Evidence map›Paper›PMID 41762307›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Prevalence of concurrent severe self-reported late symptoms and functional limitations in cancer survivors: a cross-sectional study of sociodemographic, clinical, and lifestyle associations.

Trille Kristina Kjaer, Anne Katrine Graudal Levinsen, Erik Jakobsen, Ismail Gögenur, Michael Borre, Peer Christiansen, Robert Zachariae, Peter Christensen, Peter de Nully Brown, Lisbet Rosenkrantz Hölmich and 4 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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

14 authors.

Trille Kristina KjaerDanish Cancer Institute, Cancer Survivorship, Strandboulevarden 49, 2100, Copenhagen, Denmark. trille@cancer.dk.ORCID http://orcid.org/0000-0002-1917-4241
Anne Katrine Graudal LevinsenDanish Cancer Institute, Cancer Survivorship, Strandboulevarden 49, 2100, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-0906-1873
Erik JakobsenDepartment of Thoracic Surgery, Odense University Hospital, Odense, Denmark.ORCID http://orcid.org/0000-0002-0052-7705
Ismail GögenurDepartment of Surgery, Center for Surgical Science, Zealand University Hospital, Køge, Denmark.ORCID http://orcid.org/0000-0002-3753-268X
Michael BorreDepartment of Urology, Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0002-1519-9185
Peer ChristiansenDanish Breast Cancer Group Center and Clinic for Late Effects, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-2748-9240
Robert ZachariaeDanish Breast Cancer Group Center and Clinic for Late Effects, Aarhus, Denmark.ORCID http://orcid.org/0000-0001-9076-3068
Peter ChristensenDepartment of Surgery, Danish Cancer Society Centre for Research On Survivorship and Late Adverse Effects After Cancer in the Pelvic Organs, Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0002-6611-3935
Peter de Nully BrownDepartment of Hematology, Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6522-4086
Lisbet Rosenkrantz HölmichDepartment of Plastic Surgery, Copenhagen University Hospital, Herlev and Gentofte, Denmark.ORCID http://orcid.org/0000-0002-1983-5222
Christoffer JohansenCancer Late Effects, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-4384-206X
Susanne Krüger KjærVirus, Lifestyle and Genes, Danish Cancer Institute, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-8347-1398
Lonneke van de Poll-FranseDepartment of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-0413-6872
Susanne Oksbjerg DaltonDanish Cancer Institute, Cancer Survivorship, Strandboulevarden 49, 2100, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-5485-2730

Funding

Helsefonden 20-B-0434Kræftens Bekæmpelse R269-A15811Kræftens Bekæmpelse R364-A21129Novo Nordisk Fonden NNF18OC0052543
6 · The paper itself

Abstract

purposeThis population-based study investigated the prevalence of concurrent severe symptoms and functional limitations among Danish cancer survivors, examining associations with sociodemographic, clinical, and lifestyle factors.

methodsWe conducted a cross-sectional analysis using data from the nationwide SEQUEL questionnaire study (2022), including 40,766 survivors 2- to 12-year post-diagnosis (2010-2019). Up to 21 symptoms, five functioning domains, and sexual satisfaction were assessed using validated instruments (EORTC QLQ-C30, EORTC Item Library, QLQ-SHQ22, GAD-7, PHQ-9). Data were obtained from Danish registries, clinical databases, and self-report. Symptoms and functional limitations were categorized as severe using predefined thresholds. Ordinal logistic regression models examined factors associated with concurrent symptoms.

resultsMean symptom count was 4.1 for women (range 0-21, SD 3.19) and 3.3 for men (range 0-20, SD 2.72), with 25% of women and 16% of men experiencing ≥ 5 concurrent severe symptoms. Lung cancer survivors reported the highest symptom burden. Factors significantly associated with concurrent symptoms included short education, lower income, living alone, multiple comorbidities (CCI ≥ 2), advanced disease, palliative treatment, current smoking, and higher BMI, with ORs ranging from 1.29-2.19 (women) and 1.23-2.25 (men). Impaired functioning showed similar associations.

conclusionConcurrent late symptoms are common among cancer survivors, indicating complex health issues varying by cancer type and clinical characteristics, with clear socioeconomic disparities and lifestyle associations. These findings highlight subgroups who may benefit from interventions targeting multiple symptoms and underscore the importance of addressing social determinants and lifestyle factors in survivorship care.

Indexed as

Cancer SurvivorsLife StyleNeoplasmsAdultAgedCross-Sectional StudiesDenmarkFemaleHumansMaleMiddle AgedPrevalenceQuality of LifeSelf ReportSeverity of Illness IndexSociodemographic FactorsCancer survivorsConcurrent symptomsFunctional limitationsLong term

Identifiers

PMID41762307

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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.