Health-related quality of life in curatively-treated patients with esophageal or gastric cancer: A systematic review and meta-analysis

Crit Rev Oncol Hematol. 2020 Oct:154:103069. doi: 10.1016/j.critrevonc.2020.103069. Epub 2020 Aug 5.

Abstract

Surgery and chemoradiotherapy can potentially cure esophageal and gastric cancer patients, although they may impact health-related quality of life (HRQoL). We aim to systemically review and meta-analyze literature to determine the effect of curative treatments on HRQoL in esophageal and gastric cancer.- A systematic search was performed identifying studies assessing HRQoL. Meta-analyses were performed on baseline and subsequent time-points.- From the 6067 articles retrieved, 49 studies were included (61 % low quality). Meta-analyses showed short-term HRQoL differences between esophageal cancer patients receiving definitive chemoradiotherapy (dCRT), neoadjuvant chemo(radio)therapy (nC(R)T), or surgery alone (p < 0.001), with better HRQoL with nC(R)T and surgery compared to dCRT. Over the course of 12 months, no HRQoL difference was identified between treatments in esophageal cancer (p = 0.633). Esophagectomy, but not gastrectomy, resulted in a clinically relevant decline in HRQoL. No long-term HRQoL differences were identified between curative treatments in esophageal and gastric cancer. More high-quality HRQoL studies are warranted.

Keywords: Curative treatment; Esophageal cancer; Gastric cancer; Health-related quality of life; Patient-reported outcome; Quality-of-Life questionnaire.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Chemoradiotherapy
  • Esophageal Neoplasms / therapy*
  • Esophagectomy
  • Humans
  • Quality of Life
  • Stomach Neoplasms / therapy*