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Quality of life of 5–10 year breast cancer survivors diagnosed between age 40 and 49

Identifieur interne : 001A00 ( Ncbi/Merge ); précédent : 001999; suivant : 001A01

Quality of life of 5–10 year breast cancer survivors diagnosed between age 40 and 49

Auteurs : Deborah Casso [États-Unis] ; Diana Sm Buist [États-Unis] ; Stephen Taplin [États-Unis]

Source :

Health and Quality of Life Outcomes [ 1477-7525 ] ; 2004.

RBID : PMC:437638

Abstract

Background

The purpose of this report is to examine the correlates of quality of life (QOL) of a well-defined group of long-term breast cancer survivors diagnosed between the ages of 40 and 49.

Methods

Women were eligible if they were diagnosed with invasive breast cancer or ductal carcinoma in situ 5 to 10 years before June 30, 1998 and were enrolled at Group Health Cooperative, a health maintenance organization in western Washington State. A questionnaire was mailed to 290 women; 216 were included in this analysis. The questionnaire included standardized measures of QOL [e.g., the Cancer Rehabilitation Evaluation System (CARES-SF) and SF-36] as well as general demographic and medical information. ANOVA and logistic regression were used to estimate correlates of self-reported QOL.

Results

The mean age at diagnosis was 44.4 years, and the average time since diagnosis was 7.3 years. Women reported high levels of functioning across several standardized QOL scales; mild impairment was found on the CARES-SF Sexual Scale. The presence of breast-related symptoms at survey, use of adjuvant therapy, having lower income, and type of breast surgery were significantly associated with lower QOL 5 to 10 years post-diagnosis on one or more of the scales.

Conclusions

Our results emphasize that younger long-term survivors of breast cancer have a high QOL across several standardized measures. However, the long-term consequences of adjuvant therapy and the management of long-term breast-related symptoms are two areas that may be important for clinicians and women with breast cancer in understanding and optimizing long-term QOL.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC437638

DOI: 10.1186/1477-7525-2-25
PubMed: 15149547
PubMed Central: 437638

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PMC:437638

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<author><name sortKey="Casso, Deborah" sort="Casso, Deborah" uniqKey="Casso D" first="Deborah" last="Casso">Deborah Casso</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The purpose of this report is to examine the correlates of quality of life (QOL) of a well-defined group of long-term breast cancer survivors diagnosed between the ages of 40 and 49.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>Women were eligible if they were diagnosed with invasive breast cancer or ductal carcinoma <italic>in situ </italic>
5 to 10 years before June 30, 1998 and were enrolled at Group Health Cooperative, a health maintenance organization in western Washington State. A questionnaire was mailed to 290 women; 216 were included in this analysis. The questionnaire included standardized measures of QOL [e.g., the Cancer Rehabilitation Evaluation System (CARES-SF) and SF-36] as well as general demographic and medical information. ANOVA and logistic regression were used to estimate correlates of self-reported QOL.</p>
</sec>
<sec><title>Results</title>
<p>The mean age at diagnosis was 44.4 years, and the average time since diagnosis was 7.3 years. Women reported high levels of functioning across several standardized QOL scales; mild impairment was found on the CARES-SF Sexual Scale. The presence of breast-related symptoms at survey, use of adjuvant therapy, having lower income, and type of breast surgery were significantly associated with lower QOL 5 to 10 years post-diagnosis on one or more of the scales.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our results emphasize that younger long-term survivors of breast cancer have a high QOL across several standardized measures. However, the long-term consequences of adjuvant therapy and the management of long-term breast-related symptoms are two areas that may be important for clinicians and women with breast cancer in understanding and optimizing long-term QOL.</p>
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  <front><journal-meta><journal-id journal-id-type="nlm-ta">Health Qual Life Outcomes</journal-id>
<journal-title>Health and Quality of Life Outcomes</journal-title>
<issn pub-type="epub">1477-7525</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
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<article-id pub-id-type="pmc">437638</article-id>
<article-id pub-id-type="publisher-id">1477-7525-2-25</article-id>
<article-id pub-id-type="doi">10.1186/1477-7525-2-25</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
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<title-group><article-title>Quality of life of 5–10 year breast cancer survivors diagnosed between age 40 and 49</article-title>
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<contrib-group><contrib id="A1" corresp="yes" contrib-type="author"><name><surname>Casso</surname>
<given-names>Deborah</given-names>
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<xref ref-type="aff" rid="I1">1</xref>
<email>casso.d@ghc.org</email>
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<contrib id="A2" contrib-type="author"><name><surname>Buist</surname>
<given-names>Diana SM</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<xref ref-type="aff" rid="I2">2</xref>
<email>buist.d@ghc.org</email>
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<contrib id="A3" contrib-type="author"><name><surname>Taplin</surname>
<given-names>Stephen</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>taplins@mail.nih.gov</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Center for Health Studies, Group Health Cooperative, 1730 Minor Ave., Suite 1600, Seattle, WA, 98101, USA</aff>
<aff id="I2"><label>2</label>
Department of Epidemiology, University of Washington, Seattle, WA, USA</aff>
<aff id="I3"><label>3</label>
Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, EPN 4005, 6130 Executive Blvd- MSC 7344, Bethesda, MD, USA</aff>
<pub-date pub-type="collection"><year>2004</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>5</month>
<year>2004</year>
</pub-date>
<volume>2</volume>
<fpage>25</fpage>
<lpage>25</lpage>
<ext-link ext-link-type="uri" xlink:href="http://www.hqlo.com/content/2/1/25"></ext-link>
<history><date date-type="received"><day>6</day>
<month>2</month>
<year>2004</year>
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<date date-type="accepted"><day>18</day>
<month>5</month>
<year>2004</year>
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<permissions><copyright-statement>Copyright © 2004 Casso et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.</copyright-statement>
<copyright-year>2004</copyright-year>
<copyright-holder>Casso et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.</copyright-holder>
</permissions>
<abstract><sec><title>Background</title>
<p>The purpose of this report is to examine the correlates of quality of life (QOL) of a well-defined group of long-term breast cancer survivors diagnosed between the ages of 40 and 49.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>Women were eligible if they were diagnosed with invasive breast cancer or ductal carcinoma <italic>in situ </italic>
5 to 10 years before June 30, 1998 and were enrolled at Group Health Cooperative, a health maintenance organization in western Washington State. A questionnaire was mailed to 290 women; 216 were included in this analysis. The questionnaire included standardized measures of QOL [e.g., the Cancer Rehabilitation Evaluation System (CARES-SF) and SF-36] as well as general demographic and medical information. ANOVA and logistic regression were used to estimate correlates of self-reported QOL.</p>
</sec>
<sec><title>Results</title>
<p>The mean age at diagnosis was 44.4 years, and the average time since diagnosis was 7.3 years. Women reported high levels of functioning across several standardized QOL scales; mild impairment was found on the CARES-SF Sexual Scale. The presence of breast-related symptoms at survey, use of adjuvant therapy, having lower income, and type of breast surgery were significantly associated with lower QOL 5 to 10 years post-diagnosis on one or more of the scales.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our results emphasize that younger long-term survivors of breast cancer have a high QOL across several standardized measures. However, the long-term consequences of adjuvant therapy and the management of long-term breast-related symptoms are two areas that may be important for clinicians and women with breast cancer in understanding and optimizing long-term QOL.</p>
</sec>
</abstract>
<kwd-group><kwd>breast cancer</kwd>
<kwd>long-term survivors</kwd>
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<affiliations><list><country><li>États-Unis</li>
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<region><li>Washington (État)</li>
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Quality of life of 5–10 year breast cancer survivors diagnosed between age 40 and 49

Quality of life of 5–10 year breast cancer survivors diagnosed between age 40 and 49

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Abstract

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