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论文摘要

口腔癌患者生存质量相关因素的系统评价

Systematic review of factors related to quality of life in patients with oral cancer: a systematic review

作者:刘梅, 石兴莲, 李哲臻, 姜健红

Author:Liu Mei, Shi Xinglian, Li Zhezhen, Jiang Jianhong

收稿日期:2023-11-06          年卷(期)页码:2024,42(4):486-486-493

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:口腔癌,生存质量,相关因素,系统评价,

Key words:oral cancer,quality of life,related factors,systematic review,

基金项目:贵州省科技计划项目(黔科合成果-LC[2022]006);遵市科合项目(HZ字(2022)14号)

中文摘要

目的 系统评价口腔癌患者生存质量的相关影响因素。 方法 系统检索中国知网、万方、维普、中国生物医学文献数据库、Pubmed、Medline、Web of Science、Embase、The Cochrane Library等中英文数据库中关于口腔癌患者生存质量的研究,检索时间限定为建库至2023年5月。纳入的所有研究由2名研究员独立筛选、提取资料并进行质量评级,主要采用定性分析的方法对研究结果进行总结。 结果 共纳入24篇文献,包括2 717名患者。结果显示口腔癌患者生存质量的相关因素主要包含年龄、肿瘤TNM分期、是否放化疗和性别等22个因素,可归纳成个人因素、疾病相关因素和手术相关因素三方面。其中年龄、性别、肿瘤TNM分期、病理分期、颈清方式、婚姻状况、是否复发、是否吸烟和文化程度等因素的分析上,有超过5篇以上的文献报道,其结果比较一致。 结论 患者术后生存质量的相关影响因素众多。由于目前的临床研究多为横断面研究,且样本量有限,相关因素与生存质量之间的因果关系还需未来开展更多大样本的相关研究予以验证。

英文摘要

ObjectiveThis study aims to evaluate factors related to quality of life of patients with oral cancer.MethodsCNKI, Wanfang, VIP, CBM, Pubmed, Medline, Web of Science, Embase, and The Cochrane Library were searched up to May 2023 for studies that evaluated the quality of life of patients with oral cancer. All the included studies were independently selected, extracted, and rated by two researchers, and results are summarized by qualitative analysis.ResultsTwenty-four articles on 2 717 patients were included. Factors related to the quality of life of patients with oral cancer mainly included age, tumor TNM stage, radiochemotherapy, and gender, which could be summarized into three aspects: personal factors, disease-related factors, and surgical factors. More than five studies reported on the analysis of age, gender, tumor TNM stage, pathological stage, neck dissection method, marital status, recurrence, smoking, education le-vel, etc. The results are relatively consistent.ConclusionThe incidence of oral cancer increases, and many factors affected the quality of life. The included literature is a cross-sectional study, and the sample size is limited. The causal relationship between relevant factors and quality of life should be verified using large sample sizes.

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