido decrease and sexual pain compared with men, and their risk of persistent amenorrhea increases with age. Both fertility and sexuality counseling should be improved in EO-CRC management.

Indexed as

amenorrheacolorectal cancerearly-onsetfertility preservationonline surveysexual health

Identifiers

PMID41647995
PMCPMC12836514

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.