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Psychosocial factors associated with quality of life in cancer survivors: umbrella review.

Voskanyan, V., Marzorati, C., Sala, D., Grasso, R., Pietrobon, R., Heide, I. van der, Engelaar, M., Bos, N., Caraceni, A., Couspel, N., Ferrer, M., Groenvold, M., Kaasa, S., Lombardo, C., Sirven, A., Vachon, H., Velikova, G., Brunelli, C., Apolone, G., Pravettoni, G. Psychosocial factors associated with quality of life in cancer survivors: umbrella review. Journal of Cancer Research and Clinicial Oncology: 2024, 150(5), p. Art. nr. 249.
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Background and aim
Reviewing the literature, it can be stated that in recent years, given the increasing number of cancer survivors and their extended life expectancy, there is also a growing interest in quality of life (QoL) during this phase of cancer care. However, there is still no umbrella review compiling evidence from multiple existing reviews on psychosocial factors associated with QoL in cancer survivors. Thus, the aim of this umbrella review (UR) is to provide a comprehensive overview of the QoL and its psychosocial determinants in cancer survivors.

Materials and methods
PubMed, Embase, Scopus, and PsycINFO were searched from 2012 to January 30, 2023, to identify Systematic Reviews (SRs) assessing the psychosocial factors associated with QoL in cancer survivors.

Results
Twenty-nine potentially relevant reviews were retrieved for full-text screening, out of which 16 were excluded for various reasons. Thirteen articles met the inclusion criteria and were included in this UR.
The publication year range of the included studies is 2012–2022. In terms of cancer type, 6 studies included breast cancer survivors, 2 studies reported on colorectal cancer survivors, 4 studies
focused on one cancer type each including low-grade glioma, melanoma cancer, gynecological cancer, head and neck cancer, and 1 study did not apply any restrictions on cancer type. The sample range of the included systematic reviews was 2093–36,336 participants and the mean age range was 33–82 years. Time after treatment or diagnosis time varied greatly ranging from 1 month – 20 years.

Conclusion
The results of this UR demonstrate that the QoL in cancer survivors is correlated with a variety of psychosocial factors. The UR identifed the negative and positive infuence of these determinants on QoL in cancer survivors. However, the UR highlights a need for further research on QoL in order to investigate further the concept of Qol in cancer survivors and to identify the dependencies of its associations.
Understanding the psychosocial factors associated with QoL is an important step for improving the QoL in cancer survivors, which is essential for stabilizing their overall wellbeing.