Comorbidities and Quality of Life among Breast Cancer Survivors: A Prospective Study
Identifieur interne : 001F97 ( Main/Merge ); précédent : 001F96; suivant : 001F98Comorbidities and Quality of Life among Breast Cancer Survivors: A Prospective Study
Auteurs : Mei R. Fu ; Deborah Axelrod ; Amber A. Guth ; Charles M. Cleland ; Caitlin E. Ryan ; Kristen R. Weaver ; Jeanna M. Qiu ; Robin Kleinman ; Joan Scagliola ; Joseph J. Palamar ; Gail D Ramo MelkusSource :
- Journal of Personalized Medicine [ 2075-4426 ] ; 2015.
Abstract
Many breast cancer survivors have coexistent chronic diseases or comorbidities at the time of their cancer diagnosis. The purpose of the study was to evaluate the association of comorbidities on breast cancer survivors’ quality of life. A prospective design was used to recruit 140 women before cancer surgery, 134 women completed the study. Comorbidities were assessed using self-report and verified by medical record review and the Charlson Comorbidity Index (CCI) before and 12-month after cancer surgery. Quality of life was evaluated using Short-Form Health Survey (SF-36
Url:
DOI: 10.3390/jpm5030229
PubMed: 26132751
PubMed Central: 4600145
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PMC:4600145Le document en format XML
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<affiliation><nlm:aff id="af1-jpm-05-00229">College of Nursing, New York University, New York, NY 10010, USA; E-Mails:<email>chuck.cleland@nyu.edu</email>
(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
(J.M.Q.);<email>gdm3@nyu.edu</email>
(G.D.M.)</nlm:aff>
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(D.A.);<email>amber.guth@nyumc.org</email>
(A.A.G.)</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af3-jpm-05-00229">NYU Clinical Cancer Center, New York, NY 10016, USA; E-Mails:<email>robin.kleinman@nyumc.org</email>
(R.K.);<email>joan.scagliola@nyumc.org</email>
(J.S.)</nlm:aff>
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<author><name sortKey="Guth, Amber A" sort="Guth, Amber A" uniqKey="Guth A" first="Amber A." last="Guth">Amber A. Guth</name>
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(D.A.);<email>amber.guth@nyumc.org</email>
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(C.E.R.);<email>qiujeanna@gmail.com</email>
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<author><name sortKey="Qiu, Jeanna M" sort="Qiu, Jeanna M" uniqKey="Qiu J" first="Jeanna M." last="Qiu">Jeanna M. Qiu</name>
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(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
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(R.K.);<email>joan.scagliola@nyumc.org</email>
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<author><name sortKey="Scagliola, Joan" sort="Scagliola, Joan" uniqKey="Scagliola J" first="Joan" last="Scagliola">Joan Scagliola</name>
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(R.K.);<email>joan.scagliola@nyumc.org</email>
(J.S.)</nlm:aff>
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<author><name sortKey="Palamar, Joseph J" sort="Palamar, Joseph J" uniqKey="Palamar J" first="Joseph J." last="Palamar">Joseph J. Palamar</name>
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</nlm:aff>
</affiliation>
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(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comorbidities and Quality of Life among Breast Cancer Survivors: A Prospective Study</title>
<author><name sortKey="Fu, Mei R" sort="Fu, Mei R" uniqKey="Fu M" first="Mei R." last="Fu">Mei R. Fu</name>
<affiliation><nlm:aff id="af1-jpm-05-00229">College of Nursing, New York University, New York, NY 10010, USA; E-Mails:<email>chuck.cleland@nyu.edu</email>
(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
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<author><name sortKey="Axelrod, Deborah" sort="Axelrod, Deborah" uniqKey="Axelrod D" first="Deborah" last="Axelrod">Deborah Axelrod</name>
<affiliation><nlm:aff id="af2-jpm-05-00229">Department of Surgery, New York University School of Medicine, New York, NY 10016, USA; E-Mails:<email>Deborah.Axelrod@nyumc.org</email>
(D.A.);<email>amber.guth@nyumc.org</email>
(A.A.G.)</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af3-jpm-05-00229">NYU Clinical Cancer Center, New York, NY 10016, USA; E-Mails:<email>robin.kleinman@nyumc.org</email>
(R.K.);<email>joan.scagliola@nyumc.org</email>
(J.S.)</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guth, Amber A" sort="Guth, Amber A" uniqKey="Guth A" first="Amber A." last="Guth">Amber A. Guth</name>
<affiliation><nlm:aff id="af2-jpm-05-00229">Department of Surgery, New York University School of Medicine, New York, NY 10016, USA; E-Mails:<email>Deborah.Axelrod@nyumc.org</email>
(D.A.);<email>amber.guth@nyumc.org</email>
(A.A.G.)</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af3-jpm-05-00229">NYU Clinical Cancer Center, New York, NY 10016, USA; E-Mails:<email>robin.kleinman@nyumc.org</email>
(R.K.);<email>joan.scagliola@nyumc.org</email>
(J.S.)</nlm:aff>
</affiliation>
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<author><name sortKey="Cleland, Charles M" sort="Cleland, Charles M" uniqKey="Cleland C" first="Charles M." last="Cleland">Charles M. Cleland</name>
<affiliation><nlm:aff id="af1-jpm-05-00229">College of Nursing, New York University, New York, NY 10010, USA; E-Mails:<email>chuck.cleland@nyu.edu</email>
(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
(J.M.Q.);<email>gdm3@nyu.edu</email>
(G.D.M.)</nlm:aff>
</affiliation>
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<author><name sortKey="Ryan, Caitlin E" sort="Ryan, Caitlin E" uniqKey="Ryan C" first="Caitlin E." last="Ryan">Caitlin E. Ryan</name>
<affiliation><nlm:aff id="af1-jpm-05-00229">College of Nursing, New York University, New York, NY 10010, USA; E-Mails:<email>chuck.cleland@nyu.edu</email>
(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
(J.M.Q.);<email>gdm3@nyu.edu</email>
(G.D.M.)</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Weaver, Kristen R" sort="Weaver, Kristen R" uniqKey="Weaver K" first="Kristen R." last="Weaver">Kristen R. Weaver</name>
<affiliation><nlm:aff id="af1-jpm-05-00229">College of Nursing, New York University, New York, NY 10010, USA; E-Mails:<email>chuck.cleland@nyu.edu</email>
(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
(J.M.Q.);<email>gdm3@nyu.edu</email>
(G.D.M.)</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Qiu, Jeanna M" sort="Qiu, Jeanna M" uniqKey="Qiu J" first="Jeanna M." last="Qiu">Jeanna M. Qiu</name>
<affiliation><nlm:aff id="af1-jpm-05-00229">College of Nursing, New York University, New York, NY 10010, USA; E-Mails:<email>chuck.cleland@nyu.edu</email>
(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
(J.M.Q.);<email>gdm3@nyu.edu</email>
(G.D.M.)</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kleinman, Robin" sort="Kleinman, Robin" uniqKey="Kleinman R" first="Robin" last="Kleinman">Robin Kleinman</name>
<affiliation><nlm:aff id="af3-jpm-05-00229">NYU Clinical Cancer Center, New York, NY 10016, USA; E-Mails:<email>robin.kleinman@nyumc.org</email>
(R.K.);<email>joan.scagliola@nyumc.org</email>
(J.S.)</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Scagliola, Joan" sort="Scagliola, Joan" uniqKey="Scagliola J" first="Joan" last="Scagliola">Joan Scagliola</name>
<affiliation><nlm:aff id="af3-jpm-05-00229">NYU Clinical Cancer Center, New York, NY 10016, USA; E-Mails:<email>robin.kleinman@nyumc.org</email>
(R.K.);<email>joan.scagliola@nyumc.org</email>
(J.S.)</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Palamar, Joseph J" sort="Palamar, Joseph J" uniqKey="Palamar J" first="Joseph J." last="Palamar">Joseph J. Palamar</name>
<affiliation><nlm:aff id="af4-jpm-05-00229">Department of Population Health, New York University, New York, NY 10016, USA; E-Mail:<email>joseph.palamar@nyu.edu</email>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Melkus, Gail D Ramo" sort="Melkus, Gail D Ramo" uniqKey="Melkus G" first="Gail D Ramo" last="Melkus">Gail D Ramo Melkus</name>
<affiliation><nlm:aff id="af1-jpm-05-00229">College of Nursing, New York University, New York, NY 10010, USA; E-Mails:<email>chuck.cleland@nyu.edu</email>
(C.M.C.);<email>cer365@nyu.edu</email>
(C.E.R.);<email>qiujeanna@gmail.com</email>
(J.M.Q.);<email>gdm3@nyu.edu</email>
(G.D.M.)</nlm:aff>
</affiliation>
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<series><title level="j">Journal of Personalized Medicine</title>
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<front><div type="abstract" xml:lang="en"><p>Many breast cancer survivors have coexistent chronic diseases or comorbidities at the time of their cancer diagnosis. The purpose of the study was to evaluate the association of comorbidities on breast cancer survivors’ quality of life. A prospective design was used to recruit 140 women before cancer surgery, 134 women completed the study. Comorbidities were assessed using self-report and verified by medical record review and the Charlson Comorbidity Index (CCI) before and 12-month after cancer surgery. Quality of life was evaluated using Short-Form Health Survey (SF-36 <italic>v2</italic>
). Descriptive statistics, chi-square tests, <italic>t</italic>
-tests, Fisher’s exact test, and correlations were performed for data analysis. A total of 28 comorbidities were identified. Among the 134 patients, 73.8% had at least one of the comorbidities, 54.7% had 2–4, and only 7.4% had 5–8. Comorbidities did not change at 12 months after surgery. Numbers of comorbidities by patients’ self-report and weighted categorization of comorbidities by CCI had a similar negative correlation with overall quality of life scores as well as domains of general health, physical functioning, bodily pain, and vitality. Comorbidities, specifically hypertension, arthritis, and diabetes, were associated with poorer quality of life in multiple domains among breast cancer survivors. Future research should consider the combined influence of comorbidity and cancer on patients’ quality of life.</p>
</div>
</front>
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