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Table 2 A list of reviews covering local, systemic treatments and side-effects and quality of life in breast cancer patients (2008–2018)

From: Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018

Authors [References]

Year

Main focus

Description/analysis

No. of databases

No. of included studies

Performed QA

Risk of bias assessment

Result(s)

Lemieux et al. [27]

2008

Effects of Chemotherapy-induced alopecia on QOL

Review

5

38

No

No

Hair loss consistently ranked amongst the most troublesome side effects, was described as distressing, and may affect the body image

Cella and Fallowfiel [28]

2008

Side-effects of endocrine therapy and QOL

Review

NA

6

No

No

Starting with better QOL, which should lead to better adherence, will result in better patient outcomes

Buijs et al. [29]

2008

Endocrine treatments for breast cancer and HRQOL

Review

NA

NA

No

No

HRQOL mostly is severely influenced by chemotherapy and part of these symptoms may be lasting, especially when associated with the induction of premature menopause. The varying side effect profiles of tamoxifen and aromatase inhibitors did not lead to significant difference in overall HRQOL

Pockaj et al. [30]

2009

QOL after breast surgery

Review

NA

NA

No

No

Better preoperative counseling, informed decision-making, and appropriate interventions will lead to improved QOL

Reimer and Gerber [31]

2010

Impact of local or systemic treatments on QOL in the elderly early-breast cancer patients

Review

PubMed

18

No

No

Overall QOL was maintained or improved

Devi et al. [32]

2011

QOL of women during and up to ten years after treatment for breast cancer

Systematic review

9

11 qualitative studies

Yes

No

Breast cancer diagnosis and its treatment can have a significant effect on several domains of women’s QOL

Pinto and de Azambuja [33]

2011

Symptoms in BCS

Review

NA

NA

No

No

The most common symptoms affecting BCS were fatigue, insomnia, depression, cognitive dysfunction, reproductive and menopausal symptoms and lymphedema

Howard-Anderson et al. [34]

2012

QOL, menopausal symptoms and fertility concerns, and behavioral health outcomes in younger patients

Systematic review

PubMed

28

No

No

Younger women experienced concerns on premature menopause, menopausal symptoms and infertility that had a role in the level of distress after treatment. Health outcomes in younger ones include weight gain and physical inactivity

Kaviani et al. [35]

2013

Type of surgery and QOL

Narrative review

NA

NA

No

No

QOL had a better score for oncoplastic breast surgery in comparison with mastectomy or BCT

Orsaria et al. [36]

2014

Nodal status assessment and QOL

Review

NA

NA

No

No

Quality results in breast cancer surgery need to generate oncological safety devoid of complications through renewed clinical experience

Tsoi et al. [37]

2014

Tissue-expander/implant vs. autologous abdominal tissue breast reconstruction

Systematic review

5

15

Yes

Yes

There is some weak evidence that tissue-expander/implant reconstruction becomes a less favorable approach in terms of patient satisfaction after mastectomy

Taghian et al. [38]

2014

Impact of lymphedema on QOL

Review

PubMed

NA

No

No

Lymphedema remains a significant QOL issue which affected woman’s physical, psychological, and emotional well-being

Sodergren et al. [39]

2015

The side effects associated with targeted therapies used in the adjuvant and metastatic settings for HER2+

Systematic review

5

18

No

No

Compared with conventional cytotoxics, targeted therapies are delivered over longer periods of time and present unique and often extensive side-effect profiles. Diarrhoea and skin rash as particularly prevalent anti-HER2 inhibitor side effects

Kameo and Sawada [40]

2016

QOL and adverse reactions of chemotherapy

Integrative review

5

50

NA

NA

Multidisciplinary and thinking on the individual vulnerabilities should be considered when evaluating adverse reaction and QOL

Mioranza et al. [41]

2016

The impact of adjuvant endocrine therapy in early breast cancer on QOL

Review

NA

NA

No

No

Impact of adjuvant endocrine therapies on HRQOL was not comparable since they used different QOL instruments

Razdan et al. [42]

2016

Quality of life among patients after bilateral prophylactic mastectomy

Systematic review

6

22

Yes

No

Post-BPM, patients are satisfied with the outcomes and report high psychosocial well-being and positive body image. Sexual well-being and somatosensory function are most negatively affected. Vulnerability, psychological distress and preoperative cancer distress are significant negative predictors of quality of life and body image post-BPM

Chalasani [43]

2017

Optimizing QOL in patients with hormone receptor-positive metastatic breast cancer

Review

NA

NA

No

No

Patients with HR-positive disease may receive maximum clinical benefit from endocrine therapy while optimizing QOL

Garrido-Oyarzun and Castelo-Branco [44]

2017

Use of hormone therapy for menopausal symptoms and QOL in survivors

Review

NA

NA

No

No

The management of menopausal symptoms and QOL of patients treated for breast cancer remains an important problem without an optimal solution

Marta et al. [45]

2017

QOL in patients treated with radiation therapy

Systematic review

PubMed

353

No

No

Significant benefit in HRQOL was often reported when a positive primary outcome was reported

Zhou et al. [46]

2017

Impact of endocrine monotherapy and in combination with targeted therapy on QOL

Systematic review

3 databases and key conferences

11

No

No

Users of both treatments experienced similar QOL in the first-line and ET-failure setting relative to patients on ET mono. Moreover, these users experienced better QOL outcomes in some domains in the ET-failure setting relative to ET mono users

Mileski et al. [47]

2017

QOL considerations during cancer treatment in invasive ductal carcinoma patients

Systematic review

PubMed

9

No

No

The most prevalent positive QOL factors included patient expectations, decreased side effects, and increased survival rate. The most prevalent negative QOL factors included treatment, specific side effects and decreased quality of life

Platt and Zhong [48]

2017

Patient-centered breast reconstruction based on health-related QOL evidence

Review

NA

NA

No

No

Both immediate and delayed breast reconstruction increased satisfaction and QOL after reconstruction, and both groups have reported similar satisfaction and QOL scores at long-term follow-up

Rivera et al. [49]

2018

Chemotherapy-associated peripheral neuropathy

Systematic review

4

60

Yes

No

Neuropathic symptoms persisted in 11.0% to more than 80% of participants at one to three years following treatment. There is a paucity of data describing persistent PN in ESBC patients

Xiao et al. [50]

2018

Effects of adjuvant endocrine therapy on the QOL of post-menopausal women with non-metastatic ER+

Systematic review

3

13

Yes

No

Most studies found no differences between tamoxifen and aromatase inhibitor groups in terms of global QOL. The QOL of post-menopausal women is unlikely to be adversely affected by long-term use of adjuvant endocrine therapy

Yee et al. [51]

2018

Radiation-induced skin toxicity in breast cancer patients

Systematic review

NA

96

Yes

No

Methods including simultaneous integrated boost, accelerated partial breast irradiation, and prone positioning may cause less radiation dermatitis than conventional treatments

Cheng et al. [52]

2018

QOL of elderly patients with solid tumors undergoing adjuvant cancer therapy

Systematic review

5

4

Yes

Yes

Adjuvant chemotherapy and radiotherapy may not have detrimental effects on QOL in most elderly patients with solid tumors

Muller et al. [53]

2018

Impact of manual lymphatic drainage on the HRQOL

Systematic review

6

8

Yes

Yes

No studies reported reductions in HRQOL, or severe adverse events after MLD

Jeffs et al. [54]

2018

Effectiveness of decongestive treatments on excess arm volume and patient-centered outcomes in women with early breast cancer-related arm lymphedema

Systematic review

3

7

Yes

Yes

Weak evidence for the impact of decongestive lymphedema treatment did not allow any conclusions to be drawn about the most effective treatment to be offered when patients with early breast cancer first present for treatment

  1. QA quality appraisal, NA not available, QOL quality of life, HRQO health-related quality of life, BPM body image post, ET endocrine therapy, BCT breast conserving therapy, HER_2 human epidermal growth factor receptor 2, RCTs randomized clinical trials, BCS breast cancer survivors, MLD impact of manual lymphatic drainage