{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:52:57Z","timestamp":1781585577854,"version":"3.54.5"},"reference-count":47,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the effect sizes of factors influencing quality of life among colorectal cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study was a systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was conducted according to PRISMA guidelines. Ten international and Korean databases, including Web of Science, PubMed, SCOPUS, were searched from January 2000 to October 2024. Methodological quality was assessed using the JBI Critical Appraisal Checklist. Effect sizes (Esr) were calculated using Fisher's Z transformation. Publication bias was evaluated using Egger's test, funnel plots, and trim\u2010and\u2010fill methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Physical factors included fatigue (ESr \u22120.567) and symptom experiences (ESr \u22120.474). Psychological distress showed the strongest negative association (ESr \u22120.737), followed by depression (ESr \u22120.590). Self\u2010efficacy (ESr 0.640), resilience (ESr 0.439), and body image (ESr 0.412) demonstrated positive associations. Social support was positively associated (ESr 0.381).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Quality of life among colorectal cancer survivors is associated with physical, psychological, and social factors including fatigue, symptoms, distress, depression, self\u2010efficacy, resilience, body image, and social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public involvement in this systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71841","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T04:09:27Z","timestamp":1777262967000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect Size of Factors Influencing Colorectal Cancer Survivors' Quality of Life: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8831-7229","authenticated-orcid":false,"given":"Youran","family":"Lee","sequence":"first","affiliation":[{"name":"School of Nursing University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0986-5217","authenticated-orcid":false,"given":"Eungyung","family":"Kim","sequence":"additional","affiliation":[{"name":"College of Nursing Chungbuk National University  Cheongju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v30.i33.3818"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20176676"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2025.102949"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16332"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrad030"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2020.1212"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5986"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000887"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14205017"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000785"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.5897"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33286"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2024.42.16_suppl.11183"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591053241253358"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5529"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2010.06.010"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3954"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.03.475"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3210"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0037875"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119558378"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3102\/1076998609346961"},{"key":"e_1_2_11_25_1","volume-title":"Practical Meta\u2010Analysis","author":"Lipsey M. W.","year":"2001"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.112.1.155"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082\u2010989X.6.4.413"},{"key":"e_1_2_11_28_1","volume-title":"Cancer Survivorship","author":"National Cancer Institute","year":"2024"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_11_30_1","unstructured":"Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross\u2010Sectional Studies 2017 https:\/\/jbi.global\/critical\u2010appraisal\u2010tools."},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006\u2010341X.2000.00455.x"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.847460"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082\u2010989X.3.4.486"},{"key":"e_1_2_11_34_1","volume-title":"Discovering Statistics Using SPSS","author":"Field A.","year":"2005"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010025\u201009564\u2010w"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2012.08.010"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010024\u201063431\u2010y"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/4553613"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2021.102079"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13640"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2023.102431"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12672\u2010023\u201000854\u20105"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001085"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v35n3a08"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13194786"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1501"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2025.264"},{"key":"e_1_2_11_48_1","unstructured":"Health Insurance Review & Assessment Service Healthcare System in Korea (Overview) 2021 https:\/\/www.hira.or.kr\/dummy.do?pgmid=HIRAJ010000006000."}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71841","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cam4.71841","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71841","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:10:53Z","timestamp":1781583053000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.71841"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,26]]},"references-count":47,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/cam4.71841"],"URL":"https:\/\/doi.org\/10.1002\/cam4.71841","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,26]]},"assertion":[{"value":"2025-08-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71841"}}