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Estimated effects of potential interventions to prevent declines in self-rated health among breast cancer survivors

Identifieur interne : 004952 ( Ncbi/Merge ); précédent : 004951; suivant : 004953

Estimated effects of potential interventions to prevent declines in self-rated health among breast cancer survivors

Auteurs : Mario Schootman [États-Unis] ; Anjali D. Deshpande [États-Unis] ; Sandi Pruitt [États-Unis] ; Rebecca Aft [États-Unis] ; Donna B. Jeffe [États-Unis]

Source :

RBID : PMC:3255081

Abstract

Purpose

To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-poor self-rated health (SRH) in breast cancer survivors.

Methods

In 2007-2008, we interviewed 832 breast cancer survivors 1 year after diagnosis (baseline) and 1 year later. First, multivariable logistic regression models estimated the association between the predictors (sociodemographic factors, access to medical care, comorbid conditions, psychosocial factors, perceived neighborhood conditions, cancer-related behaviors, clinical factors) and SRH. Second, we estimated the probabilities of fair-poor SRH for values of the predictors for each breast cancer survivor. Third, we estimated the population-wide effect of potential changes in modifiable predictors on the incidence of fair-poor SRH.

Results

7.6% of participants (92.4% white; mean age: 58.0 years) whose SRH was rated good-excellent at baseline reported fair-poor SRH one year later. The largest potential reduction in incidence of fair-poor SRH could be obtained by eliminating surgical side effects (27.8% reduction) and comorbidity (21.8% reduction) and by engaging in any physical activity (19.6% reduction).

Conclusions

A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity and improving physical activity using evidence-based strategies.


Url:
DOI: 10.1016/j.annepidem.2011.10.011
PubMed: 22226030
PubMed Central: 3255081

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<title>Purpose</title>
<p id="P1">To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-poor self-rated health (SRH) in breast cancer survivors.</p>
</sec>
<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">In 2007-2008, we interviewed 832 breast cancer survivors 1 year after diagnosis (baseline) and 1 year later. First, multivariable logistic regression models estimated the association between the predictors (sociodemographic factors, access to medical care, comorbid conditions, psychosocial factors, perceived neighborhood conditions, cancer-related behaviors, clinical factors) and SRH. Second, we estimated the probabilities of fair-poor SRH for values of the predictors for each breast cancer survivor. Third, we estimated the population-wide effect of potential changes in modifiable predictors on the incidence of fair-poor SRH.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">7.6% of participants (92.4% white; mean age: 58.0 years) whose SRH was rated good-excellent at baseline reported fair-poor SRH one year later. The largest potential reduction in incidence of fair-poor SRH could be obtained by eliminating surgical side effects (27.8% reduction) and comorbidity (21.8% reduction) and by engaging in any physical activity (19.6% reduction).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity and improving physical activity using evidence-based strategies.</p>
</sec>
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</front>
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<name>
<surname>Deshpande</surname>
<given-names>Anjali D.</given-names>
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<xref rid="A2" ref-type="aff">2</xref>
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<name>
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<given-names>Rebecca</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
<xref rid="A3" ref-type="aff">3</xref>
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<name>
<surname>Jeffe</surname>
<given-names>Donna B.</given-names>
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<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
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Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis, MO 63108</aff>
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Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO 63110</aff>
<aff id="A3">
<label>3</label>
John Cochran VA Medical Center, Saint Louis, MO</aff>
<author-notes>
<corresp id="FN1">Mario Schootman (address for correspondence): Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, 4444 Forest Park Avenue, Saint Louis, MO 63108</corresp>
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<day>8</day>
<month>11</month>
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<year>2012</year>
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<pub-date pub-type="pmc-release">
<day>1</day>
<month>2</month>
<year>2013</year>
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<volume>22</volume>
<issue>2</issue>
<fpage>79</fpage>
<lpage>86</lpage>
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<copyright-statement>© 2011 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2011</copyright-year>
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<abstract>
<sec id="S1">
<title>Purpose</title>
<p id="P1">To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-poor self-rated health (SRH) in breast cancer survivors.</p>
</sec>
<sec sec-type="methods" id="S2">
<title>Methods</title>
<p id="P2">In 2007-2008, we interviewed 832 breast cancer survivors 1 year after diagnosis (baseline) and 1 year later. First, multivariable logistic regression models estimated the association between the predictors (sociodemographic factors, access to medical care, comorbid conditions, psychosocial factors, perceived neighborhood conditions, cancer-related behaviors, clinical factors) and SRH. Second, we estimated the probabilities of fair-poor SRH for values of the predictors for each breast cancer survivor. Third, we estimated the population-wide effect of potential changes in modifiable predictors on the incidence of fair-poor SRH.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">7.6% of participants (92.4% white; mean age: 58.0 years) whose SRH was rated good-excellent at baseline reported fair-poor SRH one year later. The largest potential reduction in incidence of fair-poor SRH could be obtained by eliminating surgical side effects (27.8% reduction) and comorbidity (21.8% reduction) and by engaging in any physical activity (19.6% reduction).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity and improving physical activity using evidence-based strategies.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Breast Cancer</kwd>
<kwd>Intervention</kwd>
<kwd>Disability</kwd>
</kwd-group>
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<name sortKey="Pruitt, Sandi" sort="Pruitt, Sandi" uniqKey="Pruitt S" first="Sandi" last="Pruitt">Sandi Pruitt</name>
<name sortKey="Pruitt, Sandi" sort="Pruitt, Sandi" uniqKey="Pruitt S" first="Sandi" last="Pruitt">Sandi Pruitt</name>
<name sortKey="Schootman, Mario" sort="Schootman, Mario" uniqKey="Schootman M" first="Mario" last="Schootman">Mario Schootman</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Ncbi/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004952 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd -nk 004952 | SxmlIndent | more

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{{Explor lien
   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
   |flux=    Ncbi
   |étape=   Merge
   |type=    RBID
   |clé=     PMC:3255081
   |texte=   Estimated effects of potential interventions to prevent declines in self-rated health among breast cancer survivors
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i   -Sk "pubmed:22226030" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1 

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