Applying a conceptual model for examining health‐related quality of life in long‐term breast cancer survivors: CALGB study 79804
Identifieur interne : 000B89 ( Istex/Curation ); précédent : 000B88; suivant : 000B90Applying a conceptual model for examining health‐related quality of life in long‐term breast cancer survivors: CALGB study 79804
Auteurs : Electra D. Paskett [États-Unis] ; James E. Herndon Ii [États-Unis] ; Jeannette M. Day [États-Unis] ; Nancy N. Stark [États-Unis] ; Eric P. Winer [États-Unis] ; Stephen S. Grubbs [États-Unis] ; Michael D. Pavy [États-Unis] ; Charles L. Shapiro [États-Unis] ; Marcy A. List [États-Unis] ; Martee L. Hensley [États-Unis] ; Michelle A. Naughton [États-Unis] ; Alice B. Kornblith [États-Unis] ; Karleen R. Habin [États-Unis] ; Gini F. Fleming [États-Unis] ; Marisa A. Bittoni [États-Unis]Source :
- Psycho‐Oncology [ 1057-9249 ] ; 2008-11.
Abstract
Objectives: The Survivor's Health and Reaction study used a quality‐of‐life model adapted for cancer survivors by Dow and colleagues to identify factors related to global health‐related quality of life (HRQL) and to document the prevalence of problems and health‐oriented behaviors in a follow‐up study of breast cancer patients who participated in CALGB 8541. Methods: A total of 245 survivors (78% of those invited) who were 9.4–16.5 years post‐diagnosis completed surveys that inquired about current HRQL, economic, spiritual, physical and psychosocial concerns, and health‐oriented behaviors (e.g. smoking, exercise, and supplement use). A regression model was developed to examine factors related to global HRQL across all domains. Results: The regression model revealed that decreased energy levels (odds ratio (OR)=1.05, 95% confidence interval (CI): 1.03, 1.07), having heart disease (OR=5.01, 95% CI: 1.39, 18.1), having two or more co‐morbidities (OR=2.39, 95% CI: 1.10, 5.19), and lower social support (OR=1.03, 95% CI: 1.02, 1.05) were associated with lower global HRQL. Factors related to psychological, spiritual, and economic domains were not predictive of global HRQL. Regarding lifestyle changes, some women reported engaging in health‐oriented behaviors since their cancer diagnosis, such as improving eating habits (54%), increasing exercise (32%), and reducing/quitting smoking (20%). The most prevalent problems reported by women at follow‐up were menopausal symptoms (64%), such as hot flashes and vaginal dryness, osteoporosis (25%), and lymphedema (23%). Conclusion: Suggestions are provided to target interventions, such as provider‐based strategies, in order to improve HRQL in long‐term breast cancer survivors. Copyright © 2008 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/pon.1329
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Graham Cancer Center, Delaware Christiana Care CCOP, Newark, DE, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Helen F. Graham Cancer Center, Delaware Christiana Care CCOP, Newark, DE</wicri:regionArea></affiliation></author><author><name sortKey="Pavy, Michael D" sort="Pavy, Michael D" uniqKey="Pavy M" first="Michael D." last="Pavy">Michael D. Pavy</name><affiliation wicri:level="1"><mods:affiliation>Southeast Cancer Control Consortium Inc. CCOP, Goldsboro, NC, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Southeast Cancer Control Consortium Inc. CCOP, Goldsboro, NC</wicri:regionArea></affiliation></author><author><name sortKey="Shapiro, Charles L" sort="Shapiro, Charles L" uniqKey="Shapiro C" first="Charles L." last="Shapiro">Charles L. 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Hensley</name><affiliation wicri:level="1"><mods:affiliation>Memorial Sloan‐Kettering Cancer Center, New York, NY, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Sloan‐Kettering Cancer Center, New York, NY</wicri:regionArea></affiliation></author><author><name sortKey="Naughton, Michelle A" sort="Naughton, Michelle A" uniqKey="Naughton M" first="Michelle A." last="Naughton">Michelle A. Naughton</name><affiliation wicri:level="1"><mods:affiliation>Wake Forest University School of Medicine, Winston‐Salem, NC, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Wake Forest University School of Medicine, Winston‐Salem, NC</wicri:regionArea></affiliation></author><author><name sortKey="Kornblith, Alice B" sort="Kornblith, Alice B" uniqKey="Kornblith A" first="Alice B." last="Kornblith">Alice B. Kornblith</name><affiliation wicri:level="1"><mods:affiliation>Dana‐Farber Cancer Institute, Boston, MA, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Dana‐Farber Cancer Institute, Boston, MA</wicri:regionArea></affiliation></author><author><name sortKey="Habin, Karleen R" sort="Habin, Karleen R" uniqKey="Habin K" first="Karleen R." last="Habin">Karleen R. Habin</name><affiliation wicri:level="1"><mods:affiliation>Massachusetts General Hospital Cancer Center, Boston, MA, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Massachusetts General Hospital Cancer Center, Boston, MA</wicri:regionArea></affiliation></author><author><name sortKey="Fleming, Gini F" sort="Fleming, Gini F" uniqKey="Fleming G" first="Gini F." last="Fleming">Gini F. Fleming</name><affiliation wicri:level="1"><mods:affiliation>University of Chicago Cancer Research Center, Chicago, IL, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Chicago Cancer Research Center, Chicago, IL</wicri:regionArea></affiliation></author><author><name sortKey="Bittoni, Marisa A" sort="Bittoni, Marisa A" uniqKey="Bittoni M" first="Marisa A." last="Bittoni">Marisa A. Bittoni</name><affiliation wicri:level="1"><mods:affiliation>The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Ohio State University Comprehensive Cancer Center, Columbus, OH</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Psycho‐Oncology</title><title level="j" type="alt">PSYCHO-ONCOLOGY</title><idno type="ISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><imprint><biblScope unit="vol">17</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1108">1108</biblScope><biblScope unit="page" to="1120">1120</biblScope><biblScope unit="page-count">13</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2008-11">2008-11</date></imprint><idno type="ISSN">1057-9249</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1057-9249</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: The Survivor's Health and Reaction study used a quality‐of‐life model adapted for cancer survivors by Dow and colleagues to identify factors related to global health‐related quality of life (HRQL) and to document the prevalence of problems and health‐oriented behaviors in a follow‐up study of breast cancer patients who participated in CALGB 8541. Methods: A total of 245 survivors (78% of those invited) who were 9.4–16.5 years post‐diagnosis completed surveys that inquired about current HRQL, economic, spiritual, physical and psychosocial concerns, and health‐oriented behaviors (e.g. smoking, exercise, and supplement use). A regression model was developed to examine factors related to global HRQL across all domains. Results: The regression model revealed that decreased energy levels (odds ratio (OR)=1.05, 95% confidence interval (CI): 1.03, 1.07), having heart disease (OR=5.01, 95% CI: 1.39, 18.1), having two or more co‐morbidities (OR=2.39, 95% CI: 1.10, 5.19), and lower social support (OR=1.03, 95% CI: 1.02, 1.05) were associated with lower global HRQL. Factors related to psychological, spiritual, and economic domains were not predictive of global HRQL. Regarding lifestyle changes, some women reported engaging in health‐oriented behaviors since their cancer diagnosis, such as improving eating habits (54%), increasing exercise (32%), and reducing/quitting smoking (20%). The most prevalent problems reported by women at follow‐up were menopausal symptoms (64%), such as hot flashes and vaginal dryness, osteoporosis (25%), and lymphedema (23%). Conclusion: Suggestions are provided to target interventions, such as provider‐based strategies, in order to improve HRQL in long‐term breast cancer survivors. Copyright © 2008 John Wiley & Sons, Ltd.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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