Systematic Review and Meta-Analysis of Patient Experiences of Oesophageal Cancer Survivorship After Oesophagectomy

Sivakumar, J; Dao, T; Alnimri, F; Liu, DS; Chen, Q; Laidsaar-Powell, R; Hii, MW; Duong, CP

Author(s): Sivakumar, J; Dao, T; Alnimri, F; Liu, DS; Chen, Q; Laidsaar-Powell, R; Hii, MW; Duong, CP;
Details: Publication Year 2026-05,Volume 35,Issue #5,Page e70482
Journal Title: Psycho-Oncology
Publication Type: Review
Abstract: BACKGROUND: Despite improving survival rates, the complexity of post-operative survivorship for oesophageal cancer patients remains poorly understood. This mixed-methods review explores quantitative health-related quality-of-life (HRQoL) outcomes and qualitative survivor experiences to provide a comprehensive, person-centred perspective. METHODS: A convergent synthesis framework was employed to examine patient perspectives on survivorship following oesophageal cancer resection. A systematic search of the literature was undertaken across four databases to identify studies reporting EORTC QLQ-C30 and QLQ-OES18 outcomes and qualitative research exploring post-operative experiences. Quantitative studies underwent random-effects meta-analysis to examine HRQoL trajectories from baseline to 5 years post-operatively. Qualitative studies underwent thematic synthesis following Thomas and Harden's established three-stage framework. RESULTS: Fifty-seven studies were included, consisting of 40 quantitative and 17 qualitative studies. HRQoL followed a triphasic pattern with a marked deterioration at 6 months, partial recovery by 12-36 months, followed by a plateau with persistent symptoms at 5 years. Reflux, eating restriction and fatigue were the most prevalent symptoms following oesophagectomy. Thematic synthesis identified five domains of oesophageal cancer survivorship; digestive disruption, physical impairment, psychosocial impact, navigating healthcare and support systems, and striving for normalcy. Qualitative accounts revealed challenges under-represented in quantitative measures, including an altered relationship with food, fear of recurrence, as well as identity loss. CONCLUSIONS: Post-oesophagectomy survivorship is a sustained process of adaptation, not a return to baseline health. Current oncology-centred care models overlook chronic, multidimensional needs of patients. Integrated survivorship pathways combining nutritional support, rehabilitation, and psychosocial support are essential to restore agency and improve long-term wellbeing.
Publisher: Wiley
Keywords: Humans; *Esophageal Neoplasms/surgery/psychology; *Esophagectomy/psychology; *Quality of Life/psychology; *Cancer Survivors/psychology; *Survivorship; Qualitative Research
Department(s): Surgical Oncology
Publisher's Version: https://doi.org/10.1002/pon.70482
Open Access at Publisher's Site: https://doi.org/10.1002/pon.70482
Terms of Use/Rights Notice: Refer to copyright notice on published article.

Creation Date: 2026-05-21 11:17:46

Last Modified: 2026-05-21 11:18:00