Made Agus Suanjaya, Ayu Anulus, Besar Tirto Husodo

Determinan Kualitas Hidup Pasien Pasca Operasi Kanker Payudara di Indonesia: A Systematic review

Introduction

Determinan kualitas hidup pasien pasca operasi kanker payudara di indonesia: a systematic review. Identifikasi determinan kualitas hidup pasien kanker payudara pasca operasi di Indonesia via systematic review. Faktor fisik, psikologis, sosial, & medis berpengaruh. Intervensi terintegrasi tingkatkan kesejahteraan.

Abstract

The quality of life of breast cancer patients post-surgery is an important indicator in assessing the success of long-term management, particularly in Indonesia, which has a high prevalence of breast cancer. This systematic review aims to identify the determinant factors affecting the quality of life of post-surgery breast cancer patients in Indonesia. Literature searches were conducted through PubMed, Google Scholar, and grey literature databases using Boolean operator keywords. The search was conducted without publication year restrictions, but only articles up to July 2025 were included. Of the 1,258 articles identified, 8 studies met the inclusion criteria and were analyzed narratively. Articles were also critically assessed for quality using JBI based on their study design. All articles had an average quality of moderate-high in reporting their research. The findings of the studies indicate that the quality of life of post-surgery breast cancer patients is influenced by physical, psychological, social, and medical factors. Low physical activity, anxiety, depression, and poor body image can reduce the quality of life. Social support from family and community helps improve the patient's well-being. Additionally, breast reconstruction can enhance the quality of life, though not all patients choose to undergo this procedure. In conclusion, interventions that consider physical, psychological, social, and medical factors should be integrated into post-surgery breast cancer care in Indonesia to improve the patient's quality of life holistically.

Review

This systematic review addresses a critically important and timely topic concerning the quality of life among breast cancer patients post-surgery in Indonesia. Given the high prevalence of breast cancer in the region, understanding the determinants that influence patient well-being after treatment is crucial for developing effective long-term management strategies. The clear aim to identify these factors, coupled with a comprehensive search across major databases and grey literature, underscores the study's relevance and potential to synthesize existing evidence, providing valuable insights for healthcare professionals and policymakers alike. The methodology employed appears robust for a systematic review, including searches in PubMed, Google Scholar, and grey literature, utilizing Boolean operators, which suggests a structured and thorough approach to literature identification. The critical appraisal of included studies using JBI tools, reporting an average quality of moderate-high, adds credibility to the synthesized findings. While the initial search yielded a large number of articles, the eventual inclusion of eight studies for narrative analysis, following rigorous selection, indicates a focused and quality-driven synthesis. A minor point for clarity is the inclusion criteria specifying "articles up to July 2025," which likely contains a typographical error and should be clarified (e.g., 2024 or current year of submission/publication). The findings effectively categorize the determinants into physical, psychological, social, and medical factors, offering a holistic view of patient quality of life. Specific insights regarding the negative impact of low physical activity, anxiety, depression, and poor body image, alongside the positive influence of social support and breast reconstruction, are highly practical. The conclusion rightly emphasizes the need for integrated interventions that consider these multifaceted factors, providing a clear call to action for improving post-surgery breast cancer care in Indonesia. This review serves as a valuable resource, consolidating evidence and laying the groundwork for more targeted and comprehensive support programs for patients.

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