Author/Authors :
Santos Silva, Rogério Universidade de Brasília UNB, Brasília, DF, Brazil , Bellezi Guilhem, Dirce Universidade de Brasília UNB, Brasília, DF, Brazil , Torres Batista, Katia Universidade de Brasília UNB, Brasília, DF, Brazil , Penna Tabet, Lívia Rede Sarah De Hospitais De Reabilitação, Brasília, DF, Brazil
Abstract :
Objective: To conduct an integrative review on quality of life
(QOL) of patients with sarcoma who underwent conservative
surgery or limb amputation. Methods: We conducted a six-step
integrative review by searching the databases LILACS, SciELO,
PePSIC, Embase, and PubMed, using the descriptors: “Quality
of life”, “Bone cancer”, “Sarcoma”, “Limb Salvage,” and “Ampu-
tation.” Ten studies were selected according to: database, type
of study, methods, researcher’s profession, sex, histological
type, title, country/region, and periodical/year of publication.
Results: Nine quantitative and one qualitative studies were
included. All were conducted by physicians and correlated
to QOL with the impact of diagnosis, psychosocial aspects,
cancer treatment, and survival. Other aspects included type
of surgery, functionality, rehabilitation, and a multidisciplinary
approach. The QOL results were similar for conservative surgery
and amputation in eight studies. In two, it was concluded that
patients undergoing conservative surgery had a better QOL.
Conclusion: The number of studies on QOL in patients with
sarcoma is small. In most, there was no difference between the
study groups. In addition, the studies indicated the importance
of evaluation of QOL, since it has a direct effect on patients’
physical manifestations and impacts their coping abilities. Level
of evidence III, System review.
Keywords :
Quality of life , Sarcoma , Limb Salvage , Amputation
