IMR Press / EJGO / Volume 42 / Issue 5 / DOI: 10.31083/j.ejgo4205154
Open Access Systematic Review
Health related quality of life scales in women diagnosed with gynecological and breast cancer: the role of resilience. A systematic review
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1 Department of Gynecology, Miguel Servet Hospital, 50009 Zaragoza, Spain
2 Department of Gynecology, Clínico San Carlos Hospital, 28040 Madrid, Spain
Eur. J. Gynaecol. Oncol. 2021, 42(5), 1048–1057;
Submitted: 21 April 2021 | Revised: 20 June 2021 | Accepted: 22 June 2021 | Published: 15 October 2021
(This article belongs to the Special Issue Selected papers from the 2021 AGOA Society)

Objective: Resilience and health-related quality of life are factors to be valued today in all types of patients for their relationship to well-being and health. Any stressful situation can significantly impact quality of life and resilience and there are numerous scales to rate these aspects. The main objective of this review is to describe the most used health-related quality of life and resilience scales in gynecological and breast cancer patients to highlight the limitations. Data sources: A review of literature in Pubmed, MEDLINE, Cochrane Database and Google Scholar was carried out to identify articles on health-related quality of life in oncological patients published in English between 2000 and 2020. Methods of study selection: The review was done following the PRISMA guidelines. Tabulation: A total of 460 papers were identified using MeSH terms but finally, according to the inclusion and exclusion criteria, we evaluated 41. Integration and results: Questionnaires have a good performance to quantify quality of life and resilience in oncological patients in general. However, most publications were not focused on patients with gynecological cancer. Conclusions: Due to the particularities of the group of patients with gynecologic and breast cancer secondary to their treatment significantly affecting several areas and domains, it is necessary to validate specific scales for them in order to offer these patients the correct management of their disease at all levels. The role of resilience, premature and iatrogenic menopause and mutilating surgeries are essential to understand the uniqueness of health-related quality of life in gynecological and breast cancer patients.

Health related quality of life
Gynecological cancer
Breast cancer
Fig. 1.
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