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接受激素治疗的乳腺癌女性的健康相关生活质量——一项综述研究

Health-Related Quality of Life in Women With Breast Cancer Undergoing Treatment With Hormonal Therapy - A Review Study.

作者信息

Alnaim Lamya

机构信息

Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

出版信息

Eur J Breast Health. 2022 Oct 1;18(4):292-298. doi: 10.4274/ejbh.galenos.2022.2022-5-8. eCollection 2022 Oct.

Abstract

This review aimed to analyze the significance and impact of health-related quality of life (QoL) in women with breast cancer undergoing treatment with hormonal therapy. This study developed a comprehensive, structured, systematic search strategy to identify literature related to health and QoL in breast cancer patients undergoing treatment with hormonal therapy. The search was conducted for published literature indexed in PubMed (Medline), Cancer Lit, CINAHL, Google Scholar, and Web of Science between 2010 and 2020. Patients associated with the study of QoL reported some difficulties in terms of depression, anxiety, chronic fatigue, sleep problems, pain, sexual dysfunction and sleep disorders. Endocrine-related symptoms did not fluctuate between interventions and remained unchanged in all groups. The evaluation of FACT-G scores (physical well-being subscale) showed statistically significant differences among participants receiving anastrozole versus tamoxifen and exemestane. It can be concluded that the QoL of postmenopausal women with breast cancer is affected by the long-term use of adjuvant endocrine therapy, with difference reported associated with the different therapies. However, further efforts are required to improve QoL instruments and the quantitative evaluation of QoL data for patients receiving adjuvant ET.

摘要

本综述旨在分析接受激素治疗的乳腺癌女性患者健康相关生活质量(QoL)的意义和影响。本研究制定了全面、结构化、系统的检索策略,以识别与接受激素治疗的乳腺癌患者健康和生活质量相关的文献。检索范围为2010年至2020年期间在PubMed(Medline)、Cancer Lit、CINAHL、谷歌学术和科学网中索引的已发表文献。与生活质量研究相关的患者在抑郁、焦虑、慢性疲劳、睡眠问题、疼痛、性功能障碍和睡眠障碍方面存在一些困难。内分泌相关症状在干预措施之间没有波动,在所有组中均保持不变。对FACT-G评分(身体幸福感子量表)的评估显示,接受阿那曲唑与他莫昔芬和依西美坦治疗的参与者之间存在统计学上的显著差异。可以得出结论,绝经后乳腺癌女性的生活质量受辅助内分泌治疗长期使用的影响,不同治疗方法的影响存在差异。然而,需要进一步努力改进生活质量评估工具,并对接受辅助内分泌治疗的患者的生活质量数据进行定量评估。

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