Li Yabin, Wan Miao, Luo Xianggui, Li Jiao, Wang Hongxia, Wei Dang, Feng Haixia
Department of Neurological Rehabilitation, Rehabilitation Central Hospital of Gansu Province The First Clinical Medical College of Lanzhou University, Lanzhou, China Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Medicine (Baltimore). 2018 Sep;97(37):e12320. doi: 10.1097/MD.0000000000012320.
Cancer is the second leading cause of death globally. More millions new cancer cases are diagnosed, and millions persons died due to cancer each year. There are different attitudes on disclosure of diagnosis to the patients with cancer. The current systematic reviews are qualitative, and indicate that there is limited evidence on the association between awareness of diagnosis and quality of life in patients with cancer. In this study, we aim to evaluate the effect of awareness of diagnosis on quality of life in patients with cancer by conducting a systematic review and meta-analysis.
We will perform a comprehensive electronic search in the databases below: MEDLINE (via PubMed), EMBASE, Cochrane Central Register of Controlled Trials, PsycINFO, WEB OF SCIENCE, Chinese Biomedical Literature database, WANFANG database, and China National Knowledge Infrastructure. The cohort studies focusing on the association between awareness of diagnosis and quality of life in patients with cancer will be included. The risk of bias for the included studies will be appraised using the Newcastle-Ottawa Scale tool for cohort study. We will pool the effect estimates from the included studies to quantitatively present the strength of the association of interest.
This study will present pooled effect estimates regarding the impact of informing diagnosis on quality of life in patients with cancer.
This is the first quantitative systematic review which tends to provide modest evidence on the association between informing diagnosis and quality of life in patients with cacner.
CRD42017060073.
癌症是全球第二大致死原因。每年有数百万人被诊断出患有新的癌症病例,并且有数百万人死于癌症。对于向癌症患者披露诊断结果存在不同的态度。目前的系统评价是定性的,并且表明关于癌症患者诊断知晓与生活质量之间关联的证据有限。在本研究中,我们旨在通过进行系统评价和荟萃分析来评估诊断知晓对癌症患者生活质量的影响。
我们将在以下数据库中进行全面的电子检索:MEDLINE(通过PubMed)、EMBASE、Cochrane对照试验中央注册库、PsycINFO、科学引文索引、中国生物医学文献数据库、万方数据库和中国知网。将纳入关注癌症患者诊断知晓与生活质量之间关联的队列研究。将使用纽卡斯尔-渥太华量表工具对纳入研究进行偏倚风险评估。我们将汇总纳入研究的效应估计值,以定量呈现感兴趣关联的强度。
本研究将呈现关于告知诊断对癌症患者生活质量影响的汇总效应估计值。
这是第一项定量系统评价,倾向于为告知诊断与癌症患者生活质量之间的关联提供适度证据。
PROSPERO注册号:CRD42017060073。