Evidence map›Paper›PMID 41579289›Full record

ArticleEuropean journal of epidemiology2026

Lifestyle factors and all-cause mortality in long-term cancer survivors: a population-based prospective cohort study.

Chunsu Zhu, Melissa S Y Thong, Daniela Doege, Lena Koch-Gallenkamp, Heike Bertram, Andrea Eberle, Bernd Holleczek, Alice Nennecke, Annika Waldmann, Sylke Ruth Zeißig and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

13 authors.

Chunsu ZhuUnit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Melissa S Y ThongUnit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany. m.thong@dkfz-heidelberg.de.ORCID http://orcid.org/0000-0002-6987-705X
Daniela DoegeUnit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Lena Koch-GallenkampCancer Prevention Graduate School, DKFZ, Heidelberg, Germany.
Heike BertramCancer Registry of North Rhine-Westphalia, Bochum, Germany.
Andrea EberleBremen Cancer Registry, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
Bernd HolleczekSaarland Cancer Registry, Saarbrücken, Germany.
Alice NenneckeHamburg Cancer Registry, Hamburg, Germany.
Annika WaldmannInstitute of Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
Sylke Ruth ZeißigCancer Registry of Rhineland-Palatinate, Institute for Digital Health, Mainz, Germany.
Ron PritzkuleitCancer Registry of Schleswig-Holstein, Lübeck, Germany.
Hermann BrennerCancer Prevention Graduate School, DKFZ, Heidelberg, Germany.
Volker ArndtUnit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between healthy lifestyles and mortality in cancer survivors remains inconclusive with few evidence among long-term cancer survivors (LTCS, survived ≥ 5 years post-diagnosis). Our study aims to investigate the association between individual and combined healthy lifestyle factors and mortality in LTCS. We included 6,057 LTCS of breast, colorectal or prostate cancer from a multiple regions study in Germany. A healthy lifestyle score (HLS) comprising alcohol consumption, body mass index (BMI), physical activity and smoking was created and was classified into tertiles with higher tertile indicating healthier lifestyle. We used Cox proportional hazards regression to examine the associations of individual lifestyle factors and HLS with all-cause mortality among LTCS. A total of 2,015 death events occurred over a maximum follow-up period of 12.3 years. Compared with the lowest tertile, participants in the middle and highest tertile experienced a 27% and 32% lower mortality (middle [hazard ratio (HR), 0.73; 95% CI 0.65-0.83]; highest [HR, 0.68, 95% CI 0.61-0.76]). A significant dose-response relationship was observed (p

Indexed as

Cancer SurvivorsHealthy LifestyleLife StyleNeoplasmsAgedAlcohol DrinkingBody Mass IndexCause of DeathExerciseFemaleGermanyHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesAll-cause mortalityCancer survivorsLife styleProspective study

Identifiers

PMID41579289
PMCPMC12975847

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.