Systematic Review of Factors Affecting Quality of Life After Cytoreductive Surgery with Hyperthermic Intraperitoneal ChemotherapyLeimkuhler, M., Hentzen, J. E. K. R., Hemmer, P. H. J., Been, L. B., van Ginkel, R. J., Kruijff, S., van Leeuwen, B. L. & de Bock, G. H., 26-Apr-2020, In : Annals of Surgical Oncology. 11 p.
Research output: Contribution to journal › Review article › Academic › peer-review
- Guided Treatment in Optimal Selected Cancer Patients (GUTS)
- Damage and Repair in Cancer Development and Cancer Treatment (DARE)
- Life Course Epidemiology (LCE)
- Clinical Cognitive Neuropsychiatry Research Program (CCNP)
- Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE)
BACKGROUND: Previous studies have shown that, overall, quality of life (QoL) decreases within the first 3-6 months after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS + HIPEC), returning to baseline levels by 6-12 months. This systematic review aims to evaluate the factors affecting QoL after CRS + HIPEC within 12 months of surgery.
METHODS: Electronic databases were investigated searching for articles reporting QoL with validated questionnaires up to September 2019. Risk of bias was assessed with the methodological index for non-randomized studies tool. The primary outcomes were short-term (< 6 months after surgery) and medium-term (6-12 months after surgery) determinants of QoL after CRS + HIPEC. Secondary outcomes were QoL and reported symptoms over time.
RESULTS: We included 14 studies that used 12 different questionnaires. The reported data were collected prospectively or retrospectively for 1556 patients (dropout < 50% in four studies). Overall, studies showed diminished QoL within 3 months after surgery and a recovery to baseline or greater by 12 months. QoL was negatively influenced by higher age, female sex, prolonged operation time, extensive disease, residual disease, adjuvant chemotherapy, complications, stoma placement, and recurrent disease. QoL results were comparable between studies, with dropout rates above and below 50%.
CONCLUSIONS: QoL returns to baseline levels within 12 months after CRS + HIPEC provided the disease does not recur, and this recovery process is influenced by several factors.
|Number of pages||11|
|Journal||Annals of Surgical Oncology|
|Publication status||Published - 26-Apr-2020|
- PERITONEAL SURFACE MALIGNANCIES, COLORECTAL-CANCER, POSTOPERATIVE HEALTH, PATIENTS EXPERIENCES, CARCINOMATOSIS, MORBIDITY, SURVIVAL, MANAGEMENT, IMPACT, HIPEC