A Qualitative Study of Quality of Life Concerns following a Melanoma Diagnosis
Identifieur interne : 000861 ( Main/Exploration ); précédent : 000860; suivant : 000862A Qualitative Study of Quality of Life Concerns following a Melanoma Diagnosis
Auteurs : Rachel I. Vogel [États-Unis] ; Lori G. Strayer [États-Unis] ; Rehana L. Ahmed [États-Unis] ; Anne Blaes [États-Unis] ; Deann Lazovich [États-Unis]Source :
- Journal of Skin Cancer [ 2090-2905 ] ; 2017.
Abstract
The goal of this study was to identify a relevant and inclusive list of quality of life issues among long-term survivors of melanoma. Individuals diagnosed with stage I-III cutaneous melanoma and had survived 1-5 years, ages 18-65 years at diagnosis, were recruited. Five focus groups were conducted with 33 participants in total. Discussions centered on participants' experiences at diagnosis, as well as ongoing physical, emotional, and social concerns, and behavioral changes since diagnosis. The majority of participants reported shock, fear, and feeling overwhelmed at the time of diagnosis. Some reported lingering physical concerns, including pain, numbness, and lymphedema, while a few reported no lasting issues. Emotional concerns were common, with most reporting anxiety. Several also noted feeling lonely and isolated. Social concerns included alteration of activities to avoid sun exposure, issues with family communication, and frustration with the lack of appreciation of the seriousness of melanoma by others. Finally, while many participants reported changes to their sun exposure and UV-protection behaviors, some reported little to no change. The shared experiences among participants in this study confirm the unique nature of melanoma and the need for interventions designed to improve the health and quality of life of melanoma survivors.
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DOI: 10.1155/2017/2041872
PubMed: 28634549
PubMed Central: 5467303
Affiliations:
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Vogel</name><affiliation wicri:level="1"><nlm:aff id="I1">Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Masonic Cancer Center, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation></author><author><name sortKey="Strayer, Lori G" sort="Strayer, Lori G" uniqKey="Strayer L" first="Lori G." last="Strayer">Lori G. Strayer</name><affiliation wicri:level="1"><nlm:aff id="I1">Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Masonic Cancer Center, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation></author><author><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. Ahmed</name><affiliation wicri:level="1"><nlm:aff id="I1">Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Masonic Cancer Center, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Department of Dermatology, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation></author><author><name sortKey="Blaes, Anne" sort="Blaes, Anne" uniqKey="Blaes A" first="Anne" last="Blaes">Anne Blaes</name><affiliation wicri:level="1"><nlm:aff id="I1">Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Masonic Cancer Center, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Department of Medicine, Division of Hematology and Oncology, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Division of Hematology and Oncology, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation></author><author><name sortKey="Lazovich, Deann" sort="Lazovich, Deann" uniqKey="Lazovich D" first="Deann" last="Lazovich">Deann Lazovich</name><affiliation wicri:level="1"><nlm:aff id="I1">Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Masonic Cancer Center, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN</wicri:regionArea><wicri:noRegion>MN</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Skin Cancer</title><idno type="ISSN">2090-2905</idno><idno type="eISSN">2090-2913</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The goal of this study was to identify a relevant and inclusive list of quality of life issues among long-term survivors of melanoma. Individuals diagnosed with stage I-III cutaneous melanoma and had survived 1-5 years, ages 18-65 years at diagnosis, were recruited. Five focus groups were conducted with 33 participants in total. Discussions centered on participants' experiences at diagnosis, as well as ongoing physical, emotional, and social concerns, and behavioral changes since diagnosis. The majority of participants reported shock, fear, and feeling overwhelmed at the time of diagnosis. Some reported lingering physical concerns, including pain, numbness, and lymphedema, while a few reported no lasting issues. Emotional concerns were common, with most reporting anxiety. Several also noted feeling lonely and isolated. Social concerns included alteration of activities to avoid sun exposure, issues with family communication, and frustration with the lack of appreciation of the seriousness of melanoma by others. Finally, while many participants reported changes to their sun exposure and UV-protection behaviors, some reported little to no change. The shared experiences among participants in this study confirm the unique nature of melanoma and the need for interventions designed to improve the health and quality of life of melanoma survivors.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Geller, A C" uniqKey="Geller A">A. C. Geller</name></author><author><name sortKey="Clapp, R W" uniqKey="Clapp R">R. W. Clapp</name></author><author><name sortKey="Sober, A J" uniqKey="Sober A">A. J. Sober</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simard, E P" uniqKey="Simard E">E. P. Simard</name></author><author><name sortKey="Ward, E M" uniqKey="Ward E">E. M. Ward</name></author><author><name sortKey="Siegel, R" uniqKey="Siegel R">R. Siegel</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A. 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Khan</name></author><author><name sortKey="Harrison, S" uniqKey="Harrison S">S. Harrison</name></author><author><name sortKey="Rose, P W" uniqKey="Rose P">P. W. Rose</name></author><author><name sortKey="Ward, A" uniqKey="Ward A">A. Ward</name></author><author><name sortKey="Evans, J" uniqKey="Evans J">J. Evans</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cho, D" uniqKey="Cho D">D. Cho</name></author><author><name sortKey="Park, C L" uniqKey="Park C">C. L. Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, C L" uniqKey="Park C">C. L. Park</name></author><author><name sortKey="Zlateva, I" uniqKey="Zlateva I">I. Zlateva</name></author><author><name sortKey="Blank, T O" uniqKey="Blank T">T. O. Blank</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deimling, G T" uniqKey="Deimling G">G. T. Deimling</name></author><author><name sortKey="Bowman, K F" uniqKey="Bowman K">K. F. Bowman</name></author><author><name sortKey="Wagner, L J" uniqKey="Wagner L">L. J. Wagner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcgrath, P" uniqKey="Mcgrath P">P. McGrath</name></author><author><name sortKey="Holewa, H" uniqKey="Holewa H">H. Holewa</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Vogel, Rachel I" sort="Vogel, Rachel I" uniqKey="Vogel R" first="Rachel I." last="Vogel">Rachel I. Vogel</name></noRegion><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. Ahmed</name><name sortKey="Ahmed, Rehana L" sort="Ahmed, Rehana L" uniqKey="Ahmed R" first="Rehana L." last="Ahmed">Rehana L. Ahmed</name><name sortKey="Blaes, Anne" sort="Blaes, Anne" uniqKey="Blaes A" first="Anne" last="Blaes">Anne Blaes</name><name sortKey="Blaes, Anne" sort="Blaes, Anne" uniqKey="Blaes A" first="Anne" last="Blaes">Anne Blaes</name><name sortKey="Lazovich, Deann" sort="Lazovich, Deann" uniqKey="Lazovich D" first="Deann" last="Lazovich">Deann Lazovich</name><name sortKey="Lazovich, Deann" sort="Lazovich, Deann" uniqKey="Lazovich D" first="Deann" last="Lazovich">Deann Lazovich</name><name sortKey="Strayer, Lori G" sort="Strayer, Lori G" uniqKey="Strayer L" first="Lori G." last="Strayer">Lori G. Strayer</name><name sortKey="Vogel, Rachel I" sort="Vogel, Rachel I" uniqKey="Vogel R" first="Rachel I." last="Vogel">Rachel I. Vogel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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