Câncer colorretal e qualidade de vida entre pessoas adultas em cuidados paliativos: uma revisão sistemática

Abstract

Introduction: Colorectal cancer is one of the leading causes of morbidity and mortality worldwide. In the context of colorectal cancer, patients' quality of life plays a crucial role in guiding clinical decisions and planning care. Objective: This study aims to evaluate the quality of life among adults with colorectal cancer in palliative care. Material and Method: This is a systematic review performed in the PubMed, LILACS, and Web of Science databases using the following search strategy: "Colorectal Neoplasms (Colorectal Cancers OR Colorectal Tumor) AND Quality of Life AND Palliative Care AND Adult". Results: A total of 495 articles were identified, from which 13 were selected to compose this review. The sample comprised 4247 patients; the majority being male. The results showed that adult patients in palliative care with colorectal cancer have low quality of life. The main factors that have contributed to the low quality of life of these patients are knowledge of the stage of the disease/prognosis, being on 3rd line treatment stage IV of the disease, being in palliative care, fatigue, pain, low educational level, financial difficulties and intrusive thoughts. Conclusion: Patients with colorectal cancer undergoing palliative care have impaired quality of life, which is influenced by several factors related to the disease itself and the socioeconomic and emotional context. Therefore, it is important to consider strategies to improve these aspects in patients with this health condition.