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Published in: Breast Cancer Research and Treatment 3/2019

01-04-2019 | Breast Cancer | Review

Health-related quality of life of breast cancer patients in the Eastern Mediterranean region: a systematic review and meta-analysis

Authors: Seyed-Mehdi Hashemi, Abbas Balouchi, Adhra Al-Mawali, Hosein Rafiemanesh, Khadije Rezaie-Keikhaie, Salehoddin Bouya, Behroz Dehghan, Mansoureh Ashghali Farahani

Published in: Breast Cancer Research and Treatment | Issue 3/2019

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Abstract

Purpose

Breast cancer is the most common type of cancer in women around the world, and this applies to the Middle East as well. The goal of all medical care and treatment is to improve the quality of life (QoL) of patients. Accordingly, the present study aimed at evaluating the QoL of patients with breast cancer in the Middle East region.

Methods

In this meta-analysis, three electronic databases (PubMed, Web of Science, and Scopus) were searched from inception until August 2018. The hoy et tool was used to evaluate the quality of the articles included in the meta-analysis. The search, screening, quality evaluation, and data extraction were carried out by two of the researchers.

Results

Thirty-six studies conducted on 8347 Middle Eastern women with breast cancer entered the final stage. QoL was assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire in 20 studies, with 6034 patients. The mean of the reported QoL was between 31.1 and 75.6. Based on the results of the random effect method, the overall mean of the QoL was 60.5 (95% confidence interval 56.0, 65.0; I2 = 99.0%). In six studies performed on 1053 individuals, QoL was classified as good, moderate, or poor. Less than one-third of patients (21%) had a good QoL.

Conclusions

Since less than one-third of patients had a good QoL, it seems necessary to design and implement an integrated and multidimensional educational program to improve QoL of patients with breast cancer.
Literature
1.
go back to reference Fischer A, Ziogas A, Anton-Culver H (2017) Perceived stressfulness of life events impacts breast cancer risk. AACR Fischer A, Ziogas A, Anton-Culver H (2017) Perceived stressfulness of life events impacts breast cancer risk. AACR
2.
go back to reference Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68:394–424CrossRef Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68:394–424CrossRef
5.
go back to reference Perry S, Kowalski TL, Chang C-H (2007) Quality of life assessment in women with breast cancer: benefits, acceptability and utilization. Health Qual life Outcomes 5(1):24CrossRef Perry S, Kowalski TL, Chang C-H (2007) Quality of life assessment in women with breast cancer: benefits, acceptability and utilization. Health Qual life Outcomes 5(1):24CrossRef
6.
go back to reference Lipsett A, Barrett S, Haruna F, Mustian K, O’Donovan A (2017) The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: a systematic review and meta-analysis. Breast 32:144–155CrossRef Lipsett A, Barrett S, Haruna F, Mustian K, O’Donovan A (2017) The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: a systematic review and meta-analysis. Breast 32:144–155CrossRef
7.
go back to reference Pan Y, Yang K, Wang Y, Zhang L, Liang H (2017) Could yoga practice improve treatment-related side effects and quality of life for women with breast cancer? A systematic review and meta-analysis. Asia-Pac J Clin Oncol 13(2):e79–e95CrossRef Pan Y, Yang K, Wang Y, Zhang L, Liang H (2017) Could yoga practice improve treatment-related side effects and quality of life for women with breast cancer? A systematic review and meta-analysis. Asia-Pac J Clin Oncol 13(2):e79–e95CrossRef
8.
go back to reference Willems RA, Bolman CA, Mesters I, Kanera IM, Beaulen AA, Lechner L (2017) Short-term effectiveness of a web-based tailored intervention for cancer survivors on quality of life, anxiety, depression, and fatigue: randomized controlled trial. Psycho Oncol 26(2):222–230CrossRef Willems RA, Bolman CA, Mesters I, Kanera IM, Beaulen AA, Lechner L (2017) Short-term effectiveness of a web-based tailored intervention for cancer survivors on quality of life, anxiety, depression, and fatigue: randomized controlled trial. Psycho Oncol 26(2):222–230CrossRef
9.
go back to reference Bouya S, Balouchi A, Ahmadidarehsima S, Badakhsh M (2018) Knowledge and source of information about early detection techniques of breast cancer among women in iran: a systematic review. J Cancer Prevent 23(1):51CrossRef Bouya S, Balouchi A, Ahmadidarehsima S, Badakhsh M (2018) Knowledge and source of information about early detection techniques of breast cancer among women in iran: a systematic review. J Cancer Prevent 23(1):51CrossRef
10.
go back to reference Rabbani SA, Mutasem H, Naser RA, Hussein Y (2017) Awareness and perception of breast cancer among the future healthcare providers of Ras Al Khaimah, United Arab Emirates. J Appl Pharma Sci 7(02):142–146 Rabbani SA, Mutasem H, Naser RA, Hussein Y (2017) Awareness and perception of breast cancer among the future healthcare providers of Ras Al Khaimah, United Arab Emirates. J Appl Pharma Sci 7(02):142–146
11.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–269CrossRef Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–269CrossRef
12.
go back to reference Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, Baker P, Smith E, Buchbinder R (2012) Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 65(9):934–939CrossRef Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, Baker P, Smith E, Buchbinder R (2012) Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 65(9):934–939CrossRef
16.
go back to reference Ahrafizadeh H, Fayazi S, Kord Z, Farokhpayam M, Farokhpayam H, Kiyani B (2017) The survey quality of life and its related factors among patients with breast cancer who referred to golestan & shefa hospitals in AHVAZ 2014. Indo Am J Pharma Sci 4 (5):1072–1078. https://doi.org/10.5281/zenodo.579775 CrossRef Ahrafizadeh H, Fayazi S, Kord Z, Farokhpayam M, Farokhpayam H, Kiyani B (2017) The survey quality of life and its related factors among patients with breast cancer who referred to golestan & shefa hospitals in AHVAZ 2014. Indo Am J Pharma Sci 4 (5):1072–1078. https://​doi.​org/​10.​5281/​zenodo.​579775 CrossRef
17.
go back to reference Akel R, El Darsa H, Anouti B, Mukherji D, Temraz S, Raslan R, Tfayli A, Assi H (2017) Anxiety, depression and quality of life in breast cancer patients in the levant. Asian Pac J Cancer Prevent 18(10):2809–2816 Akel R, El Darsa H, Anouti B, Mukherji D, Temraz S, Raslan R, Tfayli A, Assi H (2017) Anxiety, depression and quality of life in breast cancer patients in the levant. Asian Pac J Cancer Prevent 18(10):2809–2816
20.
go back to reference Ali MMS (2011) Quality of life among breast cancer patients in yemen. Asian Pac J Cancer Prev 12:46–46 Ali MMS (2011) Quality of life among breast cancer patients in yemen. Asian Pac J Cancer Prev 12:46–46
21.
go back to reference Al-Jabi SW, Yahya R, Salameh R, Jabi H, Msaime W, Daraghmeh M, Barakat A, Zyoud SH, Sweileh WM (2018) Health-related quality of life in patients with breast cancer in Palestine: an assessment of a cross-sectional study using the EuroQoL-5 dimensions scale. Lancet 391:34–34CrossRef Al-Jabi SW, Yahya R, Salameh R, Jabi H, Msaime W, Daraghmeh M, Barakat A, Zyoud SH, Sweileh WM (2018) Health-related quality of life in patients with breast cancer in Palestine: an assessment of a cross-sectional study using the EuroQoL-5 dimensions scale. Lancet 391:34–34CrossRef
25.
32.
go back to reference Khalili N, Farajzadegan Z, Mokarian F, Bahrami F (2013) Coping strategies, quality of life and pain in women with breast cancer. Iran J Nurs Midwifery Res 18(2):105–111PubMedPubMedCentral Khalili N, Farajzadegan Z, Mokarian F, Bahrami F (2013) Coping strategies, quality of life and pain in women with breast cancer. Iran J Nurs Midwifery Res 18(2):105–111PubMedPubMedCentral
34.
go back to reference Musarezaie A, Zargham-Boroujeni A (2015) Quality of life and related factors among the women undergoing mastectomy. Iran J Nurs Midwifery Res 20(2):287–291PubMedPubMedCentral Musarezaie A, Zargham-Boroujeni A (2015) Quality of life and related factors among the women undergoing mastectomy. Iran J Nurs Midwifery Res 20(2):287–291PubMedPubMedCentral
35.
go back to reference Najafi F, Nedjat S, Zendehdel K, Mirzania M, Montazeri A (2016) Self-reported versus proxy reported quality of life for breast cancer patients in the islamic republic of Iran. East Mediterr Health J 22(11):786–793CrossRef Najafi F, Nedjat S, Zendehdel K, Mirzania M, Montazeri A (2016) Self-reported versus proxy reported quality of life for breast cancer patients in the islamic republic of Iran. East Mediterr Health J 22(11):786–793CrossRef
36.
go back to reference Nikmanesh Z, Shirazi M, Farazinezhad F (2017) Examining the predictive role of emotional self-regulation in quality of life and perception of suffering among patients with breast cancer. Middle East J Cancer 8(2):93–101 Nikmanesh Z, Shirazi M, Farazinezhad F (2017) Examining the predictive role of emotional self-regulation in quality of life and perception of suffering among patients with breast cancer. Middle East J Cancer 8(2):93–101
38.
go back to reference Safa A, Rahemi Z, Aghajani M (2014) Quality of life in patients with breast cancer in Kashan: A cross-sectional study. Life Sci J 11(1 SPECL):ISSUE):141–145 Safa A, Rahemi Z, Aghajani M (2014) Quality of life in patients with breast cancer in Kashan: A cross-sectional study. Life Sci J 11(1 SPECL):ISSUE):141–145
39.
go back to reference Safaee A, Moghimi-Dehkordi B, Zeighami B, Tabatabaee H, Pourhoseingholi M (2008) Predictors of quality of life in breast cancer patients under chemotherapy. Indian J Cancer 45(3):107–111CrossRef Safaee A, Moghimi-Dehkordi B, Zeighami B, Tabatabaee H, Pourhoseingholi M (2008) Predictors of quality of life in breast cancer patients under chemotherapy. Indian J Cancer 45(3):107–111CrossRef
40.
go back to reference Saleha SB, Shakeel A, Shumaila E, Shazia R, Rashid R, Ibrahim M (2010) An assessment of quality of life in breast cancer patients using EORTC QLQ C30/+BR23 questionnaire. Iran J Cancer Prev 3(2):98–104 Saleha SB, Shakeel A, Shumaila E, Shazia R, Rashid R, Ibrahim M (2010) An assessment of quality of life in breast cancer patients using EORTC QLQ C30/+BR23 questionnaire. Iran J Cancer Prev 3(2):98–104
42.
go back to reference Shakeri J, Golshani S, Jalilian E, Farnia V, Nooripour R, Alikhani M, Yaghoobi K (2016) Studying the amount of depression and its role in predicting the quality of life of women with breast cancer. Asian Pac J Cancer Prevent 17(2):643–646CrossRef Shakeri J, Golshani S, Jalilian E, Farnia V, Nooripour R, Alikhani M, Yaghoobi K (2016) Studying the amount of depression and its role in predicting the quality of life of women with breast cancer. Asian Pac J Cancer Prevent 17(2):643–646CrossRef
44.
go back to reference Sinaei F, Zendehdel K, Adili M, Ardestani A, Montazeri A, Mohagheghi MA (2017) Association between breast reconstruction surgery and quality of life in iranian breast cancer patients. Acta Medica Iranica 55(1):35–41PubMed Sinaei F, Zendehdel K, Adili M, Ardestani A, Montazeri A, Mohagheghi MA (2017) Association between breast reconstruction surgery and quality of life in iranian breast cancer patients. Acta Medica Iranica 55(1):35–41PubMed
47.
go back to reference Zamanian H, Eftekhar-Ardebili H, Eftekhar-Ardebili M, Shojaeizadeh D, Nedjat S, Taheri-Kharameh Z, Daryaafzoon M (2015) Religious Coping and Quality of Life in Women with Breast Cancer. Asian Pac J Cancer Prevent 16(17):7721–7725CrossRef Zamanian H, Eftekhar-Ardebili H, Eftekhar-Ardebili M, Shojaeizadeh D, Nedjat S, Taheri-Kharameh Z, Daryaafzoon M (2015) Religious Coping and Quality of Life in Women with Breast Cancer. Asian Pac J Cancer Prevent 16(17):7721–7725CrossRef
49.
go back to reference Yanez B, Thompson EH, Stanton AL (2011) Quality of life among Latina breast cancer patients: a systematic review of the literature. J Cancer Surviv 5(2):191–207CrossRef Yanez B, Thompson EH, Stanton AL (2011) Quality of life among Latina breast cancer patients: a systematic review of the literature. J Cancer Surviv 5(2):191–207CrossRef
50.
go back to reference Delgado-Sanz MC, García-Mendizábal MJ, Pollán M, Forjaz MJ, López-Abente G, Aragonés N, Pérez-Gómez B (2011) Heath-related quality of life in Spanish breast cancer patients: a systematic review. Health Qual Life Outcomes 9(1):3CrossRef Delgado-Sanz MC, García-Mendizábal MJ, Pollán M, Forjaz MJ, López-Abente G, Aragonés N, Pérez-Gómez B (2011) Heath-related quality of life in Spanish breast cancer patients: a systematic review. Health Qual Life Outcomes 9(1):3CrossRef
51.
go back to reference Sun Y, Kim S-W, Heo CY, Kim D, Hwang Y, Yom CK, Kang E (2013) Comparison of quality of life based on surgical technique in patients with breast cancer. Jpn J Clin Oncol 44(1):22–27CrossRef Sun Y, Kim S-W, Heo CY, Kim D, Hwang Y, Yom CK, Kang E (2013) Comparison of quality of life based on surgical technique in patients with breast cancer. Jpn J Clin Oncol 44(1):22–27CrossRef
53.
go back to reference Engel J, Schlesinger-Raab A, Emeny R, Hölzel D, Schubert-Fritschle G (2014) Quality of life in women with localised breast cancer or malignant melanoma 2 years after initial treatment: a comparison. Int J Behav Med 21(3):478–486CrossRef Engel J, Schlesinger-Raab A, Emeny R, Hölzel D, Schubert-Fritschle G (2014) Quality of life in women with localised breast cancer or malignant melanoma 2 years after initial treatment: a comparison. Int J Behav Med 21(3):478–486CrossRef
55.
go back to reference Kohler RE, Gopal S, Miller AR, Lee CN, Reeve BB, Weiner BJ, Wheeler SB (2017) A framework for improving early detection of breast cancer in sub-Saharan Africa: a qualitative study of help-seeking behaviors among Malawian women. Patient Educ Couns 100(1):167–173CrossRef Kohler RE, Gopal S, Miller AR, Lee CN, Reeve BB, Weiner BJ, Wheeler SB (2017) A framework for improving early detection of breast cancer in sub-Saharan Africa: a qualitative study of help-seeking behaviors among Malawian women. Patient Educ Couns 100(1):167–173CrossRef
56.
go back to reference Qiu J, Guan J, Yang X, Wu J, Liu G, Di G, Chen C, Hou Y, Han Q, Shen Z (2016) Quality of Life and psychological state in chinese breast cancer patients who received BRCA1/2 genetic testing. PloS ONE 11(7):e0158531CrossRef Qiu J, Guan J, Yang X, Wu J, Liu G, Di G, Chen C, Hou Y, Han Q, Shen Z (2016) Quality of Life and psychological state in chinese breast cancer patients who received BRCA1/2 genetic testing. PloS ONE 11(7):e0158531CrossRef
57.
go back to reference Ecclestone C, Chow R, Pulenzas N, Zhang L, Leahey A, Hamer J, DeAngelis C, Bedard G, McDonald R, Bhatia A (2016) Quality of life and symptom burden in patients with metastatic breast cancer. Support Care Cancer 24(9):4035–4043CrossRef Ecclestone C, Chow R, Pulenzas N, Zhang L, Leahey A, Hamer J, DeAngelis C, Bedard G, McDonald R, Bhatia A (2016) Quality of life and symptom burden in patients with metastatic breast cancer. Support Care Cancer 24(9):4035–4043CrossRef
58.
go back to reference Bekelman JE, Halpern SD, Blankart CR, Bynum JP, Cohen J, Fowler R, Kaasa S, Kwietniewski L, Melberg HO, Onwuteaka-Philipsen B (2016) Comparison of site of death, health care utilization, and hospital expenditures for patients dying with cancer in 7 developed countries. JAMA 315(3):272–283CrossRef Bekelman JE, Halpern SD, Blankart CR, Bynum JP, Cohen J, Fowler R, Kaasa S, Kwietniewski L, Melberg HO, Onwuteaka-Philipsen B (2016) Comparison of site of death, health care utilization, and hospital expenditures for patients dying with cancer in 7 developed countries. JAMA 315(3):272–283CrossRef
59.
go back to reference Coates AS, Winer EP, Goldhirsch A, Gelber RD, Gnant M, Piccart-Gebhart M, Thürlimann B, Senn H-J, Members P, André F (2015) Tailoring therapies—improving the management of early breast cancer: St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2015. Ann Oncol 26(8):1533–1546CrossRef Coates AS, Winer EP, Goldhirsch A, Gelber RD, Gnant M, Piccart-Gebhart M, Thürlimann B, Senn H-J, Members P, André F (2015) Tailoring therapies—improving the management of early breast cancer: St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2015. Ann Oncol 26(8):1533–1546CrossRef
60.
go back to reference Ho PJ, Gernaat SA, Hartman M, Verkooijen HM (2018) Health-related quality of life in Asian patients with breast cancer: a systematic review. BMJ Open 8(4):e020512CrossRef Ho PJ, Gernaat SA, Hartman M, Verkooijen HM (2018) Health-related quality of life in Asian patients with breast cancer: a systematic review. BMJ Open 8(4):e020512CrossRef
61.
go back to reference Kao H-Y, Wu W-H, Liang T-Y, Hou M-F, Shi H-Y (2015) Cloud-Based service information system for evaluating quality of life after breast cancer surgery. PloS ONE 10(9):e0139252CrossRef Kao H-Y, Wu W-H, Liang T-Y, Hou M-F, Shi H-Y (2015) Cloud-Based service information system for evaluating quality of life after breast cancer surgery. PloS ONE 10(9):e0139252CrossRef
Metadata
Title
Health-related quality of life of breast cancer patients in the Eastern Mediterranean region: a systematic review and meta-analysis
Authors
Seyed-Mehdi Hashemi
Abbas Balouchi
Adhra Al-Mawali
Hosein Rafiemanesh
Khadije Rezaie-Keikhaie
Salehoddin Bouya
Behroz Dehghan
Mansoureh Ashghali Farahani
Publication date
01-04-2019
Publisher
Springer US
Published in
Breast Cancer Research and Treatment / Issue 3/2019
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-019-05131-0

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