Applying a Conceptual Model for Examining Health-Related Quality of Life in Long-Term Breast Cancer Survivors: CALGB Study 79804
Identifieur interne : 002B93 ( Ncbi/Merge ); précédent : 002B92; suivant : 002B94Applying a Conceptual Model for Examining Health-Related Quality of Life in Long-Term Breast Cancer Survivors: CALGB Study 79804
Auteurs : Electra D. Paskett ; James E. Herndon ; Jeannette M. Day ; Nancy N. Stark ; Eric P. Winer ; Stephen S. Grubbs ; Michael D. Pavy ; Charles L. Shapiro ; Marcy A. List ; Martee L. Hensley ; Michelle A. Naughton ; Alice B. Kornblith ; Karleen R. Habin ; Gini F. Fleming ; Marisa A. BittoniSource :
- Psycho-oncology [ 1057-9249 ] ; 2008.
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
The Survivor’s Health and Reaction (SHARE) study used a quality of life model adapted for cancer survivors by Dow, Ferrell and colleagues to identify factors related to global health-related quality of life (HRQL) and the prevalence of problems and healthy behaviors in breast cancer patients who participated in CALGB 8541. A total of 245 survivors (78% of those invited) who were 9.4 to 16.5 years post-diagnosis completed surveys that inquired about current HRQL, economic, spiritual, physical and psychosocial concerns, and health behaviors, (e.g. smoking, exercise, and supplement use). A regression model developed to characterize global self-assessment of HRQL from all domains showed a negative effect on global HRQL from lower social support (OR=1.03, 95% CI: 1.02, 1.05), having heart disease (OR=5.01, 95% CI: 1.39, 18.1), decreased energy (OR=1.05, 95% CI: 1.03, 1.07), and having 2 or more co-morbidities (OR=2.39, 95%CI: 1.10,5.19). Some women reported engaging in healthy behaviors since their cancer diagnosis, such as increasing exercise (31%), and reducing/quitting smoking (20%). The most prevalent problem reported was menopausal symptoms (59%). Although breast cancer survivors reported making positive lifestyle changes, physical and social factors, such as heart disease, decreased social support and having 2 or more comorbidities were found to be significantly related to HRQL. Factors related to psychological, spiritual and economic domains were not predictive of global HRQL. Suggestions are provided for areas in which to target interventions in order to improve HRQL in long-term breast cancer survivors.
Url:
DOI: 10.1002/pon.1329
PubMed: 18314912
PubMed Central: 3930158
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PMC:3930158Le document en format XML
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Paskett</name><affiliation><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author><author><name sortKey="Herndon, James E" sort="Herndon, James E" uniqKey="Herndon J" first="James E." last="Herndon">James E. Herndon</name><affiliation><nlm:aff id="A2">CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M." last="Day">Jeannette M. Day</name><affiliation><nlm:aff id="A2">CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Stark, Nancy N" sort="Stark, Nancy N" uniqKey="Stark N" first="Nancy N." last="Stark">Nancy N. Stark</name><affiliation><nlm:aff id="A3">Wake Forest University School of Medicine, Winston-Salem, NC, supported by CA03927</nlm:aff><wicri:noCountry code="subfield">supported by CA03927</wicri:noCountry></affiliation></author><author><name sortKey="Winer, Eric P" sort="Winer, Eric P" uniqKey="Winer E" first="Eric P." last="Winer">Eric P. Winer</name><affiliation><nlm:aff id="A4">Dana-Farber Cancer Institute, Boston, MA, supported by CA32291</nlm:aff><wicri:noCountry code="subfield">supported by CA32291</wicri:noCountry></affiliation></author><author><name sortKey="Grubbs, Stephen S" sort="Grubbs, Stephen S" uniqKey="Grubbs S" first="Stephen S." last="Grubbs">Stephen S. Grubbs</name><affiliation><nlm:aff id="A5">Helen F. Graham Cancer Center, Delaware Christiana Care CCOP, Newark, DE, supported by CA45418</nlm:aff><wicri:noCountry code="subfield">supported by CA45418</wicri:noCountry></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><nlm:aff id="A6">Southeast Cancer Control Consortium Inc. CCOP, Goldsboro, NC, supported by CA45808</nlm:aff><wicri:noCountry code="subfield">supported by CA45808</wicri:noCountry></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><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></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><nlm:aff id="A7">University of Chicago Cancer Research Center, Chicago, IL, supported by CA41287</nlm:aff><wicri:noCountry code="subfield">supported by CA41287</wicri:noCountry></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><nlm:aff id="A8">Memorial Sloan-Kettering Cancer Center, New York, NY, supported by CA77651</nlm:aff><wicri:noCountry code="subfield">supported by CA77651</wicri:noCountry></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><nlm:aff id="A3">Wake Forest University School of Medicine, Winston-Salem, NC, supported by CA03927</nlm:aff><wicri:noCountry code="subfield">supported by CA03927</wicri:noCountry></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><nlm:aff id="A4">Dana-Farber Cancer Institute, Boston, MA, supported by CA32291</nlm:aff><wicri:noCountry code="subfield">supported by CA32291</wicri:noCountry></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><nlm:aff id="A9">Massachusetts General Hospital Cancer Center, Boston, MA, supported by CA12449</nlm:aff><wicri:noCountry code="subfield">supported by CA12449</wicri:noCountry></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><nlm:aff id="A7">University of Chicago Cancer Research Center, Chicago, IL, supported by CA41287</nlm:aff><wicri:noCountry code="subfield">supported by CA41287</wicri:noCountry></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><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author></analytic><series><title level="j">Psycho-oncology</title><idno type="ISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></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"><title>Summary</title><p id="P2">The Survivor’s Health and Reaction (SHARE) study used a quality of life model adapted for cancer survivors by Dow, Ferrell and colleagues to identify factors related to global health-related quality of life (HRQL) and the prevalence of problems and healthy behaviors in breast cancer patients who participated in CALGB 8541. A total of 245 survivors (78% of those invited) who were 9.4 to 16.5 years post-diagnosis completed surveys that inquired about current HRQL, economic, spiritual, physical and psychosocial concerns, and health behaviors, (e.g. smoking, exercise, and supplement use). A regression model developed to characterize global self-assessment of HRQL from all domains showed a negative effect on global HRQL from lower social support (OR=1.03, 95% CI: 1.02, 1.05), having heart disease (OR=5.01, 95% CI: 1.39, 18.1), decreased energy (OR=1.05, 95% CI: 1.03, 1.07), and having 2 or more co-morbidities (OR=2.39, 95%CI: 1.10,5.19). Some women reported engaging in healthy behaviors since their cancer diagnosis, such as increasing exercise (31%), and reducing/quitting smoking (20%). The most prevalent problem reported was menopausal symptoms (59%). Although breast cancer survivors reported making positive lifestyle changes, physical and social factors, such as heart disease, decreased social support and having 2 or more comorbidities were found to be significantly related to HRQL. Factors related to psychological, spiritual and economic domains were not predictive of global HRQL. Suggestions are provided for areas in which to target interventions in order to improve HRQL in long-term breast cancer survivors.</p></div></front></TEI><double pmid="18314912"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Applying a Conceptual Model for Examining Health-Related Quality of Life in Long-Term Breast Cancer Survivors: CALGB Study 79804</title><author><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D." last="Paskett">Electra D. Paskett</name><affiliation><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author><author><name sortKey="Herndon, James E" sort="Herndon, James E" uniqKey="Herndon J" first="James E." last="Herndon">James E. Herndon</name><affiliation><nlm:aff id="A2">CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M." last="Day">Jeannette M. Day</name><affiliation><nlm:aff id="A2">CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Stark, Nancy N" sort="Stark, Nancy N" uniqKey="Stark N" first="Nancy N." last="Stark">Nancy N. Stark</name><affiliation><nlm:aff id="A3">Wake Forest University School of Medicine, Winston-Salem, NC, supported by CA03927</nlm:aff><wicri:noCountry code="subfield">supported by CA03927</wicri:noCountry></affiliation></author><author><name sortKey="Winer, Eric P" sort="Winer, Eric P" uniqKey="Winer E" first="Eric P." last="Winer">Eric P. Winer</name><affiliation><nlm:aff id="A4">Dana-Farber Cancer Institute, Boston, MA, supported by CA32291</nlm:aff><wicri:noCountry code="subfield">supported by CA32291</wicri:noCountry></affiliation></author><author><name sortKey="Grubbs, Stephen S" sort="Grubbs, Stephen S" uniqKey="Grubbs S" first="Stephen S." last="Grubbs">Stephen S. Grubbs</name><affiliation><nlm:aff id="A5">Helen F. Graham Cancer Center, Delaware Christiana Care CCOP, Newark, DE, supported by CA45418</nlm:aff><wicri:noCountry code="subfield">supported by CA45418</wicri:noCountry></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><nlm:aff id="A6">Southeast Cancer Control Consortium Inc. CCOP, Goldsboro, NC, supported by CA45808</nlm:aff><wicri:noCountry code="subfield">supported by CA45808</wicri:noCountry></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><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></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><nlm:aff id="A7">University of Chicago Cancer Research Center, Chicago, IL, supported by CA41287</nlm:aff><wicri:noCountry code="subfield">supported by CA41287</wicri:noCountry></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><nlm:aff id="A8">Memorial Sloan-Kettering Cancer Center, New York, NY, supported by CA77651</nlm:aff><wicri:noCountry code="subfield">supported by CA77651</wicri:noCountry></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><nlm:aff id="A3">Wake Forest University School of Medicine, Winston-Salem, NC, supported by CA03927</nlm:aff><wicri:noCountry code="subfield">supported by CA03927</wicri:noCountry></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><nlm:aff id="A4">Dana-Farber Cancer Institute, Boston, MA, supported by CA32291</nlm:aff><wicri:noCountry code="subfield">supported by CA32291</wicri:noCountry></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><nlm:aff id="A9">Massachusetts General Hospital Cancer Center, Boston, MA, supported by CA12449</nlm:aff><wicri:noCountry code="subfield">supported by CA12449</wicri:noCountry></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><nlm:aff id="A7">University of Chicago Cancer Research Center, Chicago, IL, supported by CA41287</nlm:aff><wicri:noCountry code="subfield">supported by CA41287</wicri:noCountry></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><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18314912</idno><idno type="pmc">3930158</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930158</idno><idno type="RBID">PMC:3930158</idno><idno type="doi">10.1002/pon.1329</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">003929</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003929</idno><idno type="wicri:Area/Pmc/Curation">003928</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003928</idno><idno type="wicri:Area/Pmc/Checkpoint">003A26</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003A26</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Applying a Conceptual Model for Examining Health-Related Quality of Life in Long-Term Breast Cancer Survivors: CALGB Study 79804</title><author><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D." last="Paskett">Electra D. Paskett</name><affiliation><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author><author><name sortKey="Herndon, James E" sort="Herndon, James E" uniqKey="Herndon J" first="James E." last="Herndon">James E. Herndon</name><affiliation><nlm:aff id="A2">CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M." last="Day">Jeannette M. Day</name><affiliation><nlm:aff id="A2">CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Stark, Nancy N" sort="Stark, Nancy N" uniqKey="Stark N" first="Nancy N." last="Stark">Nancy N. Stark</name><affiliation><nlm:aff id="A3">Wake Forest University School of Medicine, Winston-Salem, NC, supported by CA03927</nlm:aff><wicri:noCountry code="subfield">supported by CA03927</wicri:noCountry></affiliation></author><author><name sortKey="Winer, Eric P" sort="Winer, Eric P" uniqKey="Winer E" first="Eric P." last="Winer">Eric P. Winer</name><affiliation><nlm:aff id="A4">Dana-Farber Cancer Institute, Boston, MA, supported by CA32291</nlm:aff><wicri:noCountry code="subfield">supported by CA32291</wicri:noCountry></affiliation></author><author><name sortKey="Grubbs, Stephen S" sort="Grubbs, Stephen S" uniqKey="Grubbs S" first="Stephen S." last="Grubbs">Stephen S. Grubbs</name><affiliation><nlm:aff id="A5">Helen F. Graham Cancer Center, Delaware Christiana Care CCOP, Newark, DE, supported by CA45418</nlm:aff><wicri:noCountry code="subfield">supported by CA45418</wicri:noCountry></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><nlm:aff id="A6">Southeast Cancer Control Consortium Inc. CCOP, Goldsboro, NC, supported by CA45808</nlm:aff><wicri:noCountry code="subfield">supported by CA45808</wicri:noCountry></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><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></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><nlm:aff id="A7">University of Chicago Cancer Research Center, Chicago, IL, supported by CA41287</nlm:aff><wicri:noCountry code="subfield">supported by CA41287</wicri:noCountry></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><nlm:aff id="A8">Memorial Sloan-Kettering Cancer Center, New York, NY, supported by CA77651</nlm:aff><wicri:noCountry code="subfield">supported by CA77651</wicri:noCountry></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><nlm:aff id="A3">Wake Forest University School of Medicine, Winston-Salem, NC, supported by CA03927</nlm:aff><wicri:noCountry code="subfield">supported by CA03927</wicri:noCountry></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><nlm:aff id="A4">Dana-Farber Cancer Institute, Boston, MA, supported by CA32291</nlm:aff><wicri:noCountry code="subfield">supported by CA32291</wicri:noCountry></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><nlm:aff id="A9">Massachusetts General Hospital Cancer Center, Boston, MA, supported by CA12449</nlm:aff><wicri:noCountry code="subfield">supported by CA12449</wicri:noCountry></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><nlm:aff id="A7">University of Chicago Cancer Research Center, Chicago, IL, supported by CA41287</nlm:aff><wicri:noCountry code="subfield">supported by CA41287</wicri:noCountry></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><nlm:aff id="A1">The Ohio State University Comprehensive Cancer Center, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author></analytic><series><title level="j">Psycho-oncology</title><idno type="ISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p id="P2">The Survivor’s Health and Reaction (SHARE) study used a quality of life model adapted for cancer survivors by Dow, Ferrell and colleagues to identify factors related to global health-related quality of life (HRQL) and the prevalence of problems and healthy behaviors in breast cancer patients who participated in CALGB 8541. A total of 245 survivors (78% of those invited) who were 9.4 to 16.5 years post-diagnosis completed surveys that inquired about current HRQL, economic, spiritual, physical and psychosocial concerns, and health behaviors, (e.g. smoking, exercise, and supplement use). A regression model developed to characterize global self-assessment of HRQL from all domains showed a negative effect on global HRQL from lower social support (OR=1.03, 95% CI: 1.02, 1.05), having heart disease (OR=5.01, 95% CI: 1.39, 18.1), decreased energy (OR=1.05, 95% CI: 1.03, 1.07), and having 2 or more co-morbidities (OR=2.39, 95%CI: 1.10,5.19). Some women reported engaging in healthy behaviors since their cancer diagnosis, such as increasing exercise (31%), and reducing/quitting smoking (20%). The most prevalent problem reported was menopausal symptoms (59%). Although breast cancer survivors reported making positive lifestyle changes, physical and social factors, such as heart disease, decreased social support and having 2 or more comorbidities were found to be significantly related to HRQL. Factors related to psychological, spiritual and economic domains were not predictive of global HRQL. Suggestions are provided for areas in which to target interventions in order to improve HRQL in long-term breast cancer survivors.</p></div></front></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Applying a conceptual model for examining health-related quality of life in long-term breast cancer survivors: CALGB study 79804.</title><author><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D" last="Paskett">Electra D. Paskett</name><affiliation wicri:level="2"><nlm:affiliation>The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210-1240, USA. electra.paskett@osumc.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210-1240</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Herndon, James E" sort="Herndon, James E" uniqKey="Herndon J" first="James E" last="Herndon">James E. Herndon</name></author><author><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M" last="Day">Jeannette M. Day</name></author><author><name sortKey="Stark, Nancy N" sort="Stark, Nancy N" uniqKey="Stark N" first="Nancy N" last="Stark">Nancy N. Stark</name></author><author><name sortKey="Winer, Eric P" sort="Winer, Eric P" uniqKey="Winer E" first="Eric P" last="Winer">Eric P. Winer</name></author><author><name sortKey="Grubbs, Stephen S" sort="Grubbs, Stephen S" uniqKey="Grubbs S" first="Stephen S" last="Grubbs">Stephen S. Grubbs</name></author><author><name sortKey="Pavy, Michael D" sort="Pavy, Michael D" uniqKey="Pavy M" first="Michael D" last="Pavy">Michael D. Pavy</name></author><author><name sortKey="Shapiro, Charles L" sort="Shapiro, Charles L" uniqKey="Shapiro C" first="Charles L" last="Shapiro">Charles L. Shapiro</name></author><author><name sortKey="List, Marcy A" sort="List, Marcy A" uniqKey="List M" first="Marcy A" last="List">Marcy A. List</name></author><author><name sortKey="Hensley, Martee L" sort="Hensley, Martee L" uniqKey="Hensley M" first="Martee L" last="Hensley">Martee L. Hensley</name></author><author><name sortKey="Naughton, Michelle A" sort="Naughton, Michelle A" uniqKey="Naughton M" first="Michelle A" last="Naughton">Michelle A. Naughton</name></author><author><name sortKey="Kornblith, Alice B" sort="Kornblith, Alice B" uniqKey="Kornblith A" first="Alice B" last="Kornblith">Alice B. Kornblith</name></author><author><name sortKey="Habin, Karleen R" sort="Habin, Karleen R" uniqKey="Habin K" first="Karleen R" last="Habin">Karleen R. Habin</name></author><author><name sortKey="Fleming, Gini F" sort="Fleming, Gini F" uniqKey="Fleming G" first="Gini F" last="Fleming">Gini F. Fleming</name></author><author><name sortKey="Bittoni, Marisa A" sort="Bittoni, Marisa A" uniqKey="Bittoni M" first="Marisa A" last="Bittoni">Marisa A. Bittoni</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18314912</idno><idno type="pmid">18314912</idno><idno type="doi">10.1002/pon.1329</idno><idno type="wicri:Area/PubMed/Corpus">003363</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003363</idno><idno type="wicri:Area/PubMed/Curation">003363</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003363</idno><idno type="wicri:Area/PubMed/Checkpoint">003363</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003363</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Applying a conceptual model for examining health-related quality of life in long-term breast cancer survivors: CALGB study 79804.</title><author><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D" last="Paskett">Electra D. Paskett</name><affiliation wicri:level="2"><nlm:affiliation>The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210-1240, USA. electra.paskett@osumc.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210-1240</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Herndon, James E" sort="Herndon, James E" uniqKey="Herndon J" first="James E" last="Herndon">James E. Herndon</name></author><author><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M" last="Day">Jeannette M. Day</name></author><author><name sortKey="Stark, Nancy N" sort="Stark, Nancy N" uniqKey="Stark N" first="Nancy N" last="Stark">Nancy N. Stark</name></author><author><name sortKey="Winer, Eric P" sort="Winer, Eric P" uniqKey="Winer E" first="Eric P" last="Winer">Eric P. Winer</name></author><author><name sortKey="Grubbs, Stephen S" sort="Grubbs, Stephen S" uniqKey="Grubbs S" first="Stephen S" last="Grubbs">Stephen S. Grubbs</name></author><author><name sortKey="Pavy, Michael D" sort="Pavy, Michael D" uniqKey="Pavy M" first="Michael D" last="Pavy">Michael D. Pavy</name></author><author><name sortKey="Shapiro, Charles L" sort="Shapiro, Charles L" uniqKey="Shapiro C" first="Charles L" last="Shapiro">Charles L. Shapiro</name></author><author><name sortKey="List, Marcy A" sort="List, Marcy A" uniqKey="List M" first="Marcy A" last="List">Marcy A. List</name></author><author><name sortKey="Hensley, Martee L" sort="Hensley, Martee L" uniqKey="Hensley M" first="Martee L" last="Hensley">Martee L. Hensley</name></author><author><name sortKey="Naughton, Michelle A" sort="Naughton, Michelle A" uniqKey="Naughton M" first="Michelle A" last="Naughton">Michelle A. Naughton</name></author><author><name sortKey="Kornblith, Alice B" sort="Kornblith, Alice B" uniqKey="Kornblith A" first="Alice B" last="Kornblith">Alice B. Kornblith</name></author><author><name sortKey="Habin, Karleen R" sort="Habin, Karleen R" uniqKey="Habin K" first="Karleen R" last="Habin">Karleen R. Habin</name></author><author><name sortKey="Fleming, Gini F" sort="Fleming, Gini F" uniqKey="Fleming G" first="Gini F" last="Fleming">Gini F. Fleming</name></author><author><name sortKey="Bittoni, Marisa A" sort="Bittoni, Marisa A" uniqKey="Bittoni M" first="Marisa A" last="Bittoni">Marisa A. Bittoni</name></author></analytic><series><title level="j">Psycho-oncology</title><idno type="eISSN">1099-1611</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></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">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.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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