Participation in Activities Associated With Quality of Life for Long-Term Survivors of Rectal Cancer
Identifieur interne : 003134 ( Pmc/Curation ); précédent : 003133; suivant : 003135Participation in Activities Associated With Quality of Life for Long-Term Survivors of Rectal Cancer
Auteurs : Carmit McmullenSource :
- The Permanente Journal [ 1552-5767 ] ; 2016.
Abstract
Cancer patients’ participation in social, recreational, and civic activities is strongly associated with quality of life (QOL), but these activities are not well integrated into cancer survivorship research or interventions.
Test the hypothesis that for long-term (≥ 5 years) survivors of rectal cancer, clinical factors (type of surgery and bowel function) are associated with long-term participation in activities and that participation in activities is associated with long-term QOL.
Observational study with longitudinal and cross-sectional components.
Participation in activities and QOL. Tumor registry records were used to identify patients and obtain clinical data; surveys assessed participation and QOL. Using general linear models, we analyzed participation in activities in relation to type of surgery and bowel function after adjustment for potential confounders. We analyzed overall QOL relative to participation in activities after adjustment.
A total of 567 rectal cancer survivors completed a mailed questionnaire. Overall response rate was 61%. The type of operation (p < 0.0001), receipt of radiation therapy (p = 0.002), and bowel function (p < 0.0001) were associated with participation in activities. Participation in activities was the strongest predictor of QOL (p < 0.0001), explaining 20% of the variance (
The importance of participation in activities on rectal cancer survivors’ QOL is underappreciated. We recommend revising QOL instruments used in cancer care and research to include questions about participation in activities. Interventions should address maintenance of preferred activities and adoption of new, fulfilling activities.
Url:
DOI: 10.7812/TPP/16-011
PubMed: 28241904
PubMed Central: 5283789
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Participation in Activities Associated With Quality of Life for Long-Term Survivors of Rectal Cancer</title><author><name sortKey="Mcmullen, Carmit" sort="Mcmullen, Carmit" uniqKey="Mcmullen C" first="Carmit" last="Mcmullen">Carmit Mcmullen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28241904</idno><idno type="pmc">5283789</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5283789</idno><idno type="RBID">PMC:5283789</idno><idno type="doi">10.7812/TPP/16-011</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003135</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003135</idno><idno type="wicri:Area/Pmc/Curation">003134</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003134</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Participation in Activities Associated With Quality of Life for Long-Term Survivors of Rectal Cancer</title><author><name sortKey="Mcmullen, Carmit" sort="Mcmullen, Carmit" uniqKey="Mcmullen C" first="Carmit" last="Mcmullen">Carmit Mcmullen</name></author></analytic><series><title level="j">The Permanente Journal</title><idno type="ISSN">1552-5767</idno><idno type="eISSN">1552-5775</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Context:</title><p>Cancer patients’ participation in social, recreational, and civic activities is strongly associated with quality of life (QOL), but these activities are not well integrated into cancer survivorship research or interventions.</p></sec><sec><title>Objective:</title><p>Test the hypothesis that for long-term (≥ 5 years) survivors of rectal cancer, clinical factors (type of surgery and bowel function) are associated with long-term participation in activities and that participation in activities is associated with long-term QOL.</p></sec><sec><title>Design:</title><p>Observational study with longitudinal and cross-sectional components.</p></sec><sec><title>Main Outcome Measures:</title><p>Participation in activities and QOL. Tumor registry records were used to identify patients and obtain clinical data; surveys assessed participation and QOL. Using general linear models, we analyzed participation in activities in relation to type of surgery and bowel function after adjustment for potential confounders. We analyzed overall QOL relative to participation in activities after adjustment.</p></sec><sec><title>Results:</title><p>A total of 567 rectal cancer survivors completed a mailed questionnaire. Overall response rate was 61%. The type of operation (p < 0.0001), receipt of radiation therapy (p = 0.002), and bowel function (p < 0.0001) were associated with participation in activities. Participation in activities was the strongest predictor of QOL (p < 0.0001), explaining 20% of the variance (<italic>R</italic><sup>2</sup>) in QOL, with all other variables together accounting for another 18% of the variance.</p></sec><sec><title>Conclusion:</title><p>The importance of participation in activities on rectal cancer survivors’ QOL is underappreciated. We recommend revising QOL instruments used in cancer care and research to include questions about participation in activities. Interventions should address maintenance of preferred activities and adoption of new, fulfilling activities.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Perm J</journal-id><journal-id journal-id-type="iso-abbrev">Perm J</journal-id><journal-id journal-id-type="publisher-id">prjl</journal-id><journal-title-group><journal-title>The Permanente Journal</journal-title></journal-title-group><issn pub-type="ppub">1552-5767</issn><issn pub-type="epub">1552-5775</issn><publisher><publisher-name>The Permanente Journal</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28241904</article-id><article-id pub-id-type="pmc">5283789</article-id><article-id pub-id-type="doi">10.7812/TPP/16-011</article-id><article-id pub-id-type="publisher-id">mcmullenfnl16-011</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research & Contributions</subject></subj-group></article-categories><title-group><article-title>Participation in Activities Associated With Quality of Life for Long-Term Survivors of Rectal Cancer</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>McMullen</surname><given-names>Carmit</given-names></name><degrees>PhD</degrees></contrib><aff id="af1-mcmullenfnl16-011">Medical Anthropologist and Investigator in the Science Programs Department at The Center for Health Research in Portland, OR. E-mail:<email>carmit.mcmullen@kpchr.org</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Liu</surname><given-names>Liyan</given-names></name><degrees>MD, MS</degrees></contrib><aff id="af2-mcmullenfnl16-011">Senior Data Consultant for the Division of Research in Oakland, CA. E-mail:<email>liyan.liu@kp.org</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Bulkley</surname><given-names>Joanna E</given-names></name><degrees>PhD</degrees></contrib><aff id="af3-mcmullenfnl16-011">Research Associate at The Center for Health Research in Portland, OR. E-mail:<email>joanna.e.bulkley@kpchr.org</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Hornbrook</surname><given-names>Mark C</given-names></name><degrees>PhD</degrees></contrib><aff id="af4-mcmullenfnl16-011">Chief Scientist at The Center for Health Research in Portland, OR. E-mail:<email>mark.c.hornbrook@kpchr.org</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Wendel</surname><given-names>Christopher</given-names></name><degrees>MS</degrees></contrib><aff id="af5-mcmullenfnl16-011">Instructor at the University of Arizona College of Medicine and Arizona Center on Aging in Tucson. E-mail:<email>cwendel@aging.arizona.edu</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Grant</surname><given-names>Marcia</given-names></name><degrees>RN, PhD, FAAN</degrees></contrib><aff id="af6-mcmullenfnl16-011">Distinguished Professor in the Department of Nursing Research and Education at the City of Hope National Medical Center in Duarte, CA. E-mail:<email>mgrant@coh.org</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Altschuler</surname><given-names>Andrea</given-names></name><degrees>PhD</degrees></contrib><aff id="af7-mcmullenfnl16-011">Research Project Manager for the Division of Research in Oakland, CA. E-mail:<email>andrea.altschuler@kp.org</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Temple</surname><given-names>Larissa KF</given-names></name><degrees>MD, MSc, FACS</degrees></contrib><aff id="af8-mcmullenfnl16-011">Surgical Oncologist at the Memorial Sloan-Kettering Cancer Center in New York, NY. E-mail:<email>templel@mskcc.org</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Krouse</surname><given-names>Robert S</given-names></name><degrees>MD, FACS</degrees></contrib><aff id="af9-mcmullenfnl16-011">Instructor of Surgery at the University of Pennslvania School of Medicine and Chief of Surgery for the CMC Veterans Affairs Medical Center in Philadelphia. E-mail:<email>robert.krouse@uphs.upenn.edu</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Herrinton</surname><given-names>Lisa</given-names></name><degrees>PhD</degrees></contrib><aff id="af10-mcmullenfnl16-011">Research Scientist for the Division of Research in Oakland, CA. E-mail:<email>lisa.herrinton@kp.org</email>.</aff></contrib-group><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>16</day><month>12</month><year>2016</year></pub-date><volume>21</volume><elocation-id>16-011</elocation-id><permissions><copyright-statement>© 2017 The Permanente Journal</copyright-statement><copyright-year>2017</copyright-year></permissions><abstract><sec><title>Context:</title><p>Cancer patients’ participation in social, recreational, and civic activities is strongly associated with quality of life (QOL), but these activities are not well integrated into cancer survivorship research or interventions.</p></sec><sec><title>Objective:</title><p>Test the hypothesis that for long-term (≥ 5 years) survivors of rectal cancer, clinical factors (type of surgery and bowel function) are associated with long-term participation in activities and that participation in activities is associated with long-term QOL.</p></sec><sec><title>Design:</title><p>Observational study with longitudinal and cross-sectional components.</p></sec><sec><title>Main Outcome Measures:</title><p>Participation in activities and QOL. Tumor registry records were used to identify patients and obtain clinical data; surveys assessed participation and QOL. Using general linear models, we analyzed participation in activities in relation to type of surgery and bowel function after adjustment for potential confounders. We analyzed overall QOL relative to participation in activities after adjustment.</p></sec><sec><title>Results:</title><p>A total of 567 rectal cancer survivors completed a mailed questionnaire. Overall response rate was 61%. The type of operation (p < 0.0001), receipt of radiation therapy (p = 0.002), and bowel function (p < 0.0001) were associated with participation in activities. Participation in activities was the strongest predictor of QOL (p < 0.0001), explaining 20% of the variance (<italic>R</italic><sup>2</sup>) in QOL, with all other variables together accounting for another 18% of the variance.</p></sec><sec><title>Conclusion:</title><p>The importance of participation in activities on rectal cancer survivors’ QOL is underappreciated. We recommend revising QOL instruments used in cancer care and research to include questions about participation in activities. Interventions should address maintenance of preferred activities and adoption of new, fulfilling activities.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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