{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T13:46:56Z","timestamp":1791726416542,"version":"4.3.4"},"reference-count":113,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T00:00:00Z","timestamp":1700006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01 DC019408-01"],"award-info":[{"award-number":["R01 DC019408-01"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institute on Deafness"},{"name":"Other Communication Disorders"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>No study has quantified the impact of pain and other adverse health outcomes on global physical and mental health in long-term US testicular cancer survivors or evaluated patient-reported functional impairment due to pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Testicular cancer survivors given cisplatin-based chemotherapy completed validated surveys, including Patient-Reported Outcomes Measurement Information System v1.2 global physical and mental health, Patient-Reported Outcomes Measurement Information System pain questionnaires, and others. Multivariable linear regression examined relationships between 25 adverse health outcomes with global physical and mental health and pain-interference scores. Adverse health outcomes with a \u03b2^ \u2009of more than\u20092 are clinically important and reported below.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 358 testicular cancer survivors (median age = 46 years, interquartile range [IQR] = 38\u201353 years; median time since chemotherapy = 10.7\u2009years, IQR\u2009=\u20097.2\u201316.0 years), median adverse health outcomes number was 5 (IQR\u2009=\u20093\u20137). A total of 12% testicular cancer survivors had 10 or more adverse health outcomes, and 19% reported chemotherapy-induced neuropathic pain. Increasing adverse health outcome numbers were associated with decreases in physical and mental health (P\u2009&amp;lt;\u2009.0001 each). In multivariable analyses, chemotherapy-induced neuropathic pain (\u03b2^ = \u22123.72; P\u2009=\u2009.001), diabetes (\u03b2^ = \u22124.41; P\u2009=\u2009.037), obesity (\u03b2^ = \u22122.01; P\u2009=\u2009.036), and fatigue (\u03b2^ = \u22128.58; P\u2009&amp;lt;\u2009.0001) were associated with worse global mental health, while being married or living as married benefited global mental health (\u03b2^\u2009=\u20093.63; P\u2009=\u2009.0006). Risk factors for pain-related functional impairment included lower extremity location (\u03b2^\u2009=\u20092.15; P\u2009=\u2009.04) and concomitant peripheral artery disease (\u03b2^\u2009=\u20094.68; P\u2009&amp;lt;\u2009.001). Global physical health score reductions were associated with diabetes (\u03b2^ = \u22123.81; P\u2009=\u2009.012), balance or equilibrium problems (\u03b2^ = \u22123.82; P\u2009=\u2009.003), cognitive dysfunction (\u03b2^ = \u22124.43; P\u2009&amp;lt;\u2009.0001), obesity (\u03b2^ = \u22123.09; P\u2009&amp;lt;\u2009.0001), peripheral neuropathy score (\u03b2^ = \u22122.12; P\u2009&amp;lt;\u2009.0001), and depression (\u03b2^ = \u22123.17; P\u2009&amp;lt;\u2009.0001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Testicular cancer survivors suffer adverse health outcomes that negatively impact long-term global mental health, global physical health, and pain-related functional status. Clinically important factors associated with worse physical and mental health identify testicular cancer survivors requiring closer monitoring, counseling, and interventions. Chemotherapy-induced neuropathic pain must be addressed, given its detrimental impact on patient-reported functional status and mental health 10 or more years after treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jnci\/djad236","type":"journal-article","created":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T18:57:13Z","timestamp":1700074633000},"page":"455-467","source":"Crossref","is-referenced-by-count":11,"title":["Impact of pain and adverse health outcomes on long-term US testicular cancer survivors"],"prefix":"10.1093","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0235-8519","authenticated-orcid":false,"suffix":"Jr.","given":"Paul C","family":"Dinh","sequence":"first","affiliation":[{"name":"Division of Hematology\/Oncology, Department of Medicine, Indiana University School of Medicine , Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick O","family":"Monahan","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Health Data Science, Indiana University , Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3729-2217","authenticated-orcid":false,"given":"Sophie D","family":"Foss\u00e5","sequence":"additional","affiliation":[{"name":"Department of Oncology, Oslo University Hospital, Radiumhospital , Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9698-9954","authenticated-orcid":false,"given":"Howard D","family":"Sesso","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine, Department of Medicine Research, Brigham and Women\u2019s Hospital , Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2424-4635","authenticated-orcid":false,"given":"Darren R","family":"Feldman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Memorial Sloan Kettering Cancer Center , New York, NY, USA"},{"name":"Department of Medicine, Weill Cornell Medical College , New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1613-097X","authenticated-orcid":false,"given":"M Eileen","family":"Dolan","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Chicago , Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1499-837X","authenticated-orcid":false,"given":"Kathryn","family":"Nevel","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology, Department of Medicine, Indiana University School of Medicine , Indianapolis, IN, USA"},{"name":"Department of Neurology, Indiana University , Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kincaid","sequence":"additional","affiliation":[{"name":"Department of Neurology, Indiana University , Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J","family":"Vaughn","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Pennsylvania , Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8164-8516","authenticated-orcid":false,"given":"Neil E","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Brigham and Women\u2019s Hospital , Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5033-6643","authenticated-orcid":false,"given":"Victoria A","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Department of Medical Engineering, University of South Florida , Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7971-7669","authenticated-orcid":false,"given":"Lawrence H","family":"Einhorn","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology, Department of Medicine, Indiana University School of Medicine , Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7423-6257","authenticated-orcid":false,"given":"Robert","family":"Frisina","sequence":"additional","affiliation":[{"name":"Department of Medical Engineering, University of South Florida , Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9384-0732","authenticated-orcid":false,"given":"Chunkit","family":"Fung","sequence":"additional","affiliation":[{"name":"Department of Medicine, J.P. 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