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Aim of this study was to assess the cancer-related identity and associated factors in men over 75 years affected by PCa and treated with radical prostatectomy to improve the understanding of cancer-related self-perception in older men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>2,379 on average 82.2 \u00b1 3.9 year-old prostate cancer survivors with a mean follow-up of 17.9 \u00b1 3.7 after radical prostatectomy were asked to choose one of 5 cancer-related identities (\u201cpatient\u201d, \u201cvictim\u201d, \u201csomeone who has had cancer\u201d, \u201ccancer survivor,\u201d and \u201ccancer conqueror\u201d). Associations with clinical data, aging-related factors (frailty, comorbidities, loneliness), and psychological factors were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most men identified with the neutral terms \u201csomeone who has had cancer\u201d (45.7%) and patient (27.0%), which was associated with primarily clinical characteristics. Identification with negatively connoted cancer-related identities was less common (\u201ccancer survivor\u201d (15.7%), \u201cvictim\u201d (2.1%)) and was associated with primarily aging-related and psychological factors. Identification as a \u201ccancer survivor\u201d was associated with more self-reported comorbidities (OR: 1.09 [1.01 \u2013 1.17]) and symptoms of depression (OR: 1.71 [1.20 \u2013 2.45]). Identification as a victim was associated with severe loneliness (OR: 5.09 [2.39 \u2013 10.85]). The positively connoted cancer-related identity \u201ccancer conqueror\u201d (9.5%) was associated with a higher quality of life (OR: 1.41 [1.28 \u2013 1.57]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The cancer-related identity in long-term PCa survivors of advanced old age varies widely. Especially negatively connoted cancer-related identities reflect the subjective disease experience, the overall health status, and the lack of a social support system. Even years after the primary diagnosis and treatment, assessment of the cancer-related identity can identify men who are affected most by their cancer experience and might need further psycho-oncological assistance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12877-025-06477-5","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T12:08:22Z","timestamp":1759752502000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cancer-related identity and advanced old age \u2013 analysis of prostate cancer survivors after radical prostatectomy over the age of 75"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5895-2595","authenticated-orcid":false,"given":"Matthias","family":"Jahnen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Bierwirth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin H.","family":"Meissner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Dinkel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Schiele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helga","family":"Schulwitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen E.","family":"Gschwend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Herkommer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"issue":"1","key":"6477_CR1","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.eururo.2019.08.005","volume":"77","author":"MB Culp","year":"2020","unstructured":"Culp MB, Soerjomataram I, Efstathiou JA, Bray F, Jemal A. 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