Effect Size of Factors Influencing Colorectal Cancer Survivors' Quality of Life: A Systematic Review and Meta-Analysis.
OpenAlex 토픽 ·
Cancer survivorship and care
Frailty in Older Adults
Stoma care and complications
[AIMS] To evaluate the effect sizes of factors influencing quality of life among colorectal cancer survivors.
- 연구 설계 systematic review
APA
Youran Lee, Eungyung Kim (2026). Effect Size of Factors Influencing Colorectal Cancer Survivors' Quality of Life: A Systematic Review and Meta-Analysis.. Cancer medicine, 15(5), e71841. https://doi.org/10.1002/cam4.71841
MLA
Youran Lee, et al.. "Effect Size of Factors Influencing Colorectal Cancer Survivors' Quality of Life: A Systematic Review and Meta-Analysis.." Cancer medicine, vol. 15, no. 5, 2026, pp. e71841.
PMID
42036776
Abstract
[AIMS] To evaluate the effect sizes of factors influencing quality of life among colorectal cancer survivors.
[DESIGN] This study was a systematic review and meta-analysis.
[METHODS] This study was conducted according to PRISMA guidelines. Ten international and Korean databases, including Web of Science, PubMed, SCOPUS, were searched from January 2000 to October 2024. Methodological quality was assessed using the JBI Critical Appraisal Checklist. Effect sizes (Esr) were calculated using Fisher's Z transformation. Publication bias was evaluated using Egger's test, funnel plots, and trim-and-fill methods.
[RESULTS] Physical factors included fatigue (ESr -0.567) and symptom experiences (ESr -0.474). Psychological distress showed the strongest negative association (ESr -0.737), followed by depression (ESr -0.590). Self-efficacy (ESr 0.640), resilience (ESr 0.439), and body image (ESr 0.412) demonstrated positive associations. Social support was positively associated (ESr 0.381).
[CONCLUSION] Quality of life among colorectal cancer survivors is associated with physical, psychological, and social factors including fatigue, symptoms, distress, depression, self-efficacy, resilience, body image, and social support.
[PATIENT OR PUBLIC CONTRIBUTION] No patient or public involvement in this systematic review and meta-analysis.
[DESIGN] This study was a systematic review and meta-analysis.
[METHODS] This study was conducted according to PRISMA guidelines. Ten international and Korean databases, including Web of Science, PubMed, SCOPUS, were searched from January 2000 to October 2024. Methodological quality was assessed using the JBI Critical Appraisal Checklist. Effect sizes (Esr) were calculated using Fisher's Z transformation. Publication bias was evaluated using Egger's test, funnel plots, and trim-and-fill methods.
[RESULTS] Physical factors included fatigue (ESr -0.567) and symptom experiences (ESr -0.474). Psychological distress showed the strongest negative association (ESr -0.737), followed by depression (ESr -0.590). Self-efficacy (ESr 0.640), resilience (ESr 0.439), and body image (ESr 0.412) demonstrated positive associations. Social support was positively associated (ESr 0.381).
[CONCLUSION] Quality of life among colorectal cancer survivors is associated with physical, psychological, and social factors including fatigue, symptoms, distress, depression, self-efficacy, resilience, body image, and social support.
[PATIENT OR PUBLIC CONTRIBUTION] No patient or public involvement in this systematic review and meta-analysis.
MeSH Terms
Humans; Quality of Life; Colorectal Neoplasms; Cancer Survivors; Social Support; Self Efficacy; Depression; Body Image; Fatigue; Resilience, Psychological; Psychological Distress
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