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Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis
The objective was to discuss the impact of occupational therapy on different domains of quality of life in breast cancer patients. We performed a literature search to identify articles published before June 27, 2023, using the following databases: PubMed, Embase, Web of Science, Cochrane Library, an...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403005/ https://www.ncbi.nlm.nih.gov/pubmed/37543817 http://dx.doi.org/10.1097/MD.0000000000034484 |
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author | He, Kang Jiang, Junjie Chen, Mengmeng Wang, Taiwei Huang, Xuemiao Zhu, Ruiting Zhang, Zhiyuan Chen, Junyu Zhao, Lijing |
author_facet | He, Kang Jiang, Junjie Chen, Mengmeng Wang, Taiwei Huang, Xuemiao Zhu, Ruiting Zhang, Zhiyuan Chen, Junyu Zhao, Lijing |
author_sort | He, Kang |
collection | PubMed |
description | The objective was to discuss the impact of occupational therapy on different domains of quality of life in breast cancer patients. We performed a literature search to identify articles published before June 27, 2023, using the following databases: PubMed, Embase, Web of Science, Cochrane Library, and Scopus. OBJECTIVE: The objective was to discuss the impact of occupational therapy on different domains of quality of life in breast cancer patients. DATA SOURCES: We performed a literature search to identify articles published before June 27, 2023, using the following databases: PubMed, Embase, Web of Science, Cochrane Library, and Scopus. METHODS: This study was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Randomized controlled trials that reported the effects of occupational therapy on quality of life in breast cancer patients were identified. Two reviewers independently assessed eligibility, extracted data, and determined risks of bias. Pooled standardized mean differences (SMDs) with 95% confidence intervals (CIs) were estimated using random-effects meta-analyses. Galbraith plots, meta-regression analysis, subgroup analysis, and sensitivity analysis were used to identify heterogeneity in treatment effects. RESULTS: Eight studies were included, with a total of 543 patients. The experimental group exhibited better global health (pooled SMD = 0.640, 95% CI = 0.251–1.028, P = .001), physical health (pooled SMD = 0.640, 95% CI = 0.251–1.028, P = .019), social health (pooled SMD = 0.251, 95% CI = 0.011–0.490, P = .040), and cognitive function (pooled SMD = 0.863, 95% CI = 0.266–1.460, P = .05) and improve fatigue (pooled SMD = −0.389, 95% CI = −0.586 to −0.192, P = .000), and role function (pooled SMD = 0.287, 95% CI = 0.029–0.546, P = .029) than the control group. The 2 groups exhibited comparable emotional health (pooled SMD = 0.243, 95% CI = −0.051 to 0.536, P = .105) and pain (pooled SMD = −0.312, 95% CI = −0.660 to 0.036, P = .079). CONCLUSION: The current evidence shows that occupational therapy can improve the quality of life of breast cancer patients, especially their global health, physical health, social health, cognitive function, fatigue, and role function. |
format | Online Article Text |
id | pubmed-10403005 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-104030052023-08-05 Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis He, Kang Jiang, Junjie Chen, Mengmeng Wang, Taiwei Huang, Xuemiao Zhu, Ruiting Zhang, Zhiyuan Chen, Junyu Zhao, Lijing Medicine (Baltimore) 6300 The objective was to discuss the impact of occupational therapy on different domains of quality of life in breast cancer patients. We performed a literature search to identify articles published before June 27, 2023, using the following databases: PubMed, Embase, Web of Science, Cochrane Library, and Scopus. OBJECTIVE: The objective was to discuss the impact of occupational therapy on different domains of quality of life in breast cancer patients. DATA SOURCES: We performed a literature search to identify articles published before June 27, 2023, using the following databases: PubMed, Embase, Web of Science, Cochrane Library, and Scopus. METHODS: This study was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Randomized controlled trials that reported the effects of occupational therapy on quality of life in breast cancer patients were identified. Two reviewers independently assessed eligibility, extracted data, and determined risks of bias. Pooled standardized mean differences (SMDs) with 95% confidence intervals (CIs) were estimated using random-effects meta-analyses. Galbraith plots, meta-regression analysis, subgroup analysis, and sensitivity analysis were used to identify heterogeneity in treatment effects. RESULTS: Eight studies were included, with a total of 543 patients. The experimental group exhibited better global health (pooled SMD = 0.640, 95% CI = 0.251–1.028, P = .001), physical health (pooled SMD = 0.640, 95% CI = 0.251–1.028, P = .019), social health (pooled SMD = 0.251, 95% CI = 0.011–0.490, P = .040), and cognitive function (pooled SMD = 0.863, 95% CI = 0.266–1.460, P = .05) and improve fatigue (pooled SMD = −0.389, 95% CI = −0.586 to −0.192, P = .000), and role function (pooled SMD = 0.287, 95% CI = 0.029–0.546, P = .029) than the control group. The 2 groups exhibited comparable emotional health (pooled SMD = 0.243, 95% CI = −0.051 to 0.536, P = .105) and pain (pooled SMD = −0.312, 95% CI = −0.660 to 0.036, P = .079). CONCLUSION: The current evidence shows that occupational therapy can improve the quality of life of breast cancer patients, especially their global health, physical health, social health, cognitive function, fatigue, and role function. Lippincott Williams & Wilkins 2023-08-04 /pmc/articles/PMC10403005/ /pubmed/37543817 http://dx.doi.org/10.1097/MD.0000000000034484 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections. |
spellingShingle | 6300 He, Kang Jiang, Junjie Chen, Mengmeng Wang, Taiwei Huang, Xuemiao Zhu, Ruiting Zhang, Zhiyuan Chen, Junyu Zhao, Lijing Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis |
title | Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis |
title_full | Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis |
title_fullStr | Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis |
title_full_unstemmed | Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis |
title_short | Effects of occupational therapy on quality of life in breast cancer patients: A systematic review and meta-analysis |
title_sort | effects of occupational therapy on quality of life in breast cancer patients: a systematic review and meta-analysis |
topic | 6300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403005/ https://www.ncbi.nlm.nih.gov/pubmed/37543817 http://dx.doi.org/10.1097/MD.0000000000034484 |
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