Keywords
Health-related quality of life
Assessment instruments
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Abstract
Objective: To identify the validated instruments used and the respective domains assessed in the measurement of quality of life among women with breast cancer in Brazil. Methods: A scoping review was conducted in the OASISBR, BVS Portal, PubMed, SciELO, Scopus, and Web of Science databases, using a combination of terms related to the topic of interest, with no temporal restriction. Based on the full-text reading of the selected studies, the information to be extracted from the records was defined, including: Author(s)/year, Study design/location, Objective, Instruments used/complementary scales, and Main results. Results: Twenty-four articles were included in the review. Among the questionnaires identified, the EORTC QLQ-C30 was the most frequently used, and the most commonly assessed domains were fatigue, pain, body image, and emotional and sexual functioning. Final considerations: Different instruments were identified for assessing the quality of life of women with breast cancer in the Brazilian context, with a predominance of the EORTC QLQ-C30 and its specific module, the EORTC QLQ-BR23. Among the main recurrent domains, fatigue, pain—reported in more than one instrument—body image, and sexual functioning stood out. Understanding these aspects may support interventions more specifically tailored to women's needs, promoting comprehensive and quality-of-life-centered care.
References
ARAÚJO NETO E, et al. Quality of Life of Post-Mastectomy Women Living in a Semi-Arid Region of Brazil. International Journal of Environmental Research and Public Health, 2017; 14 (6): 601
ARONSEN S, et al. Determinants of sleep quality in 5835 individuals living with and beyond breast, prostate, and colorectal cancer: a cross-sectional survey. Journal of Cancer Survivorship, 2022; 16(6): 1489–1501
BARBOSA PA, et al. Qualidade de vida em mulheres com câncer de mama pós-intervenção cirúrgica em uma cidade da zona da mata de Minas Gerais, Brasil. Revista Brasileira de Saúde Materno Infantil, 2017; 17(2)
BINOTTO M, SCHWARTSMANN G. Qualidade de Vida Relacionada à Saúde de Pacientes com Câncer de Mama: Revisão Integrativa da Literatura. Revista Brasileira de Cancerologia, 2020; 66(1)
BRANDÃO ML, et al. Associação entre espiritualidade e qualidade de vida de mulheres com câncer de mama em tratamento radioterápico. Revista da Escola de Enfermagem da USP, 2021; 55: e20200476
BUENO JN, et al. Evaluation of body image, quality of life, tactile sensitivity and pain in women with breast cancer submitted to surgical intervention. Revista da Associação Médica Brasileira, 2018; 64(6): 530–536
CAVALLI KLUTHCOVSKY ACG et al. Fatigue after treatment in breast cancer survivors: prevalence, determinants and impact on health-related quality of life. Supportive Care in Cancer, 2012; 20(8): 1901–1909
CHARTOGNE M, et al. Neuromuscular, Psychological, and Sleep Predictors of Cancer-Related Fatigue in Cancer Patients. Clinical Breast Cancer, 2021; 21(5): 425–432
CICONELLI RM. Tradução para o português e validação do questionário genérico de avaliação de qualidade de vida “Medical Outcomes Study 36-item Short-Form Health Survey (SF-36)”. Tese (Doutorado em Medicina) - Universidade Federal de São Paulo, São Paulo, 1997; 120f.
COELHO R, et al. Comprometimento da qualidade de vida de mulheres com câncer de mama submetidas a quimioterapia no atendimento público e privado. Investigación y Educación en Enfermería, 2018; 36(1)
COSTA WA, et al. Quality of life in breast cancer survivors. Revista da Associação Médica Brasileira, 2017, 63(7): 583–589
DE AGUIAR SS. Qualidade de vida e sobrevida global após 5 anos de tratamento para câncer de mama em hospital de referência no Rio de Janeiro. Dissertação (Mestrado) – Escola Nacional de Saúde Pública Sérgio Arouca, Rio de Janeiro, Rio de Janeiro, 2010; 78 f.
DOS SANTOS MENDES I, et al. Correlação da dor e qualidade de vida de mulheres pós-tratamento cirúrgico de câncer de mama. O Mundo da Saúde, 2014; 38(2): 189–196
ESPLEN MJ, FINGERET MC. Body Image—An Important Dimension in Cancer Care. In: BREITBART, W. S. et al. (org.). Psycho-Oncology. 4 ed. Oxford: Oxford University Press, 2021. p. 303–310.
EVANGELISTA AL, et al. Associations of Quality of Life, Physical Activity and Mood States in Women with Breast Cancer Treated with Curative Intent. Applied Research in Quality of Life, 2016; 11(2): 445–459
FARIA BM, et al. The Impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review. Psicooncología, 2021; 18(1): 91-115
FERREIRA DB. Qualidade de vida em pacientes em tratamento de câncer de mama - associação com rede social, apoio social e atividade física. 2011. 115 f. Escola Nacional de Saúde Pública Sérgio Arouca, 2011.
FIGUEIREDO PEREIRA RDC, et al. Impact on the quality of life of women with breast cancer undergoing chemotherapy in public and private care. Investigación y Educación en Enfermería, 2018; 36(1): e04
FLECK MP, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Revista de Saúde Pública, 2000; 34: 178–183
GARCIA SN, et al. Os domínios afetados na qualidade de vida de mulheres com neoplasia mamária. Revista Gaúcha de Enfermagem, 2015; 36(2): 89–96
HARBECK N, et al. Health-related quality of life in premenopausal women with hormone-receptor-positive, HER2-negative advanced breast cancer treated with ribociclib plus endocrine therapy: results from a phase III randomized clinical trial (MONALEESA-7). Therapeutic Advances in Medical Oncology, 2020; 12: 175883592094306
HEIDARY Z, et al. Quality of Life in Breast Cancer Patients: A Systematic Review of the Qualitative Studies. Cancer Control, 2023; 30: 10732748231168318
HODECKER S, AZEVEDO LCD. Qualidade de vida e estado nutricional de pacientes diagnosticadas com câncer de mama. Revista Brasileira em Promoção da Saúde, 2021; 34: 1–11
INSTITUTO NACIONAL DE CÂNCER JOSÉ ALENCAR GOMES DA SILVA. 27 set. 2023. Estimativa 2023: Incidência do Câncer no Brasil. Rio de Janeiro: INCA, 2022. Disponível em:https://www.gov.br/inca/pt-br/assuntos/gestor-e-profissional-de-saude/controle-do-cancer-de-mama/dados-e-numeros/incidencia/inci- dencia. Acessado em: 20 ago. 2024.
LIMA EDOL, SILVA MMD. Qualidade de vida de mulheres acometidas por câncer de mama localmente avançado ou metastático. Revista Gaúcha de Enfermagem, 2020; 41: e20190292
LÔBO SA, et al. Qualidade de vida em mulheres com neoplasias de mama em quimioterapia. Acta Paulista de Enfermagem, 2014; 27(6): 554–559
LOPES JV, et al. Impacto do câncer de mama e qualidade de vida de mulheres sobreviventes. Revista Brasileira de Enfermagem, 2018; 71(6): 2916–2921
MANGANIELLO A, et al. Sexuality and quality of life of breast cancer patients post mastectomy. European Journal of Oncology Nursing, 2011; 15 (2): 167–172
MEDINA JDMR, et al. Advanced Clinical Stage at Diagnosis of Breast Cancer Is Associated with Poorer Health-Related Quality of Life: A Cross-Sectional Study. European Journal of Breast Health, 2019; 15(1): 26–31
MICHELS FAS, et al. Validity, reliability and understanding of the EORTC-C30 and EORTC-BR23, quality of life questionnaires specific for breast cancer. Revista Brasileira de Epidemiologia, 2013;16: 352–363
NASCIMENTO PF, et al. Women’s occupational performance and quality of life during breast cancer treatment. BMJ Supportive & Palliative Care, 2019; 28: bmjspcare-2019-001788
NATIONAL COMPRENHENSIVE CANCER NETWORK. NCCN Guidelines for Patients: Fatigue and Cancer. United States, n. 2, 2024.
OLIVEIRA IS, et al. Assessment of the measurement properties of quality of life questionnaires in Brazilian women with breast cancer. Brazilian Journal of Physical Therapy, 2014; 18(4): 372–383
PESSOA MR, CARNEIRO PDR. Avaliação da qualidade de vida e sexualidade em mulheres submetidas à mastectomia radical modificada à Madden. Trabalho de Conclusão de Curso – Centro Universitário de Brasília, Brasília, 2008; 37 f.
PETERS, MDJ. et al. Updated methodological guidance for the conduct of scoping reviews. Joanna Briggs Institute Evidence Synthesis, 2020; 18(10): 2119-2126
RABIN EG, et al. Quality of life predictors in breast cancer women. European Journal of Oncology Nursing, 2008; 12(1): 53–57
SANTOS LND, et al. Influence of Age on Health-Related Quality of Life of Women Diagnosed with Breast Cancer. Revista Brasileira de Cancerologia, 2023; 69(2)
STRIK H, et al. Why Do Our Cancer Patients Sleep So Badly? Sleep Disorders in Cancer Patients: A Frequent Symptom with Multiple Causes. Oncology Research and Treatment, 2021; 44(9): 469–475
VELLOSO FSB, BARRA AA, DIAS RC. Functional performance of upper limb and quality of life after sentinel lymph node biopsy of breast cancer. Revista Brasileira de Fisioterapia, 2011; 15(2): 146–153
WHO. Breast Cancer. 2024. Disponível em: https://www.who.int/news-room/fact-sheets/detail/breast-cancer. Acessado em: 30 ago. 2024.