Title: The impact of symptom distress on health-related quality of life in liver cancer patients
receiving arterial chemoembolization: the mediating role of hope
Version: 1 Date: 22 Aug 2022
Reviewer:  Wim Schrauwen
Reviewer's report:
Hope is certainly an important concept in cancer treatment, because it can make the present
moment less difficult to bear. If the patient believes that the disease tomorrow will be better,
they can bear a hardship today. The main sources of hope include the existence of a good
relationship with a close person, the possibility of achieving partial meaningful life goals, a
positively assessed life, a sense of self-worth, and spiritual support. On the other hand, the feeling
of loneliness, persistent pain and reduced self-esteem have a negative effect on hope. It also
shows that the patients hope is largely influenced by the quality of communication with doctors
and other healthcare professionals. (Slezácková 2020)
1.It's a bit strange to read an article about the contribution of hope in QOL in patients with liver
cancer, without saying much about the prognostic elements of the liver cancer, and the extent to
which patients were very aware of this. In the same way, the authors talk about the “importance
of continuing the therapy (TACE)” – at least, that is the way I interpret these words: Poor QOL
can further decrease the willingness of patients to complete the treatment course [14]). -  but
nothing about its short and long term survival, ie what is the hope that this treatment will benefit
patients? In the context of the treatment of a serious illness, hope can be seen as the expectation
of a future positive outcome that is personally valuable and realistically achievable.
2.I have questions on the way the concept of hope is seen regarding qol; these concepts are
closely related. The patients hope is closely related to his mental health, which is an important
component of quality of life. So hope can be seen as a part of qol.
3.The HHI was designed in 1991 to evaluate hope in young people with chronic illnesses.
It consists of 12 items responded to on a four-point Likert-type scale, from one (completely
disagree) to four (completely agree) (Nayeri et al, 2020). Can the authors demonstrate that this
(altered) version has sufficient validity.
Title: The impact of symptom distress on health-related quality of life in liver cancer patients
receiving arterial chemoembolization: the mediating role of hope
Version: 1 Date: 22 Aug 2022
Reviewer:  Wim Schrauwen
Reviewer's report:
Hope is certainly an important concept in cancer treatment, because it can make the present
moment less difficult to bear. If the patient believes that the disease tomorrow will be better,
they can bear a hardship today. The main sources of hope include the existence of a good
relationship with a close person, the possibility of achieving partial meaningful life goals, a
positively assessed life, a sense of self-worth, and spiritual support. On the other hand, the feeling
of loneliness, persistent pain and reduced self-esteem have a negative effect on hope. It also
shows that the patients hope is largely influenced by the quality of communication with doctors
and other healthcare professionals. (Slezácková 2020)
1.It's a bit strange to read an article about the contribution of hope in QOL in patients with liver
cancer, without saying much about the prognostic elements of the liver cancer, and the extent to
which patients were very aware of this. In the same way, the authors talk about the “importance
of continuing the therapy (TACE)” – at least, that is the way I interpret these words: Poor QOL
can further decrease the willingness of patients to complete the treatment course [14]). -  but
nothing about its short and long term survival, ie what is the hope that this treatment will benefit
patients? In the context of the treatment of a serious illness, hope can be seen as the expectation
of a future positive outcome that is personally valuable and realistically achievable.
2.I have questions on the way the concept of hope is seen regarding qol; these concepts are
closely related. The patients hope is closely related to his mental health, which is an important
component of quality of life. So hope can be seen as a part of qol.
3.The HHI was designed in 1991 to evaluate hope in young people with chronic illnesses.
It consists of 12 items responded to on a four-point Likert-type scale, from one (completely
disagree) to four (completely agree) (Nayeri et al, 2020). Can the authors demonstrate that this
(altered) version has sufficient validity.
Please review this paper.
user
Title: The impact of symptom distress on health-related quality of life in liver cancer patients
receiving arterial chemoembolization: the mediating role of hope
Version: 1 Date: 22 Aug 2022
Reviewer:  Wim Schrauwen
Reviewer's report:
Hope is certainly an important concept in cancer treatment, because it can make the present
moment less difficult to bear. If the patient believes that the disease tomorrow will be better,
they can bear a hardship today. The main sources of hope include the existence of a good
relationship with a close person, the possibility of achieving partial meaningful life goals, a
positively assessed life, a sense of self-worth, and spiritual support. On the other hand, the feeling
of loneliness, persistent pain and reduced self-esteem have a negative effect on hope. It also
shows that the patients hope is largely influenced by the quality of communication with doctors
and other healthcare professionals. (Slezácková 2020)
1.It's a bit strange to read an article about the contribution of hope in QOL in patients with liver
cancer, without saying much about the prognostic elements of the liver cancer, and the extent to
which patients were very aware of this. In the same way, the authors talk about the “importance
of continuing the therapy (TACE)” – at least, that is the way I interpret these words: Poor QOL
can further decrease the willingness of patients to complete the treatment course [14]). -  but
nothing about its short and long term survival, ie what is the hope that this treatment will benefit
patients? In the context of the treatment of a serious illness, hope can be seen as the expectation
of a future positive outcome that is personally valuable and realistically achievable.
2.I have questions on the way the concept of hope is seen regarding qol; these concepts are
closely related. The patients hope is closely related to his mental health, which is an important
component of quality of life. So hope can be seen as a part of qol.
3.The HHI was designed in 1991 to evaluate hope in young people with chronic illnesses.
It consists of 12 items responded to on a four-point Likert-type scale, from one (completely
disagree) to four (completely agree) (Nayeri et al, 2020). Can the authors demonstrate that this
(altered) version has sufficient validity.
assistant