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Table 3 A list of reviews on supportive care including physical activity, complementary and alternative medicine and quality of life (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)
Bicego et al. [55] 2009 The effect of exercise on QOL Systematic review 4 9 Yes No Exercise as an effective strategy can improve QOL in patients
Bleakley and Stinson [56] 2011 CAM and QOL Narrative review 6 8 Yes No There is great potential for complementary and alternative therapies to be increasingly integrated into clinical practice within breast cancer services
Levine and Balk [57] 2012 Yoga and QOL improvement Literature review 7 71 NA NA Participation in yoga programs appeared to benefit breast cancer patients
Zhang, et al. [58] 2012 Effects of yoga on psychological function and QOL Systematic review and meta-analysis 5 6 Yes Yes There is insufficient evidence to advocate that yoga should be offered routinely to women diagnosed with breast cancer. However, it may be an acceptable intervention to improve QOL for these women
Boehm et al. [59] 2014 Arts therapies for anxiety, depression, and QOL Systematic review and meta-analysis 3 13 Yes Yes Overall, the option of participation in arts therapies can be recommended and has shown to be significantly effective for the reduction of anxiety in patients
Sawyer [60] 2014 Complementary exercise and QOL Systematic review 4 9 No No Although complementary exercise improved QOL statistically in two-thirds of the research findings, further research is recommended
Zeng Y et al. [61] 2014 Effects of exercise intervention on QOL in BCS Systematic review and meta-analysis 5 19 Yes Yes Exercise interventions have statistically significant effects on overall QOL, as well as positive trends for breast and arm symptoms
Yan et al. [62] 2014 Lack of Efficacy of Tai Chi in Improving QOL in BCS Systematic review and meta-analysis 4 9 Yes Yes There is a lack of sufficient evidence to support Tai Chi benefiting the management of BCS in improving QOL and other important clinical outcomes
Leggett et al. [63] 2015 Effects of CAM on cancer symptoms, treatment side effects, QOL, and survival Systematic review 5 22 Yes Yes Guarana and Ganoderma lucidum may improve fatigue, whereas glutamine may also be effective in improving oral mucositis symptoms
Van Dijck et al. [64] 2016 The effects of different physical self-management techniques on QOL Systematic review 4 13 Yes Yes Physical self-management interventions during breast cancer treatment as well as after the primary treatment seem to generate beneficial effects on QOL
Zhang et al. [65] 2016 Effects of mindfulness-based therapy on QOL Systematic review and meta-analysis 6 7 Yes Yes There was limited that mindfulness-based therapy can improve QOL
Cramer et al. [66] 2017 Yoga for improving HRQOL, mental health and cancer-related symptoms Systematic review and meta-analysis 6 23 Yes Yes Moderate-quality evidence supported the recommendation of yoga for improving HRQOL and reducing fatigue and sleep disturbances when compared with no therapy, as well as for reducing depression, anxiety and fatigue, when compared with psychosocial/educational interventions
D'Egidio et al. [67] 2017 Effect of counseling interventions on HRQOL Systematic review 2 35 Yes No Exercise counseling as well as physical therapy are effective to improve shoulder mobility, healing wounds, and limb strength
Husebo et al. [68] 2017 Mind–body exercise therapies and QOL Review 4 11 Yes Yes Yoga was found to benefit patients’ psychological QOL, while less support was established concerning physical QOL elements
Lipsett et al. [69] 2017 Exercise during adjuvant radiotherapy on fatigue and QOL Systematic review and meta-analysis 6 9 Yes No Statistically significant benefits of supervised, combined aerobic resistance exercise on fatigue were achieved
Pan et al. [70] 2017 Yoga practice improve treatment-related side effects and QOL Systematic review and meta-analysis 3 16 Yes No Yoga was associated with enhanced overall HRQOL and relief of anxiety, depression and gastrointestinal adverse reactions in breast cancer patients and survivors
Zaidi et al. [71] 2018 Effect of complementary therapies on survivors’ QOL Review NA NA No No There is a need for personalized physical activity plans to be developed to suit the individual and their circumstances
Zhang et al. [72] 2018 Effectiveness of telephone- based interventions on HRQOL and prognostic outcomes Systematic review and meta-analysis 6 14 Yes Yes Based on the insufficient evidence, the effects on depression, fatigue and physiological function were not statistically significant
  1. QA quality appraisal, NA not available, CAM complementary and alternative medicine, QOL patient-reported outcomes, BCS breast cancer survivors, HRQOL health-related quality of life