Evidence map›Paper›PMID 42210577›Full record

ArticleCancer medicine2026

Impact of Allostatic Load on Overall Survival in Patients With Endometrial Cancer.

Nikita Sinha, Vanessa Miller, Alexandra Diggs, Emily Broaddus, Victoria Bae-Jump, Olivia D Lara

Abstract read
In one paragraph

Article in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Nikita SinhaDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA.
Vanessa MillerDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA.
Alexandra DiggsDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA.
Emily BroaddusDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA.
Victoria Bae-JumpDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA.
Olivia D LaraDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-3540-5804

Funding

North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
CTSA K12 Program at UNCK12TR004416 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Michelle Hernandez, Jonathan J Juliano · 2023 to 2026
$6.5M
NCATS NIH HHS K12 TR004416NCATS NIH HHS UM1 TR004406U.S. Department of Health and Human Services > National Institutes of Health > National Center for Advancing Translational Sciences K12TR004416U.S. Department of Health and Human Services > National Institutes of Health > National Center for Advancing Translational Sciences UM1TR004406
6 · The paper itself

Abstract

introductionEndometrial cancer (EC) mortality is rising, with increasing rates of advanced disease and high-risk histologic subtypes. Allostatic load (AL), a biomarker of cumulative physiologic stress, has been linked to cancer-associated outcomes. We evaluated the association between baseline AL and overall survival among patients with EC.

methodsPatients diagnosed with EC at a single academic center were retrospectively identified. Baseline demographic, clinical, and laboratory values were used to calculate the primary exposure of interest, AL, based on ten physiologic biomarkers. A cohort-defined threshold classified patients as having high versus low AL. Data were analyzed using unadjusted and adjusted models and Kaplan-Meier curves.

resultsA total of 2174 patients (mean age = 63.1 years, SD = 11.2) with EC were assessed for allostatic load at baseline, 69.2% met criteria for high AL (n = 1505). The median follow up time was 49.5 months (IQR = 25.7, 76.4). High AL was associated with worse overall survival (unadjusted HR: 1.70 (95% CI, 1.28, 2.24), adjusted HR 1.58; 95% CI, 1.19, 2.11). Patients with high AL had a 52% higher rate of death compared to the low AL group. High AL was more prevalent among Black patients, those who were not married, and those without private insurance (all p < 0.001).

conclusionsElevated allostatic load was associated with worse overall survival in this cohort of patients with EC, consistent with the hypothesis that physiological stress may impact survival outcomes. These findings are hypothesis-generating and suggest that physiologic stress and social disadvantage may contribute to survival differences warranting further study.

Indexed as

AllostasisEndometrial NeoplasmsAgedFemaleHumansKaplan-Meier EstimateMiddle AgedPrognosisRetrospective Studiesallostatic loadendometrial cancerhealth disparitiesmortality

Identifiers

PMID42210577
PMCPMC13240357

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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.