Applying a conceptual model for examining health‐related quality of life in long‐term breast cancer survivors: CALGB study 79804
Identifieur interne : 006F20 ( Main/Exploration ); précédent : 006F19; suivant : 006F21Applying 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.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Association thérapeutique, Climatère (psychologie), Comorbidité, Comportement en matière de santé, Essais contrôlés randomisés comme sujet, Facteurs socioéconomiques, Femelle, Humains, Mode de vie, Protocoles de polychimiothérapie antinéoplasique (effets indésirables), Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique), Qualité de vie (psychologie), Rôle de malade, Soutien social, Spiritualité, Stade de la tumeur, Sujet âgé, Survie sans rechute, Survivants (psychologie), Traitement médicamenteux adjuvant, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (psychologie), Tumeurs du sein (traitement médicamenteux), Études de suivi.
- MESH :
- anatomopathologie : Tumeurs du sein.
- effets indésirables : Protocoles de polychimiothérapie antinéoplasique.
- psychologie : Climatère, Qualité de vie, Survivants, Tumeurs du sein.
- traitement médicamenteux : Tumeurs du sein.
- usage thérapeutique : Protocoles de polychimiothérapie antinéoplasique.
- Adulte, Adulte d'âge moyen, Association thérapeutique, Comorbidité, Comportement en matière de santé, Essais contrôlés randomisés comme sujet, Facteurs socioéconomiques, Femelle, Humains, Mode de vie, Rôle de malade, Soutien social, Spiritualité, Stade de la tumeur, Sujet âgé, Survie sans rechute, Traitement médicamenteux adjuvant, Tumeurs du sein, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Antineoplastic Combined Chemotherapy Protocols (adverse effects), Antineoplastic Combined Chemotherapy Protocols (therapeutic use), Breast Neoplasms (drug therapy), Breast Neoplasms (pathology), Breast Neoplasms (psychology), Breast Neoplasms (surgery), Chemotherapy, Adjuvant, Climacteric (psychology), Combined Modality Therapy, Comorbidity, Disease-Free Survival, Female, Follow-Up Studies, Health Behavior, Humans, Life Style, Middle Aged, Neoplasm Staging, Quality of Life (psychology), Randomized Controlled Trials as Topic, Sick Role, Social Support, Socioeconomic Factors, Spirituality, Survivors (psychology).
- MESH :
- adverse effects : Antineoplastic Combined Chemotherapy Protocols.
- drug therapy : Breast Neoplasms.
- pathology : Breast Neoplasms.
- psychology : Breast Neoplasms, Climacteric, Quality of Life, Survivors.
- surgery : Breast Neoplasms.
- therapeutic use : Antineoplastic Combined Chemotherapy Protocols.
- Adult, Aged, Chemotherapy, Adjuvant, Combined Modality Therapy, Comorbidity, Disease-Free Survival, Female, Follow-Up Studies, Health Behavior, Humans, Life Style, Middle Aged, Neoplasm Staging, Randomized Controlled Trials as Topic, Sick Role, Social Support, Socioeconomic Factors, Spirituality.
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:
- https://api.istex.fr/document/198EE843138E1CF5E177A1AD351BCC33187AB1B6/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930158
DOI: 10.1002/pon.1329
Affiliations:
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Graham Cancer Center, Delaware Christiana Care CCOP, Newark, DE</wicri:regionArea><placeName><region type="state">Delaware</region></placeName></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="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Southeast Cancer Control Consortium Inc. CCOP, Goldsboro, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Shapiro, Charles L" sort="Shapiro, Charles L" uniqKey="Shapiro C" first="Charles L." last="Shapiro">Charles L. Shapiro</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Ohio State University Comprehensive Cancer Center, Columbus, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="List, Marcy A" sort="List, Marcy A" uniqKey="List M" first="Marcy A." last="List">Marcy A. List</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Chicago Cancer Research Center, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Hensley, Martee L" sort="Hensley, Martee L" uniqKey="Hensley M" first="Martee L." last="Hensley">Martee L. Hensley</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Sloan‐Kettering Cancer Center, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></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="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Wake Forest University School of Medicine, Winston‐Salem, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></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="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Dana‐Farber Cancer Institute, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></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="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Massachusetts General Hospital Cancer Center, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></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="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Chicago Cancer Research Center, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></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="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Ohio State University Comprehensive Cancer Center, Columbus, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></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><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Antineoplastic Combined Chemotherapy Protocols (adverse effects)</term><term>Antineoplastic Combined Chemotherapy Protocols (therapeutic use)</term><term>Breast Neoplasms (drug therapy)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (psychology)</term><term>Breast Neoplasms (surgery)</term><term>Chemotherapy, Adjuvant</term><term>Climacteric (psychology)</term><term>Combined Modality Therapy</term><term>Comorbidity</term><term>Disease-Free Survival</term><term>Female</term><term>Follow-Up Studies</term><term>Health Behavior</term><term>Humans</term><term>Life Style</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Quality of Life (psychology)</term><term>Randomized Controlled Trials as Topic</term><term>Sick Role</term><term>Social Support</term><term>Socioeconomic Factors</term><term>Spirituality</term><term>Survivors (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Association thérapeutique</term><term>Climatère (psychologie)</term><term>Comorbidité</term><term>Comportement en matière de santé</term><term>Essais contrôlés randomisés comme sujet</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mode de vie</term><term>Protocoles de polychimiothérapie antinéoplasique (effets indésirables)</term><term>Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique)</term><term>Qualité de vie (psychologie)</term><term>Rôle de malade</term><term>Soutien social</term><term>Spiritualité</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Survie sans rechute</term><term>Survivants (psychologie)</term><term>Traitement médicamenteux adjuvant</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (psychologie)</term><term>Tumeurs du sein (traitement médicamenteux)</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Antineoplastic Combined Chemotherapy Protocols</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Protocoles de polychimiothérapie antinéoplasique</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Climatère</term><term>Qualité de vie</term><term>Survivants</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term><term>Climacteric</term><term>Quality of Life</term><term>Survivors</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Antineoplastic Combined Chemotherapy Protocols</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Protocoles de polychimiothérapie antinéoplasique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Chemotherapy, Adjuvant</term><term>Combined Modality Therapy</term><term>Comorbidity</term><term>Disease-Free Survival</term><term>Female</term><term>Follow-Up Studies</term><term>Health Behavior</term><term>Humans</term><term>Life Style</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Randomized Controlled Trials as Topic</term><term>Sick Role</term><term>Social Support</term><term>Socioeconomic Factors</term><term>Spirituality</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Association thérapeutique</term><term>Comorbidité</term><term>Comportement en matière de santé</term><term>Essais contrôlés randomisés comme sujet</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mode de vie</term><term>Rôle de malade</term><term>Soutien social</term><term>Spiritualité</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Survie sans rechute</term><term>Traitement médicamenteux adjuvant</term><term>Tumeurs du sein</term><term>Études de suivi</term></keywords></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><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Delaware</li><li>Illinois</li><li>Massachusetts</li><li>Ohio</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D." last="Paskett">Electra D. Paskett</name></region><name sortKey="Bittoni, Marisa A" sort="Bittoni, Marisa A" uniqKey="Bittoni M" first="Marisa A." last="Bittoni">Marisa A. Bittoni</name><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M." last="Day">Jeannette M. Day</name><name sortKey="Fleming, Gini F" sort="Fleming, Gini F" uniqKey="Fleming G" first="Gini F." last="Fleming">Gini F. Fleming</name><name sortKey="Grubbs, Stephen S" sort="Grubbs, Stephen S" uniqKey="Grubbs S" first="Stephen S." last="Grubbs">Stephen S. Grubbs</name><name sortKey="Habin, Karleen R" sort="Habin, Karleen R" uniqKey="Habin K" first="Karleen R." last="Habin">Karleen R. Habin</name><name sortKey="Hensley, Martee L" sort="Hensley, Martee L" uniqKey="Hensley M" first="Martee L." last="Hensley">Martee L. Hensley</name><name sortKey="Herndon Ii, James E" sort="Herndon Ii, James E" uniqKey="Herndon Ii J" first="James E." last="Herndon Ii">James E. Herndon Ii</name><name sortKey="Kornblith, Alice B" sort="Kornblith, Alice B" uniqKey="Kornblith A" first="Alice B." last="Kornblith">Alice B. Kornblith</name><name sortKey="List, Marcy A" sort="List, Marcy A" uniqKey="List M" first="Marcy A." last="List">Marcy A. List</name><name sortKey="Naughton, Michelle A" sort="Naughton, Michelle A" uniqKey="Naughton M" first="Michelle A." last="Naughton">Michelle A. Naughton</name><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D." last="Paskett">Electra D. Paskett</name><name sortKey="Pavy, Michael D" sort="Pavy, Michael D" uniqKey="Pavy M" first="Michael D." last="Pavy">Michael D. Pavy</name><name sortKey="Shapiro, Charles L" sort="Shapiro, Charles L" uniqKey="Shapiro C" first="Charles L." last="Shapiro">Charles L. Shapiro</name><name sortKey="Stark, Nancy N" sort="Stark, Nancy N" uniqKey="Stark N" first="Nancy N." last="Stark">Nancy N. Stark</name><name sortKey="Winer, Eric P" sort="Winer, Eric P" uniqKey="Winer E" first="Eric P." last="Winer">Eric P. Winer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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