Evidence map›Paper›PMID 40188134›Full record

SynthesisHealth and quality of life outcomes2025

Psychosocial factors associated with quality of life in cancer patients undergoing treatment: an umbrella review.

Chiara Marzorati, Viktorya Voskanyan, Diana Sala, Roberto Grasso, Federico Borgogni, Ricardo Pietrobon, Iris van der Heide, Merel Engelaar, Nanne Bos, Augusto Caraceni and 12 more

Abstract readSystematic Review
In one paragraph

Synthesis in Health and quality of life outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
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  8. Quality of Life and Symptoms of Anxiety and Depression Among Patients With Cancer: Insights From a Tertiary Care Hospital.Medical science monitor : international medical journal of experimental and clinical research · 2026
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  9. Article
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  11. Review
  12. Risk of employment separation among workers with head and neck cancer: a longitudinal cohort study in Turin.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  13. Cancer pain and its impact on quality of life, distress, and spiritual well-being in the war-torn Gaza Strip.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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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

22 authors.

Chiara MarzoratiApplied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy. chiara.marzorati@ieo.it.
Viktorya VoskanyanApplied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Diana SalaApplied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Roberto GrassoDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Federico BorgogniApplied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Ricardo PietrobonSporeData OÜ, Tallinn, Estonia.
Iris van der HeideNivel, Netherlands Institute for Health Services Research, Postbus 1568, Utrecht, 3500 BN, The Netherlands.
Merel EngelaarNivel, Netherlands Institute for Health Services Research, Postbus 1568, Utrecht, 3500 BN, The Netherlands.
Nanne BosNivel, Netherlands Institute for Health Services Research, Postbus 1568, Utrecht, 3500 BN, The Netherlands.
Augusto CaraceniDipartimento Di Scienze Cliniche E Di Comunità, Università Degli Studi Di Milano, Milan, Italy.
Norbert CouspelEuropean Cancer Organisation, Brussels, Belgium.
Montse FerrerHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain.
Mogens GroenvoldDepartment of Public Health, Bispebjerg Hospital and University of Copenhagen, Copenhagen, Denmark.
Stein KaasaDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Claudio LombardoOECI-EEIG Organisation of European Cancer Institutes - European Economic Interest Grouping, Brussels, Belgium.
Aude SirvenUNICANCER, Paris, France.
Hugo VachonEORTC, Brussels, Belgium.
Alexandra GilbertLeeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
Cinzia BrunelliPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori Di Milano, Milan, Italy.
Giovanni ApoloneScientific Directorate, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
Gabriella PravettoniApplied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.
EUonQoL Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer treatment greatly impacts physical and psychological functioning of cancer patients, negatively affecting their quality of life (QoL). This Umbrella Review (UR) aims to systematically summarize psychological and social factors positively or negatively associated with QoL in cancer patients undergoing treatment.

methodFour scientific databases (PubMed, Embase, Scopus, and PsycInfo) were searched to identify systematic reviews between 2012 and 2023 analyzing the relationship between QoL and psychosocial factors in cancer patients in treatment. The UR was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Joanna Briggs Institute (JBI) review guidelines. The methodological quality of the included studies was evaluated using Assessment of Multiple Systematic Reviews 2 (AMSTAR2).

resultsEighteen systematic reviews were included. The major psychological factors influencing QoL are depression, coping strategies, anxiety, and distress. Results also demonstrate the significant impact of social factors on QoL: perceived social support has a positive influence on QoL of cancer patients, while lowered social support, impaired social functioning, interactions, and role limitations worsen their QoL and overall well-being.

conclusionThis UR provides a comprehensive overview of the psychosocial factors impacting QoL of cancer patients and serves as a prominent base for developing questionnaires and policies aimed at measuring QoL in cancer patients undergoing treatment. Moreover, the findings of the study can guide future research or the development of personalized clinical interventions aimed at improving QoL for this cancer population group.

Indexed as

NeoplasmsQuality of LifeAdaptation, PsychologicalDepressionHumansSocial SupportCancerCancer PatientsPsychosocial factorsQuality of LifeUmbrella Review

Identifiers

PMID40188134
PMCPMC11971742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.