Nada Al-Antary, Samantha Tam, Suma Alzouhayli, Theresa M Zatirka, Michael Ryan, Steven S Chang, Benjamin Movsas, Eric Adjei Boakye
{"title":"Interventions influencing patient-reported outcomes (PROs) response rates in cancer: a scoping review.","authors":"Nada Al-Antary, Samantha Tam, Suma Alzouhayli, Theresa M Zatirka, Michael Ryan, Steven S Chang, Benjamin Movsas, Eric Adjei Boakye","doi":"10.1007/s11764-025-01801-9","DOIUrl":"https://doi.org/10.1007/s11764-025-01801-9","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the emerging evidence around patient-reported outcome measures (PROMs) monitoring benefits in oncology, completion rates remain low due to numerous multi-level barriers. This review summarizes existing literature on interventions employed to improve PROMs response rates in routine practice among patients with cancer.</p><p><strong>Methods: </strong>PubMed database was used to perform a literature search of articles published between 2000 and 2022. Articles were included if they focused on PROMs implementation in non-clinical trial setting and reported results on methodologies and their influence on response rates.</p><p><strong>Results: </strong>A total of 495 abstracts were screened for eligibility, and 14 articles that met the inclusion criteria were included. PROMs mode of administration varied between electronic only (four studies, 28.6%), paper only (two studies, 14.3%), electronic-paper (six studies, 42.9%), and electronic-telephone (two studies, 14.3%). Reminder systems, using electronic, paper, or in-person, were implemented in 12 studies (85.7%). Different strategies of initial recruitment, aiming to enhance patients' PROM engagements, were outlined in five studies (35.7%).</p><p><strong>Conclusion: </strong>Multiple interventions were implemented to improve PROMs completion rates. Mode of questionnaire administration, reminder systems, patient education on benefits of PROMs, and clinical staff involvement were shown to be effective in increasing the overall completion rate.</p><p><strong>Implications for cancer survivors: </strong>This review provides a summary for researchers and clinicians on the current practice of PROMs implementation, thus creating a framework for the impact of different methodologies on patient's response rate for better monitoring of recurring symptoms, including long-term side effects, emotional distress, and changes in health-related quality of life.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeppe Lyngbye Widding, Monika Barsøe, Gunn Ammitzbøll, Susanne Oksbjerg Dalton, Maja Halgren Olsen, Anne Katrine Graudal Levinsen, Klaus Brasso, Tinne Laurberg, Anne Tjønneland, Signe Benzon Larsen
{"title":"The risk of new-onset type 2 diabetes and the influence of risk factors among men with prostate cancer in the Danish Diet, Cancer, and Health study.","authors":"Jeppe Lyngbye Widding, Monika Barsøe, Gunn Ammitzbøll, Susanne Oksbjerg Dalton, Maja Halgren Olsen, Anne Katrine Graudal Levinsen, Klaus Brasso, Tinne Laurberg, Anne Tjønneland, Signe Benzon Larsen","doi":"10.1007/s11764-025-01776-7","DOIUrl":"https://doi.org/10.1007/s11764-025-01776-7","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the risk of new-onset type 2 diabetes mellitus (T2DM) in men with and without prostate cancer (PCa) and the influence of cardiometabolic risk factors. Furthermore, we examined the association between first-line androgen deprivation therapy (ADT) and the risk of T2DM in a subpopulation of men with PCa.</p><p><strong>Methods: </strong>In the Danish prospective Diet, Cancer, and Health cohort, we identified 2604 men with PCa and 9340 PCa-free men for comparison. We used Cox regression models to investigate the hazard ratios (HR) of T2DM from the date of diagnosis.</p><p><strong>Results: </strong>During 100,408 person-years at risk, 887 men were diagnosed with T2DM. Overall, no increased hazard of T2DM was observed in men with PCa compared to PCa-free men, but within the first year after PCa diagnosis, the HR of T2DM was 70% increased. In all men, the HRs for T2DM increased markedly with overweight/obesity, while comorbidity was associated with a pronounced increased HR in men with PCa. Within the PCa subpopulation, no association between ADT and T2DM was observed.</p><p><strong>Conclusion: </strong>Men with PCa have no overall increased risk of being diagnosed with T2DM compared to PCa-free men, despite an increased risk within the first year following cancer diagnosis, likely affected by increased surveillance.</p><p><strong>Implications for cancer survivors: </strong>Overall, survivors of PCa should not be more concerned about T2DM than PCa-free men; first-line treatment does not change the overall risk of T2DM in survivors of PCa. However, cardiometabolic risk factors require awareness to mitigate the risk of T2DM.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Savanna Kerstiens, Courtney Lynam Scherr, Maia Jacobs, Allison J Carroll, Monisola Jayeoba, Elyse Renee Daly, Siobhan M Phillips, Brian Hitsman, Sofia F Garcia, Bonnie Spring
{"title":"Speaking of survival: oncologists' approaches to risk behavior conversations with cancer survivors.","authors":"Savanna Kerstiens, Courtney Lynam Scherr, Maia Jacobs, Allison J Carroll, Monisola Jayeoba, Elyse Renee Daly, Siobhan M Phillips, Brian Hitsman, Sofia F Garcia, Bonnie Spring","doi":"10.1007/s11764-025-01798-1","DOIUrl":"https://doi.org/10.1007/s11764-025-01798-1","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored oncologists' reported conversations with adult cancer survivors about three modifiable risk behaviors: poor diet, smoking, and insufficient physical activity. These behaviors can increase disease recurrence and early mortality. By asking oncologists to report their approach to these discussions, we can begin to identify areas for improvement.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 17 oncology clinicians from various subspecialties. We identified themes using inductive thematic analysis.</p><p><strong>Results: </strong>Four major themes were identified. Participants reported only sometimes explicitly discussing risk behaviors and avoiding sensitive topics like weight. They described tailoring their conversations around what they believe a patient can handle to maintain a positive relationship or avoid hurting patients' self-image. Participants explained that they rely on specialists or programs for specific risk management strategies and indicated that patients most often initiate conversations about lifestyle risks. Participants avoided or indirectly discussed lifestyle risks.</p><p><strong>Conclusion: </strong>The oncologists' reported risk communication with survivors suggested a delicate balance between patient-centered communication and benevolent bias-where oncologists tailor conversations based on their perceptions of what a patient can handle. Indirect discussions may lead survivors to undervalue the importance of addressing these risks. To enhance communication effectiveness and avoid unmanaged risk behaviors, oncologists need support to be more fully engaged in specific risk management conversations with cancer survivors.</p><p><strong>Implications for cancer survivors: </strong>Oncologists' benevolent bias may lead to inadequate risk management by the clinician and result in survivors underestimating the importance of specific risk factors, potentially leading to poorer health outcomes.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melody N Chavez, Gabriella Sanabria, Rolando F Trejos, Erik L Ruiz, Laura Perdiguero Muńoz, Janna Bastardo, Audry M Belén, Isabela Solis Graham, Marangelie Velez, Laura B Oswald, Sejal Barden, Brian Doss, Dinorah Martinez Tyson
{"title":"Después del Cáncer: a qualitative exploration of navigating survivorship as a Latino couple following a breast cancer diagnosis.","authors":"Melody N Chavez, Gabriella Sanabria, Rolando F Trejos, Erik L Ruiz, Laura Perdiguero Muńoz, Janna Bastardo, Audry M Belén, Isabela Solis Graham, Marangelie Velez, Laura B Oswald, Sejal Barden, Brian Doss, Dinorah Martinez Tyson","doi":"10.1007/s11764-025-01806-4","DOIUrl":"https://doi.org/10.1007/s11764-025-01806-4","url":null,"abstract":"<p><strong>Purpose: </strong>Although Latino cancer inequities persist and result in poorer quality of life, limited research examines the psychological and relationship functioning impacts following a breast cancer diagnosis among Latino couples. Therefore, this study aimed to explore how breast cancer shapes Latino couples' relationships throughout the cancer care continuum.</p><p><strong>Methods: </strong>Focus groups and semi-structured interviews were conducted in 2022 with a purposive sample of Latina breast cancer survivors and their intimate partners. Interviews were audio recorded, transcribed, and coded using the Community-Engaged Rapid Analysis and Visualization Adaption methodological framework.</p><p><strong>Results: </strong>Most of the Latina breast cancer survivors were within 5 years of survivorship (58%) and over half of all participants reported being in a relationship for over 21 years. Results revealed that following a breast cancer diagnosis, Latina breast cancer survivors and intimate partners of a Latina breast cancer survivor have different primary fears, use different coping mechanisms, navigate unfamiliar challenges following the cancer-related treatment phases due to limited understanding and knowledge of cancer treatments, and can reinvent intimacy through supportive actions through the cancer care continuum.</p><p><strong>Conclusion: </strong>This study illustrates Latino couple's individual and dyadic navigation processes following a breast cancer diagnosis and the unique cultural and contextual challenges that arise throughout survivorship.</p><p><strong>Implications for cancer survivors: </strong>Within Latino dyads, each individual may navigate through the cancer care continuum differently and may be influenced by different cultural norms. Culturally tailored interventions can improve emotional and functional adjustments for Latino couples, bettering their quality of life.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Crowe, Morven C Brown, Jan Lecouturier, Alastair Greystoke, Desy Nuryunarsih, Ben Rimmer, Andy Bojke, Rona Bojke, James Richardson, Mary Wells, Ezinne Ezeala, Louise Carter, Adam Todd, Linda Sharp
{"title":"Development of the SCNS-TARGET: a new tool to assess unmet needs in cancer patients utilising immuno-, biological or precision therapies.","authors":"Lisa Crowe, Morven C Brown, Jan Lecouturier, Alastair Greystoke, Desy Nuryunarsih, Ben Rimmer, Andy Bojke, Rona Bojke, James Richardson, Mary Wells, Ezinne Ezeala, Louise Carter, Adam Todd, Linda Sharp","doi":"10.1007/s11764-025-01787-4","DOIUrl":"https://doi.org/10.1007/s11764-025-01787-4","url":null,"abstract":"<p><strong>Purpose: </strong>Develop an instrument to assess unmet needs in cancer patients using immuno-, biological and precision (IBP) therapies.</p><p><strong>Methods: </strong>Development followed COSMIN guidance. Instruments to assess unmet needs of advanced cancer patients were identified, and quality and content were evaluated in a systematic review (Phase 1). Semi-structured interviews with patients utilising IBP therapies (n = 31) and healthcare professionals (n = 22) explored supportive care needs (Phase 2). Phase 3 selected a base instrument to adapt, generated new items and iteratively refined these through six meetings involving professionals (n = 8) and public and patient involvement representatives (n = 9) and patient cognitive interviews (n = 16). Phase 4 piloted the new instrument (n = 50 patients).</p><p><strong>Results: </strong>Twenty-four instruments were identified; none was developed for patients utilising IBP therapies (Phase 1). Ten domains of unmet needs were identified from the interview data (Phase 2). SCNS-SF34 was selected as the base instrument. Informed by interview data, an \"add-on module\" (SCNS-TARGET) was developed for patients utilising IBP therapies comprising 25 questions (psychological domain, 7 items; information, 6; healthcare, 5; economic, 3; role, 2; physical, 1; social, 1; Phase 3). Levels of missingness were low; reliability varied across questions, and, on average, patients reported 7.40 (standard deviation = 8.43) unmet needs on SCNS-TARGET (Phase 4).</p><p><strong>Conclusions: </strong>SCNS-TARGET is designed for use alongside SCNS-SF34 to assess unmet needs in those using IBP therapies. Content and face validity have been established.</p><p><strong>Implications for cancer survivors: </strong>SCNS-TARGET can help researchers and healthcare professionals determine unmet needs and inform requirements for new services and interventions, among patients using IBP therapies.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wonyoung Jung, Kyungdo Han, Bongseong Kim, Jonghan Yu, Ji Hyun An, Hong Jin Jeon, Yong-Moon Mark Park, Dong Wook Shin
{"title":"Changes in health behaviors and risk of depression after breast cancer diagnosis and treatment: a nationwide cohort study.","authors":"Wonyoung Jung, Kyungdo Han, Bongseong Kim, Jonghan Yu, Ji Hyun An, Hong Jin Jeon, Yong-Moon Mark Park, Dong Wook Shin","doi":"10.1007/s11764-025-01794-5","DOIUrl":"https://doi.org/10.1007/s11764-025-01794-5","url":null,"abstract":"<p><strong>Purpose: </strong>Protective lifestyle behaviors could potentially mitigate the risk of depression in breast cancer survivors. This study examined the association between changes in key health behaviors and depression risk after breast cancer diagnosis and treatment.</p><p><strong>Methods: </strong>This nationwide cohort study assessed 30,523 breast cancer survivors without a prior history of depression, focusing on changes in weight, smoking habits, alcohol consumption, and physical activity from pre- to post-cancer diagnosis. The primary outcome was incident depression, with adjusted hazard ratios and confidence intervals calculated to consider potential confounders.</p><p><strong>Results: </strong>During an average follow-up of 5.3 years (160,755 person-years), lifestyle changes post-diagnosis included decreases in smoking (2.8% to 0.9%) and alcohol consumption (24.9% to 7.5%) and an increase in physical activity (18.9% to 32.1%). Substantial weight gain (> 10%) was associated with a 27% elevated risk of depression compared to those who maintained weight. Both continuation and cessation of smoking were associated with increased depression risk compared to sustained non-smokers. Changes in alcohol consumption, either initiation or cessation, were associated with increased depression risk compared to sustained non-drinkers. Conversely, breast cancer survivors who became inactive post-diagnosis had a reduced risk of depression compared to those who remained inactive. Our exploratory analysis showed that regular physical activity prior to diagnosis was associated with a 7% lower risk of depression compared to inactivity.</p><p><strong>Conclusion: </strong>We observed that post-diagnosis weight gain exceeding 10%, sustaining or quitting smoking, starting or stopping alcohol consumption, and pre-diagnosis physical inactivity were all associated with an increased risk of depression in breast cancer survivors. Healthcare providers should support healthy behaviors to mitigate depression risk after breast cancer diagnosis and treatment.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global landscape and hotspot analysis of meditation research in cancer: a bibliometric study.","authors":"Qi Han, Haiyan Wang, Kexin Wang, Yang Fu, Zhongxun Li, Xiaoya Guan, Huina Guo, Chunming Zhang","doi":"10.1007/s11764-025-01784-7","DOIUrl":"https://doi.org/10.1007/s11764-025-01784-7","url":null,"abstract":"<p><strong>Purpose: </strong>Meditation is well known for its positive effects on recovery and quality of life enhancement among cancer patients. Meditation as an adjuvant therapy has received extensive attention from international scholars in relieving pain, reducing psychological pressure and improving the quality of life of cancer patients. In this study, we examine the current status of meditation in cancer research and its potential application value and future development.</p><p><strong>Methods: </strong>We collected 825 articles published in the Web of science Core Collection between January 1, 1976, and July 1, 2024, covering 11 cancer types. Bibliometric tools such as VOSviewer, Citespace, and Biblioshiny were used to analyze publication trends, international collaborations, author contributions, keywords, co-citations, and journal impact.</p><p><strong>Results: </strong>First, the steadily rising number of publications indicates an increasing scholarly focus on meditation's benefits for patients. Second, the USA, Australia, and China are the countries with the highest number of publications in each of the three clusters. Additionally, Carlson Linda E and eight other scholars are influential scholars in this field. Finally, through keyword co-occurrence and co-citation analysis, we identified \"breast cancer,\" \"quality of life,\" and \"psychological intervention\" as the hot topics of current research.</p><p><strong>Conclusions: </strong>The study provides a valuable reference for scientific researchers to further explore meditation in cancer treatment.</p><p><strong>Implications for cancer survivors: </strong>This study highlights the growing interest in meditation as an adjuvant therapy for cancer patients, underscoring its potential to improve survivors' quality of life. Current research primarily focuses on quality of life, mindfulness-based stress reduction therapy, and clinical trials. Additionally, online, virtual reality technology, cancer survivors, fear of cancer recurrence, and qualitative research may become cutting-edge research directions in the future.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dal-Lae Jin, Young Ae Kim, Su Jung Lee, Hyun-Ju Seo, Seok-Jun Yoon
{"title":"Factors associated with unmet supportive care needs among adult cancer survivors in South Korea: a cross-sectional survey.","authors":"Dal-Lae Jin, Young Ae Kim, Su Jung Lee, Hyun-Ju Seo, Seok-Jun Yoon","doi":"10.1007/s11764-025-01792-7","DOIUrl":"https://doi.org/10.1007/s11764-025-01792-7","url":null,"abstract":"<p><strong>Purpose: </strong>This cross-sectional study assessed the prevalence of unmet supportive care needs and financial burdens among South Korean adult cancer survivors.</p><p><strong>Methods: </strong>A total of 1038 adult cancer survivors were recruited through convenience sampling from the 2022 Korean Population Census. Data were collected online from November 17 to December 15, 2022. Unmet supportive care needs were assessed across three domains: access and continuity of care, coping and emotional needs, and information needs. Ordinal logistic regression analyses were conducted, adjusting for relevant demographic and clinical characteristics.</p><p><strong>Results: </strong>Among study participants, 65.7% of those with severe financial toxicity reported high unmet supportive care needs. The most frequently reported unmet need was related to coping and emotional support (44.7%). Cancer survivors diagnosed 6-10 years ago had significantly lower unmet supportive care needs compared with those diagnosed within the past three years (AOR = 0.69, 95% CI: 0.49-0.98). Survivors with stage III/IV cancer (AOR = 1.62, 95% CI: 1.13-2.32) were more likely to report high unmet needs. Additionally, those with severe financial toxicity were at significantly higher risk of reporting unmet needs (AOR = 3.26, 95% CI: 2.13-5.02).</p><p><strong>Conclusions: </strong>Unmet supportive care needs were significantly associated with severe financial toxicity, time since diagnosis, and cancer stage. Survivors with severe financial toxicity or advanced-stage cancer are at an increased risk of experiencing unmet needs.</p><p><strong>Implications for cancer survivors: </strong>These findings highlight the need for targeted interventions to address the unmet supportive care needs of cancer survivors, particularly those experiencing severe financial burdens or diagnosed with advanced-stage cancer. Interventions should be tailored to different survivorship stages to improve long-term health outcomes and quality of life for cancer survivors in South Korea.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of exercise based on the ACSM recommendations on fatigue in patients with digestive tumors: a meta-analysis of randomized controlled trials.","authors":"Meng Liang, Zheng Liu, Rui Zhang, Nan Zhang","doi":"10.1007/s11764-025-01780-x","DOIUrl":"https://doi.org/10.1007/s11764-025-01780-x","url":null,"abstract":"<p><strong>Objective: </strong>Fatigue is the most common side effect in cancer and cancer treatment. This study aimed to investigate the effect of different amounts of exercise on fatigue in patients with digestive tumors.</p><p><strong>Methods: </strong>We searched articles published to March 2024 in the PubMed, Embase, Web of Science, and Cochrane databases. The amount of exercise was evaluated according to the American College of Sports Medicine (ACSM) and divided into high compliance and low compliance. The effect of compliance on fatigue in patients with digestive tumors was compared using standardized mean difference and 95% confidence intervals (95% CI).</p><p><strong>Results: </strong>A total of 18 articles were included, and we found that exercise had beneficial effects on cancer-related fatigue (CRF) in patients with digestive tumors. Fifteen studies that met the ACSM recommendations were grouped eventually. Eight studies were classified as high compliance and 7 studies as low compliance. The CRF was improved significantly in the high compliance (- 1.89; 95% [CI], - 2.93 to - 0.86) compared with the low compliance (- 1.43; 95% [CI], - 2.25 to - 0.61).</p><p><strong>Conclusion: </strong>Exercise intervention with high compliance showed a more significant improvement in fatigue in patients with digestive tumors compared with low compliance. However, these studies have not yet been fully uniform for the scoring tool for CRF, and further studies are needed to validate these findings.</p><p><strong>Implications for cancer survivors: </strong>Compared with low compliance, exercise intervention with high compliance has shown a more significant improvement in fatigue among patients with digestive tumors. In addition, the beneficial effects of high compliance with exercise intervention on fatigue in patients with digestive tumors also provide important implications for cancer survivors. Regular exercise that conforms to the American College of Sports Medicine (ACSM) recommendations, especially maintaining high compliance, can serve as an effective strategy to alleviate cancer-related fatigue and improve the quality of life of survivors. However, these studies have not yet been fully unified in the scoring tools for cancer-related fatigue (CRF), and further research is needed to validate these findings.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peng Pi, Liqing Zeng, Qinghui Han, Bing Han, Yan Wang
{"title":"Effects of different mind-body exercises on quality of life and cancer-related fatigue in breast cancer survivors: a systematic review and network meta-analysis.","authors":"Peng Pi, Liqing Zeng, Qinghui Han, Bing Han, Yan Wang","doi":"10.1007/s11764-025-01766-9","DOIUrl":"https://doi.org/10.1007/s11764-025-01766-9","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the efficacy of the different mind-body exercises (MBEs) for quality of life (QOL) and cancer-related fatigue (CRF) in women breast cancer (BC) survivors.</p><p><strong>Methods: </strong>This review searched published randomized controlled trials (RCTs) in eight electronic databases: PubMed, Web of Science, Embase, Cochrane CENTRAL, EBSCO, CNKI, VIP, and WanFang from inception to October 30, 2023. NMA and comparative effects ranking were performed using STATA 17.0 software.</p><p><strong>Results: </strong>This study included 121 studies with 11,072 women BC patients and eight different MBEs. Baduanjin showed the largest effect size in significantly improving subjective QOL (SMD = 3.03, 95% CI (2.04, 4.01)) compared with the control group, followed by relaxation training (SMD = 1.44, 95% CI (1.04, 1.85)), yoga (SMD = 0.89, 95% CI (0.36, 1.42)), mindfulness (SMD = 0.83, 95% CI (0.54, 1.12)), and Tai chi (SMD = 0.76, 95% CI (0.04, 1.48)). Furthermore, Tai chi (SMD = - 1.42, 95% CI (- 2.21, - 0.63)) ranked first in significantly reducing CRF in BC patients compared with the control group, followed by mindfulness (SMD = - 0.81, 95% CI (- 1.11, - 0.50)), relaxation training (SMD = - 0.70, 95% CI (- 1.12, - 0.28)), and yoga (SMD = - 0.53, 95% CI (- 0.88, - 0.18)).</p><p><strong>Conclusions: </strong>Baduanjin and Tai chi are the most effective MBEs for improving QOL and CRF in female BC survivors, respectively. We recommend that healthcare providers prioritize Baduanjin and Tai chi as complementary therapies for BC survivors.</p><p><strong>Implications for cancer survivors: </strong>Baduanjin and Tai chi have significant effects on improving the QOL of breast cancer patients and alleviating CRF, which is worthy of promotion and application.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}