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Quality of Life Research
Erschienen in: Quality of Life Research 7/2013

01.09.2013 | Review

Systematic review reveals limitations of studies evaluating health-related quality of life after potentially curative treatment for esophageal cancer

verfasst von: Marc Jacobs, Rhiannon C. Macefield, Jane M. Blazeby, Ida J. Korfage, Mark I. van Berge Henegouwen, Hanneke C. J. M. de Haes, Ellen M. Smets, Mirjam A. G. Sprangers

Erschienen in: Quality of Life Research | Ausgabe 7/2013

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Abstract

Purpose

To (1) assess the quality of studies evaluating Health-Related Quality of Life (HRQL) after potentially curative treatment for esophageal cancer, and (2) to identify high-quality studies that provide robust HRQL results.

Methods

A systematic literature search is to identify studies evaluating HRQL with a validated multidimensional patient-reported outcome measure. Study quality focused on study design, risk of bias, HRQL outcome reporting, and additional issues of reporting and methodology. A study was deemed high-quality if criteria for robust study methodology and robust HRQL outcome reporting were met.

Results

Six RCTs, 12 cohort studies, 13 case-series, and 31 cross-sectional studies were identified. Overall risk of bias was high. Reporting of HRQL concept (e.g., a priori hypothesis), methodology (e.g., reasons for missing data), and interpretation (e.g., clinical significance) was often absent or unclear. Additional issues of reporting (e.g., unclear treatment descriptions) and methodology (e.g., no control for multiple testing) were identified. Four studies (6 %) met the criteria for robust study methodology, and 26 studies (42 %) met the criteria for robust HRQL outcome reporting. We identified three high-quality studies (5 %)—two RCTs and one case-series—capable of providing robust results.

Conclusions

Current evidence is restricted in its ability to inform practice on HRQL after potentially curative treatment for esophageal cancer.
Vorheriger Artikel The effect of Tai Chi on health-related quality of life in people with elevated blood glucose or diabetes: a randomized controlled trial
Nächster Artikel A systematic review of outcomes of chronic disease self-management interventions

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Fußnoten
1
the electronic search strategy is available electronically as Supplementary Material 1 .
 
2
nonrandomized prospective studies with a comparison group.
 
3
nonrandomized prospective studies with no comparison group.
 
4
scoring criteria are available electronically as Supplementary Material 2.
 
5
results are available electronically as Supplementary Material 3.
 
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Metadaten
Titel
Systematic review reveals limitations of studies evaluating health-related quality of life after potentially curative treatment for esophageal cancer
verfasst von
Marc Jacobs
Rhiannon C. Macefield
Jane M. Blazeby
Ida J. Korfage
Mark I. van Berge Henegouwen
Hanneke C. J. M. de Haes
Ellen M. Smets
Mirjam A. G. Sprangers
Publikationsdatum
01.09.2013
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 7/2013
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0290-8

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