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Impact of Metastatic Hormone-sensitive Prostate Cancer Treatments on Health-related Quality of Life: A Systematic Review and Network Meta-analysis.

Title: Impact of Metastatic Hormone-sensitive Prostate Cancer Treatments on Health-related Quality of Life: A Systematic Review and Network Meta-analysis.
Authors: van Elst T; Department of Urology, Santeon Hospital Group, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands; Department of Medical Oncology, Radboudumc, Nijmegen, The Netherlands. Electronic address: T.vanElst@cwz.nl.; Lopez P; Grupo de Pesquisa em Exercício para Populações Clínicas (GPCLIN), Universidade de Caxias do Sul, Caxias do Sul, Rio Grande do Sul, Brazil; Programa de Pós-Graduação em Ciências da Saúde, Universidade de Caxias do Sul, Caxias do Sul, Rio Grande do Sul, Brazil; Pleural Medicine Unit, Institute for Respiratory Health, Perth, Western Australia, Australia.; Buffart LM; Department of Medical BioSciences, Radboudumc, Nijmegen, The Netherlands.; Custers JAE; Department of Medical Psychology, Radboudumc, Nijmegen, The Netherlands.; Wever L; Department of Urology, St Antonius Hospital, Nieuwegein, The Netherlands.; de Bie JC; Department of Medical Oncology, Radboudumc, Nijmegen, The Netherlands.; Mulders PFA; Department of Urology, Radboudumc, Nijmegen, The Netherlands.; Bloemendal HJ; Department of Medical Oncology, Radboudumc, Nijmegen, The Netherlands.; van Basten JA; Department of Urology, Santeon Hospital Group, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.; Mehra N; Department of Medical Oncology, Radboudumc, Nijmegen, The Netherlands.
Source: European urology focus [Eur Urol Focus] 2025 Dec 11. Date of Electronic Publication: 2025 Dec 11.
Publication Model: Ahead of Print
Publication Type: Journal Article; Review
Language: English
Journal Info: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101665661 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2405-4569 (Electronic) Linking ISSN: 24054569 NLM ISO Abbreviation: Eur Urol Focus Subsets: MEDLINE
Imprint Name(s): Original Publication: Amsterdam : Elsevier B.V., [2015]-
Abstract: Background and Objective: In metastatic hormone-sensitive prostate cancer (mHSPC), health-related quality of life (HRQoL) is key for personalised treatment decisions. We compared the impact of different mHSPC treatment strategies on HRQoL, tackling a previously unaddressed challenge in comparing the outcomes across different patient-reported outcome measures (PROMs).; Methods: A systematic review was conducted of prospective studies reporting HRQoL outcomes of androgen deprivation therapy (ADT) alone or with placebo, radiotherapy, abiraterone, apalutamide, enzalutamide, and/or docetaxel in mHSPC (CRD42021227902). Databases were searched in April 2022 and April 2024. HRQoL domains across different PROMs were harmonised using the Wilson and Cleary model. A frequentist network meta-analysis (NMA) compared 12-mo treatment effects using standardised mean differences (SMDs) with 95% confidence intervals (CIs). Statistical significance was defined as p 
Contributed Indexing: Keywords: Androgen-receptor pathway inhibitor; Docetaxel; Fatigue; Health-related quality of life; Meta-analysis; Metastatic hormone-sensitive prostate cancer; Overall quality of life; Pain; Patient-reported outcome measures; Radiotherapy
Entry Date(s): Date Created: 20251212 Latest Revision: 20251212
Update Code: 20260130
DOI: 10.1016/j.euf.2025.12.001
PMID: 41387022
Database: MEDLINE

Journal Article; Review