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Wang X, Wang C, Han W, Sun J, Hui Z, Lei S, Wu H, Liu X. Global status of research on gastrointestinal cancer patients' quality of life: A bibliometric and visual analysis from 2003 to 2023. Heliyon 2024; 10:e23377. [PMID: 38148818 PMCID: PMC10750154 DOI: 10.1016/j.heliyon.2023.e23377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 11/24/2023] [Accepted: 12/01/2023] [Indexed: 12/28/2023] Open
Abstract
Objective To analyze the current research status, hotspots, and frontiers in the field of Gastrointestinal (GI) cancer and quality of life (QoL) through the bibliometrics method, and to provide references and guidance for future research. Methods Literature related to GI cancer and QoL from April 1, 2003 to March 31, 2023 was retrieved from the Web of Science Core Collection database. CiteSpace 6.2.R1 was performed for collaboration analysis, keyword co-occurrence analysis, and document co-citation analysis. Results A total of 1224 publications were included in this study. There has been a significant increase in the number of publications in this field over the past two decades. The United States, the Karolinska Institute and the University of Amsterdam, and Pernilla Lagergren are the most prolific country, institution, and author, respectively. The links between most of the research constituents were relatively thin (centrality <0.1). The keyword analysis indicates that the benefits of physical activity on QoL, the levels of psychological distress and its relationship with QoL, as well as the development and validation of QoL measurement tools have been the research hotspots. Open-label/double-blind trials exploring therapeutic interventions and more targeted new drugs or more effective drug combinations, and longitudinal studies determining the direction of the association between psychological distress and QoL at different time points, may be emerging trends in this field. Conclusion The cooperation among countries, institutions, and authors in this field should be strengthened. In addition, the health benefits of light physical activity, interventions for QoL, trajectory and direction of the relationship between psychological distress and QoL may be the focus of future research.
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Affiliation(s)
- Xiaoqin Wang
- Department of Pediatrics, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China
| | - Caihua Wang
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China
| | - Wenjin Han
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China
| | - Jiaru Sun
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China
| | - Zhaozhao Hui
- School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China
| | - Shuangyan Lei
- Department of Radiotherapy, Shaanxi Cancer Hospital, Xi'an, China
| | - Huili Wu
- Department of Oncology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Xiaohong Liu
- Department of Pediatrics, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
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Ozata IH, Tufekci T, Karahan SN, Sucu S, Yigit D, Ozoran E, Ozturk O, Veznikli M, Baygul A, Demirel AO, Koyuncuoglu AC, Demirkir K, Yildirim Y, Tuncak M, Koc MA, Bisgin T, Kozan R, Kulle CB, Eray IC, Akyol C, Keskin M, Sokmen S, Leventoglu S, Rencuzogullari A, Karadag A, Bugra D, Balik E. Reliability and validity of the Turkish version of the New Cleveland Clinic Colorectal Cancer Quality of Life Questionnaire. Int J Colorectal Dis 2023; 39:10. [PMID: 38150157 DOI: 10.1007/s00384-023-04572-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/24/2023] [Indexed: 12/28/2023]
Abstract
PURPOSE This study aims to adapt and validate the Cleveland Clinic Colorectal Cancer Quality of Life Questionnaire (CCF-CaQL) in Turkish, addressing the significant need for reliable, language-specific QoL measures for colorectal cancer (CRC) in Turkiye. This effort fills a critical gap in CRC patient care, enhancing both patient-provider communication and disease-specific QoL assessment. METHODS The CCF-CaQL was translated into Turkish, verified for accuracy, and reviewed for clarity and relevance. Eligible patients who underwent colorectal surgery for cancer between July 2021 and July 2022 from six hospitals completed the CCF-CaQL and SF-36 questionnaires. For analysis, confirmatory factor analysis using Smart PLS 4 and descriptive statistics were employed. The questionnaire's reliability and validity were assessed using Cronbach alpha, composite reliability, and the heterotrait-monotrait (HTMT) ratio, along with multicollinearity checks and factor loadings. Nonparametric resampling was used for precise error and confidence interval calculations, and the Spearman coefficient and split-half method were applied for reliability testing. RESULTS In the study involving 244 colorectal cancer patients, confirmatory factor analysis of the CCF-CaQL indicated effective item performance, with one item removed due to lower factor loading. The questionnaire exhibited high internal consistency, evidenced by a Cronbach alpha value of 0.909. Convergent validity was strong, with all average variance extracted (AVE) values exceeding 0.4. Discriminant validity was confirmed with HTMT coefficients below 0.9, and no significant multicollinearity issues were observed (VIF values < 10). Parallel testing with the SF-36 scale demonstrated moderate to very strong correlations, affirming the CCF-CaQL's comparability in measuring quality of life. CONCLUSION The Turkish version of the CCF-CaQL was validated for assessing quality of life in colorectal cancer patients. This validation confirms its reliability and cultural appropriateness for use in Turkiye. The disease-specific nature of the CCF-CaQL makes it a useful tool in clinical and research settings, enhancing patient care by accurately monitoring treatment effects and interventions in the Turkish colorectal cancer patient population.
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Affiliation(s)
- Ibrahim H Ozata
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye.
| | - Tutku Tufekci
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
| | - Salih Nafiz Karahan
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
| | - Serkan Sucu
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
| | - Dilara Yigit
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
| | - Emre Ozoran
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
| | - Oyku Ozturk
- Clinical Trials Unit, Koc University, Istanbul, Türkiye
| | - Mert Veznikli
- Department of Biostatistics, Koc University School of Medicine, Istanbul, Türkiye
| | - Arzu Baygul
- Department of Biostatistics, Koc University School of Medicine, Istanbul, Türkiye
| | - Ahmet Onur Demirel
- Department of General Surgery, Cukurova University Faculty of Medicine, Adana, Türkiye
| | | | - Kutay Demirkir
- Department of General Surgery, Ankara University Faculty of Medicine, Ankara, Türkiye
| | - Yasemin Yildirim
- Department of General Surgery, Dokuz Eylul University Faculty of Medicine, İzmir, Türkiye
| | - Meryem Tuncak
- Department of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Türkiye
| | - Mehmet Ali Koc
- Department of General Surgery, Ankara University Faculty of Medicine, Ankara, Türkiye
| | - Tayfun Bisgin
- Department of General Surgery, Dokuz Eylul University Faculty of Medicine, İzmir, Türkiye
| | - Ramazan Kozan
- Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye
| | - Cemil Burak Kulle
- Department of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Türkiye
| | - Ismail Cem Eray
- Department of General Surgery, Cukurova University Faculty of Medicine, Adana, Türkiye
| | - Cihangir Akyol
- Department of General Surgery, Ankara University Faculty of Medicine, Ankara, Türkiye
| | - Metin Keskin
- Department of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Türkiye
| | - Selman Sokmen
- Department of General Surgery, Dokuz Eylul University Faculty of Medicine, İzmir, Türkiye
| | - Sezai Leventoglu
- Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye
| | - Ahmet Rencuzogullari
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
| | - Ayise Karadag
- School of Nursing, Koc University, Istanbul, Türkiye
| | - Dursun Bugra
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
| | - Emre Balik
- Department of General Surgery, Koc University School of Medicine, Istanbul, Türkiye
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