A Systematic Review of Randomized Controlled Trials Testing the Efficacy of Psychosocial Interventions for Gastrointestinal Cancers

Abstract

Further research is warranted to design and test interventions that may be effective in patients diagnosed with gastrointestinal cancers.

A Systematic Review of Exercise Systematic Reviews in the Cancer Literature (2005‐2017)

“…QOL and HRQOL were defined and delineated by the specific research report reviewed and based on the measurement tools used in the trial. Generally, the impact of exercise on both QOL and HRQOL measures was positive [15,16,20,24,25,28,32,39,43,47,50,52,57,62,64] or showed an overall positive trend toward significance, although effect size was relatively small in many of the QOL outcomes [18,38,55,59]. A small number of reviews failed to demonstrate significant impact on QOL [26,35,53,54,56].…”

“…Information was extracted and synthesized from 51 articles. Table 2 provides a summary of the included studies [15‐65]. Quality analysis, revealed a mean score of 7.7 (±2.0), and median of 8 with a range of 3‐11.…”

“…Some reviews cited that many of the studies examined failed to meet the definition of physical activity [25], whereas others reported well‐defined, if disparate, exercise parameters [15,57,58,63]. The mode of exercise varied widely in reports, spanning both aerobic and resistive training protocols [15,26,27,30,32,35,36,39,45,57,59,60,63,66], as well as described mixed (aerobic plus resistance training) interventions [16,17,19,20,22,24,28,31,32,37,41,43,47,48,53,58,60], yoga [38,47,50,54,64,65,67], tai chi [42,64,65], dance [18], progressive resistive exercise (PRE) [21,30,53], and therapeutic exercises (focused on targeted body region impairments) [21,23,44,53,62]. Exercise programs were structured in various settings (home‐based, outpatient ambulatory clinic, hospital‐based) and provided various levels of provider supervision.…”

“…Some reviews focused on exercise interventions targeting one specific cancer treatment‐related impairment, such as CRF [27,41,45,48,58,61] or lymphedema [34,66], and many reported on the impact of exercise on common treatment‐related side effects, such as body weight and body mass index (BMI) [19,28,30,32,36,43,58], depression [16,24,38,67], anxiety [16,32,38,47,50,67], bone density [63], other physical and functional impairments [18,21,22,30,31,35,50,40,60,62,66], and various biomarkers associated with cancer progression [22,32,36,42,46,57,58,59,64].…”

La intervención psicológica en pacientes oncológicos: una revisión de la literatura (2000-2014)

“…Los descriptores utilizados para este fin fueron: "cancer and quality of life", "cancer and quality of life and review", "cancer and psychological intervention" y "cancer and psychological intervention and review". Además, con el objetivo de abarcar otros trabajos, incluso previos al año 2000, se han tenido en cuenta distintas revisiones publicadas por otros autores (5,7,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) . La revisión se realizó partiendo de los artículos originales, escritos en inglés y español y de los resúmenes ofrecidos en las bases de datos, en los que se especificase el procedimiento y la muestra del estudio.…”