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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Does Economic Burden Influence Quality of Life in Breast Cancer Survivors?</title><author><name sortKey="Meneses, Karen" sort="Meneses, Karen" uniqKey="Meneses K" first="Karen" last="Meneses">Karen Meneses</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Azuero, Andres" sort="Azuero, Andres" uniqKey="Azuero A" first="Andres" last="Azuero">Andres Azuero</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Hassey, Lauren" sort="Hassey, Lauren" uniqKey="Hassey L" first="Lauren" last="Hassey">Lauren Hassey</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Mcnees, Patrick" sort="Mcnees, Patrick" uniqKey="Mcnees P" first="Patrick" last="Mcnees">Patrick Mcnees</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation><affiliation><nlm:aff id="A2">School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Pisu, Maria" sort="Pisu, Maria" uniqKey="Pisu M" first="Maria" last="Pisu">Maria Pisu</name><affiliation><nlm:aff id="A3">School of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22138013</idno><idno type="pmc">3278545</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278545</idno><idno type="RBID">PMC:3278545</idno><idno type="doi">10.1016/j.ygyno.2011.11.038</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002969</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002969</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Does Economic Burden Influence Quality of Life in Breast Cancer Survivors?</title><author><name sortKey="Meneses, Karen" sort="Meneses, Karen" uniqKey="Meneses K" first="Karen" last="Meneses">Karen Meneses</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Azuero, Andres" sort="Azuero, Andres" uniqKey="Azuero A" first="Andres" last="Azuero">Andres Azuero</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Hassey, Lauren" sort="Hassey, Lauren" uniqKey="Hassey L" first="Lauren" last="Hassey">Lauren Hassey</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Mcnees, Patrick" sort="Mcnees, Patrick" uniqKey="Mcnees P" first="Patrick" last="Mcnees">Patrick Mcnees</name><affiliation><nlm:aff id="A1">School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation><affiliation><nlm:aff id="A2">School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author><author><name sortKey="Pisu, Maria" sort="Pisu, Maria" uniqKey="Pisu M" first="Maria" last="Pisu">Maria Pisu</name><affiliation><nlm:aff id="A3">School of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL.</nlm:aff></affiliation></author></analytic><series><title level="j">Gynecologic Oncology</title><idno type="ISSN">0090-8258</idno><idno type="eISSN">1095-6859</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Goals</title><p id="P1">Economic burden is emerging as a crucial dimension in our understanding of adjustment to cancer during treatment. Yet, economic burden is rarely examined in cancer survivorship. The goal of this paper is to describe the effect of economic hardship and burden among women with breast cancer.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">We examined baseline and follow-up (3 and 6 month) data reported by 132 stage I and II breast cancer survivors assigned to the Wait Control arm of the Breast Cancer Education Intervention (BCEI), a clinical trial of education and support interventions. Repeated measures models fitted with linear mixed models were used to examine relationships between aspects of economic burden and overall quality of life (QOL) scores. Structural equation models (SEM) were used to examine the relationship between overall economic burden and QOL.</p></sec><sec id="S3"><title>Results</title><p id="P3">Nineteen economic events were reported. The proportion of survivors who reported increase in insurance premiums increased in the 6-month study period (p=.022). The proportion of survivors reporting change in motivation (p=.016), productivity (p=.002), quality of work (p=.01), days missed from work (p<.001) and sacrificing other things (p=.001) declined. An increase in economic events was significantly associated with poorer quality of life at each of the study time points.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Economic burden of breast cancer extends into post-treatment survivorship. Better understanding of economic impact and managing economic burden may help maintain QOL.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0365304</journal-id><journal-id journal-id-type="pubmed-jr-id">3932</journal-id><journal-id journal-id-type="nlm-ta">Gynecol Oncol</journal-id><journal-title-group><journal-title>Gynecologic Oncology</journal-title></journal-title-group><issn pub-type="ppub">0090-8258</issn><issn pub-type="epub">1095-6859</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22138013</article-id><article-id pub-id-type="pmc">3278545</article-id><article-id pub-id-type="doi">10.1016/j.ygyno.2011.11.038</article-id><article-id pub-id-type="manuscript">NIHMS346783</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Does Economic Burden Influence Quality of Life in Breast Cancer Survivors?</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Meneses</surname><given-names>Karen</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Azuero</surname><given-names>Andres</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Hassey</surname><given-names>Lauren</given-names></name><degrees>BSN</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>McNees</surname><given-names>Patrick</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Pisu</surname><given-names>Maria</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>School of Nursing, University of Alabama at Birmingham, Birmingham, AL.</aff><aff id="A2"><label>2</label>School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.</aff><aff id="A3"><label>3</label>School of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL.</aff><author-notes><corresp id="cor1"><bold>Corresponding Author:</bold> Karen Meneses PhD, RN, FAAN, Professor, Associate Dean for Research School of Nursing, 1701 University Blvd, 2M029, University of Alabama at Birmingham, Birmingham, AL 35294</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>3</day><month>1</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>29</day><month>11</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>3</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>3</month><year>2013</year></pub-date><volume>124</volume><issue>3</issue><fpage>437</fpage><lpage>443</lpage><permissions><copyright-statement>© 2011 Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><sec id="S1"><title>Goals</title><p id="P1">Economic burden is emerging as a crucial dimension in our understanding of adjustment to cancer during treatment. Yet, economic burden is rarely examined in cancer survivorship. The goal of this paper is to describe the effect of economic hardship and burden among women with breast cancer.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">We examined baseline and follow-up (3 and 6 month) data reported by 132 stage I and II breast cancer survivors assigned to the Wait Control arm of the Breast Cancer Education Intervention (BCEI), a clinical trial of education and support interventions. Repeated measures models fitted with linear mixed models were used to examine relationships between aspects of economic burden and overall quality of life (QOL) scores. Structural equation models (SEM) were used to examine the relationship between overall economic burden and QOL.</p></sec><sec id="S3"><title>Results</title><p id="P3">Nineteen economic events were reported. The proportion of survivors who reported increase in insurance premiums increased in the 6-month study period (p=.022). The proportion of survivors reporting change in motivation (p=.016), productivity (p=.002), quality of work (p=.01), days missed from work (p<.001) and sacrificing other things (p=.001) declined. An increase in economic events was significantly associated with poorer quality of life at each of the study time points.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Economic burden of breast cancer extends into post-treatment survivorship. Better understanding of economic impact and managing economic burden may help maintain QOL.</p></sec></abstract><kwd-group><kwd>economic burden</kwd><kwd>survivorship</kwd><kwd>structural equation modeling</kwd><kwd>quality of life</kwd><kwd>breast cancer</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Nursing Research : NINR</funding-source><award-id>R01 NR005332-04 || NR</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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