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‹ Fri · 5 Jun 2026
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A structural equation modeling framework for estimating symptom burden based on symptom clusters in cancer survivors

Six symptom clusters in cancer survivors, derived from 40,766 patients, help standardize survivorship assessments and target interventions to high-burden groups.

Using structural equation modeling on 40,766 cancer survivors from the Danish SEQUEL cohort, this study derived 6 symptom clusters and validated SEM-based burden scores as a novel approach to standardising survivorship outcome comparisons across cancer types. Lymphoma, lung, and head/neck survivors showed consistently highest burden, informing targeted survivorship interventions.

What the study was

Study design
Population cohort SEM analysis (Danish SEQUEL cohort)
Population
40,766 cancer survivors (breast, prostate, colon, rectum, lung, melanoma, lymphoma, head/neck) diagnosed 2010–2019 from Danish nationwide SEQUEL cohort
Sample size
40766
Category
Public Health
Maturity
Exploratory
Journal
Sci Rep

Why it surfaced

Large population (n=40,766); includes lymphoma survivorship as T1 crossover. Methodological contribution (SEM for symptom burden quantification) is meaningful for survivorship research infrastructure. Low direct clinical relevance for the primary triage focus.

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