Evidence map›Paper›PMID 41820903›Full record

ArticleBMC cancer2026

Health literacy, nutrition, complementary medicine and their associations with life satisfaction in cancer patients: a cross-sectional study.

Luise Kiefer, G Ciarlo, F Ostendorf, E Hintze, J Hübner

Abstract readMulticenter Study
In one paragraph

Article in BMC 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

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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

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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

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5 · Who and what money

Authors and funding

5 authors.

Luise KieferDepartment of Internal Medicine II, Hematology and Medical Oncology, University Hospital Jena, Friedrich Schiller University Jena, Am Klinikum 1, 07747, Jena, Germany. luise.schuetze@gmail.com.
G CiarloMedical Clinic 1, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
F OstendorfDepartment of Internal Medicine II, Hematology and Medical Oncology, University Hospital Jena, Friedrich Schiller University Jena, Am Klinikum 1, 07747, Jena, Germany.
E HintzeDepartment of Internal Medicine II, Hematology and Medical Oncology, University Hospital Jena, Friedrich Schiller University Jena, Am Klinikum 1, 07747, Jena, Germany.
J HübnerDepartment of Internal Medicine II, Hematology and Medical Oncology, University Hospital Jena, Friedrich Schiller University Jena, Am Klinikum 1, 07747, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLife satisfaction is a key patient-reported outcome in psychosocial oncology. Yet, how health literacy, nutritional behavior, eating-related symptoms, weight changes, and CAM use together influence life satisfaction remains poorly understood.

methodsWe conducted a multicenter cross-sectional survey of 316 German oncology patients, assessing life satisfaction (L-1), health literacy, current food intake, eating-related symptoms, dietary frequency, weight change and CAM use. Analyses included descriptive statistics, Spearman correlations, nonparametric tests, and multivariate regression.

resultsSubjective health status emerged as the strongest independent predictor of life satisfaction. Higher food intake and fewer eating-related symptoms were also beneficial. Moderate unintentional weight loss (below a high threshold) was associated with somewhat higher self-perceived life satisfaction, whereas more pronounced weight loss (> 10 kg) related to lower life satisfaction. Health literacy showed a modest correlation with life satisfaction in unadjusted analyses, but lost independent significance in multivariate models, suggesting mediation via other factors. Complementary and alternative medicine use was not associated with life satisfaction. The final predictive model explained about 35.1% of the variance in life satisfaction.

conclusionThese findings suggest that subjective health perceptions and nutritional factors are central drivers of life satisfaction in cancer patients, whereas the effect of health literacy appears to be mediated indirectly. The results support a holistic, patient-centered approach addressing subjective health, nutrition, and health literacy to improve psychosocial outcomes and life satisfaction.

Indexed as

Complementary TherapiesHealth LiteracyNeoplasmsNutritional StatusPersonal SatisfactionAdultAgedCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesCancer patientsComplementary and alternative medicine (CAM)Health literacyLife satisfactionNutrition-related symptomsPatient-reported outcomesWeight loss

Identifiers

PMID41820903
PMCPMC13063638

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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.