Silva Rogério Santos, Guilhem Dirce Bellezi, Batista Katia Torres, Tabet Lívia Penna
Universidade de Brasília UNB, Brasília, DF, Brazil.
Rede Sarah De Hospitais De Reabilitação, Brasília, DF, Brazil.
Acta Ortop Bras. 2019 Sep-Oct;27(5):276-280. doi: 10.1590/1413-785220192705219143.
To conduct an integrative review on quality of life (QOL) of patients with sarcoma who underwent conservative surgery or limb amputation.
We conducted a six-step integrative review by searching the databases LILACS, SciELO, PePSIC, Embase, and PubMed, using the descriptors: "Quality of life", "Bone cancer", "Sarcoma", "Limb Salvage," and "Amputation." Ten studies were selected according to: database, type of study, methods, researcher's profession, sex, histological type, title, country/region, and periodical/year of publication.
Nine quantitative and one qualitative studies were included. All were conducted by physicians and correlated to QOL with the impact of diagnosis, psychosocial aspects, cancer treatment, and survival. Other aspects included type of surgery, functionality, rehabilitation, and a multidisciplinary approach. The QOL results were similar for conservative surgery and amputation in eight studies. In two, it was concluded that patients undergoing conservative surgery had a better QOL.
The number of studies on QOL in patients with sarcoma is small. In most, there was no difference between the study groups. In addition, the studies indicated the importance of evaluation of QOL, since it has a direct effect on patients' physical manifestations and impacts their coping abilities.
对接受保肢手术或截肢的肉瘤患者的生活质量进行综合评价。
我们通过检索LILACS、SciELO、PePSIC、Embase和PubMed数据库进行了六步综合评价，使用的描述词为：“生活质量”、“骨癌”、“肉瘤”、“保肢”和“截肢”。根据数据库、研究类型、方法、研究者职业、性别、组织学类型、标题、国家/地区以及期刊/出版年份选择了10项研究。
纳入9项定量研究和1项定性研究。所有研究均由医生进行，且与生活质量相关，涉及诊断的影响、心理社会方面、癌症治疗和生存情况。其他方面包括手术类型、功能、康复以及多学科方法。8项研究中保肢手术和截肢患者的生活质量结果相似。2项研究得出结论，接受保肢手术的患者生活质量更好。
关于肉瘤患者生活质量的研究数量较少。大多数研究中，各研究组之间没有差异。此外，研究表明生活质量评估很重要，因为它对患者的身体表现有直接影响，并影响他们的应对能力。
