Evidence map›Paper›PMID 30350456›Full record

ArticleCancer medicine2018

Health-related quality of life of esophageal cancer patients in daily life after treatment: A multicenter cross-sectional study in China.

Qian Liu, Hongmei Zeng, Ruyi Xia, Gang Chen, Shuzheng Liu, Zhiyi Zhang, Yuqin Liu, Guizhou Guo, Guohui Song, Yigong Zhu and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The social determinants of health-related quality of life among people with chronic disease: a systematic literature review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  2. Health state utility values by cancer stage: a systematic literature review.The European journal of health economics : HEPAC : health economics in prevention and care · 2021
    Pooled it
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  9. Using a Chinese time trade-off approach to explore the health utility level and quality of life of cancer patients in urban China: a multicentre cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Qian LiuDepartment of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Hongmei ZengNational Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0003-3999-3081
Ruyi XiaDepartment of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Gang ChenFlinders Health Economics Group, School of Medicine, Flinders University, Adelaide, South Australia, Australia.
Shuzheng LiuHenan Cancer Hospital, Zhengzhou, China.
Zhiyi ZhangWuwei Cancer Hospital of Gansu Province, Wuwei, China.
Yuqin LiuGansu Provincial Cancer Hospital, Lanzhou, China.
Guizhou GuoLinzhou Cancer Hospital, Linzhou, China.
Guohui SongCixian Institute for Cancer Prevention and Control, Cixian Cancer Hospital, Handan, China.
Yigong ZhuLuoshan Center for Disease Control and Prevention, Xinyang, China.
Xianghong WuCenter for Disease Control and Prevention of Sheyang County, Yancheng, China.
Bingbing SongTumor Prevention and Treatment Institute, Harbin Medical University, Harbin, China.
Xianzhen LiaoHunan Provincial Cancer Hospital, Changsha, China.
Yanfang ChenYueyang Lou District Center for Disease Prevention and Control, Yueyang, China.
Wenqiang WeiNational Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Wanqing ChenNational Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Guihua ZhuangDepartment of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China.ORCID 0000-0001-8377-6071

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe improvement of diagnostic and therapeutic techniques has prolonged the survival time of patients with esophageal cancer. Little is known, however, about their health-related quality of life (HRQoL) in daily life after treatment.

methodsEsophageal cancer patients who had been discharged from hospitals more than one year and healthy controls identified by screening were recruited from seven study centers covering eastern, central, and western regions of China. Patients were categorized into severe dysplasia/carcinoma in situ and stages I, II, III, and IV cancer, respectively. The EQ-5D was employed to assess HRQoL. Multivariate regression analyses were conducted.

resultsA total of 1456 patients and 2179 controls were recruited. After adjusting for potential confounding factors, the likelihood of reporting problems in the five dimensions of patients was 3.8 to 23.1 times higher than controls, whilst the mean EQ-5D utility score was 0.311 (95% CI, 0.276-0.346) lower than controls. The mean utility scores of each patient subgroup were 0.158, 0.289, 0.303, 0.296, and 0.505 (95% CIs: 0.108-0.208, 0.243-0.336, 0.261-0.346, 0.244-0.347, and 0.437-0.573) lower than controls, respectively. Patients had the greatest impairment in the self-care dimension compared with controls, followed by the usual activities dimension. Therapeutic regimen, duration of illness, other chronic disease status, age, and marital status also had significant impact on different aspects of HRQoL in patients.

conclusionsEsophageal cancer significantly impaired patients' HRQoL in daily life after treatment. Advanced cancer stages were associated with larger decrements on health state utility. Utility scores reported here can facilitate further cost-utility analyses.

Indexed as

AgedChinaCross-Sectional StudiesEsophageal NeoplasmsFemaleHumansLogistic ModelsMaleMiddle AgedNeoplasm StagingQuality of LifeRisk FactorsChinaEQ-5Desophageal cancerhealth-related quality of lifeutility

Identifiers

PMID30350456
PMCPMC6247038

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.