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A closer look at quality of life in the hepatocellular carcinoma literature

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Abstract

Purpose

Adults with hepatocellular carcinoma (HCC) have a high symptom burden. Their quality of life (QOL) has been shown to be significantly impacted by both the disease and its treatment, adding to the high symptom burden that these patients experience. The primary aims of this paper are as follows: (1) to identify how QOL is being defined in HCC literature and (2) to identify how QOL is being measured in the HCC literature using Ferrell’s model of QOL.

Methods

A systematic review was completed of relevant studies published after 2014, using PubMed, CINHAL, and PsycInfo. Relevant studies were reviewed by 2 reviewers using PRISMA guidelines.

Results

From a total of 1312 papers obtained in the initial database search, 30 met inclusion criteria and are included in this review. From the included articles, 10% included a definition of QOL and 3% addressed the spiritual domain of QOL. Majority of study participants were in the early stage of HCC, though the majority of adults with HCC are diagnosed in the advanced stage. Only 3% of included studies included greater than 22% population of advanced stage of HCC.

Conclusion

The results of this systematic review demonstrate the need for future research into QOL in the advanced stage of QOL. It also identified gap in the literature concerning the definition of QOL in HCC and the spiritual domain of QOL in HCC.

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Acknowledgements

A special thank you to Dr. Betty Ferrell for her review.

Funding

Funding and support provided by the ARCS foundation and the Ensign-Lewis Foundation.

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Authors and Affiliations

  1. School of Nursing, Oregon Health & Science University, 3455 SW US Veterans Hospital Road, Portland, OR, 97239, USA

    Jenny L. Firkins, Robin Tarter, Martha Driessnack & Lissi Hansen

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  1. Jenny L. Firkins
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  2. Robin Tarter
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Correspondence to Jenny L. Firkins.

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Firkins, J.L., Tarter, R., Driessnack, M. et al. A closer look at quality of life in the hepatocellular carcinoma literature. Qual Life Res 30, 1525–1535 (2021). https://doi.org/10.1007/s11136-021-02789-2

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