The effect of symptom clusters on functional status and quality of life in women with breast cancer
Identifieur interne : 005F89 ( Main/Exploration ); précédent : 005F88; suivant : 005F90The effect of symptom clusters on functional status and quality of life in women with breast cancer
Auteurs : Marylin J. Dodd [États-Unis] ; Maria H. Cho [États-Unis] ; Bruce A. Cooper [États-Unis] ; Christine Miaskowski [États-Unis]Source :
- European journal of oncology nursing : the official journal of European Oncology Nursing Society [ 1462-3889 ] ; 2009.
Abstract
The purposes of this study of women with breast cancer receiving chemotherapy with/without radiation therapy were to determine whether: 1) subgroups of oncology outpatients can be identified based on a specific symptom cluster (i.e., pain, fatigue, sleep disturbances, depression); 2) these subgroups differ on outcomes (i.e., functional status, quality of life; 3) subgroup membership changes over time.
A secondary data analysis using data collected from 112 women at initial chemotherapy. Symptom and outcome measures were completed at three time points: baseline (i.e., the week before cycle two - T1); end of cancer treatment (T2), end of the study (approximately one year after the start of chemotherapy - T3). Cluster analysis identified patient subgroups based on symptom severity scores.
At T1 and T2, four patient subgroups were identified: ALL LOW (one or no symptom greater than the cut score), MILD (two symptoms), MODERATE (three or four symptoms), and ALL HIGH (four symptoms). At T3, three subgroups were identified: MILD, MODERATE and ALL HIGH. Subgroups with high severity levels of all four symptoms had poorer functional status and QOL at each time point than other subgroups (p<.001). Group membership changed over time.
Subgroups of patients with different symptom experiences were identified. For some patients severity of all four symptoms persisted months after cancer treatment. Initial and ongoing assessment to identify those patients in the ALL HIGH patient subgroup is important so that appropriate interventions to improve functional status and quality of life can be offered.
Url:
DOI: 10.1016/j.ejon.2009.09.005
PubMed: 19897417
PubMed Central: 2831160
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002789
- to stream Pmc, to step Curation: 002788
- to stream Pmc, to step Checkpoint: 003568
- to stream Ncbi, to step Merge: 003720
- to stream Ncbi, to step Curation: 003720
- to stream Ncbi, to step Checkpoint: 003720
- to stream Main, to step Merge: 006060
- to stream Main, to step Curation: 005F89
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The effect of symptom clusters on functional status and quality of life in women with breast cancer</title>
<author><name sortKey="Dodd, Marylin J" sort="Dodd, Marylin J" uniqKey="Dodd M" first="Marylin J." last="Dodd">Marylin J. Dodd</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cho, Maria H" sort="Cho, Maria H" uniqKey="Cho M" first="Maria H." last="Cho">Maria H. Cho</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">19897417</idno>
<idno type="pmc">2831160</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831160</idno>
<idno type="RBID">PMC:2831160</idno>
<idno type="doi">10.1016/j.ejon.2009.09.005</idno>
<date when="2009">2009</date>
<idno type="wicri:Area/Pmc/Corpus">002789</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002789</idno>
<idno type="wicri:Area/Pmc/Curation">002788</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002788</idno>
<idno type="wicri:Area/Pmc/Checkpoint">003568</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003568</idno>
<idno type="wicri:Area/Ncbi/Merge">003720</idno>
<idno type="wicri:Area/Ncbi/Curation">003720</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">003720</idno>
<idno type="wicri:doubleKey">1462-3889:2009:Dodd M:the:effect:of</idno>
<idno type="wicri:Area/Main/Merge">006060</idno>
<idno type="wicri:Area/Main/Curation">005F89</idno>
<idno type="wicri:Area/Main/Exploration">005F89</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effect of symptom clusters on functional status and quality of life in women with breast cancer</title>
<author><name sortKey="Dodd, Marylin J" sort="Dodd, Marylin J" uniqKey="Dodd M" first="Marylin J." last="Dodd">Marylin J. Dodd</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cho, Maria H" sort="Cho, Maria H" uniqKey="Cho M" first="Maria H." last="Cho">Maria H. Cho</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name>
<affiliation wicri:level="1"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>School of Nursing, University of California, San Francisco, N631, 2 Koret Way, San Francisco, CA 94143-0610</wicri:regionArea>
<wicri:noRegion>CA 94143-0610</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">European journal of oncology nursing : the official journal of European Oncology Nursing Society</title>
<idno type="ISSN">1462-3889</idno>
<idno type="eISSN">1532-2122</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">The purposes of this study of women with breast cancer receiving chemotherapy with/without radiation therapy were to determine whether: 1) subgroups of oncology outpatients can be identified based on a specific symptom cluster (i.e., pain, fatigue, sleep disturbances, depression); 2) these subgroups differ on outcomes (i.e., functional status, quality of life; 3) subgroup membership changes over time.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">A secondary data analysis using data collected from 112 women at initial chemotherapy. Symptom and outcome measures were completed at three time points: baseline (i.e., the week before cycle two - T1); end of cancer treatment (T2), end of the study (approximately one year after the start of chemotherapy - T3). Cluster analysis identified patient subgroups based on symptom severity scores.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">At T1 and T2, four patient subgroups were identified: ALL LOW (one or no symptom greater than the cut score), MILD (two symptoms), MODERATE (three or four symptoms), and ALL HIGH (four symptoms). At T3, three subgroups were identified: MILD, MODERATE and ALL HIGH. Subgroups with high severity levels of all four symptoms had poorer functional status and QOL at each time point than other subgroups (p<.001). Group membership changed over time.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Subgroups of patients with different symptom experiences were identified. For some patients severity of all four symptoms persisted months after cancer treatment. Initial and ongoing assessment to identify those patients in the ALL HIGH patient subgroup is important so that appropriate interventions to improve functional status and quality of life can be offered.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
</list>
<tree><country name="États-Unis"><noRegion><name sortKey="Dodd, Marylin J" sort="Dodd, Marylin J" uniqKey="Dodd M" first="Marylin J." last="Dodd">Marylin J. Dodd</name>
</noRegion>
<name sortKey="Cho, Maria H" sort="Cho, Maria H" uniqKey="Cho M" first="Maria H." last="Cho">Maria H. Cho</name>
<name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name>
<name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 005F89 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 005F89 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Exploration |type= RBID |clé= PMC:2831160 |texte= The effect of symptom clusters on functional status and quality of life in women with breast cancer }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:19897417" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
This area was generated with Dilib version V0.6.31. |