Trajectories of quality of life following breast cancer diagnosis

Goyal, Neha; Levine, Beverly; Zee, Kimberly J. Van; Naftalis, Elizabeth; Avis, Nancy E.

doi:10.1007/s10549-018-4677-2

Cited by 32 publications

(61 citation statements)

References 44 publications

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“…Therefore, investigating HR-QoL by looking at average levels within the sample is not as useful as by investigating subgroups with distinct developmental trajectories of HR-QoL. Previous studies already identified several trajectories of HR-QoL in people during or after rehabilitation from breast cancer or stroke, which were related to the proposed characteristic trajectories of level of dysfunction: high, recovery, decline and low HR-QoL [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study

et al. 2020

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Purpose To identify Health-related Quality of Life (HR-QoL) trajectories in a large heterogeneous cohort of people with a physical disability and/or chronic disease during and after rehabilitation and to determine which factors before discharge are associated with longitudinal trajectory membership. Methods A total of 1100 people with a physical disability and/or chronic disease were included from the longitudinal cohort study Rehabilitation, Sports and Active lifestyle. All participants participated in a physical activity promotion programme in Dutch rehabilitation care. HR-QoL was assessed using the RAND-12 Health Status Inventory questionnaire at baseline (T0: 3–6 weeks before discharge) and at 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. A data-driven approach using Latent Class Growth Mixture modelling was used to determine HR-QoL trajectories. Multiple binomial multivariable logistic regression analyses were used to determine person-, disease- and lifestyle-related factors associated with trajectory membership. Results Three HR-QoL trajectories were identified: moderate (N = 635), high (N = 429) and recovery (N = 36). Trajectory membership was associated with person-related factors (age and body mass index), disease-related factors (perceived fatigue, perceived pain and acceptance of the disease) and one lifestyle-related factor (alcohol consumption) before discharge from rehabilitation. Conclusions Most of the people who participated in a physical activity promotion programme obtained a relatively stable but moderate HR-QoL. The identified HR-QoL trajectories among our heterogeneous cohort are disease-overarching. Our findings suggest that people in rehabilitation may benefit from person-centred advice on management of fatigue and pain (e.g. activity pacing) and the acceptance of the disability.

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Section: Introductionmentioning

confidence: 99%

Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study

et al. 2020

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“…With the improvement of early screening skills and treatment modalities, patients with breast cancer have an increased survival rate (5‐year survival rates ranging from 58% to 90%) . However, following primary and complementary cancer treatment, patients with breast cancer often experience various treatment‐related adverse effects, such as various symptom clusters, psychological trauma and negative coping strategies, and overall health‐related quality of life impairment . These problems negatively affect patients' rehabilitation process, and patients have a myriad of unmet needs while confronting these problems …”

Section: Introductionmentioning

confidence: 99%

The Needs Self‐Rating Questionnaire for Breast Cancer (NSQ‐BC): Development of a tool for the needs assessment of women with breast cancer in mainland China

Zhou

Huo

et al. 2019

Evaluation Clinical Practice

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Rationale, Aims, and Objectives: A needs assessment tool considering the cultural background of mainland China has not been reported. This study developed a Needs Self-rating Questionnaire for Breast Cancer (NSQ-BC) based on Maslow's hierarchy of needs for mainland Chinese patients. Methods:The Delphi technique and pilot cross-sectional surveys (two rounds) were performed for item selection. In the Delphi technique, items were selected according to the experts' perspective on the item's significance (ie, 1-5 Likert-scale ratings of importance; mean > 4.0 and coefficients of variation <0.25). In the pilot crosssectional surveys, items were selected according to internal consistency reliability (Cronbach's α ≥ 0.70), discriminant validity (stronger correlations of the item with the hypothesized subscale than for other subscales), and convergent validity (hypothesized item-subscale correlations ≥0.40). All decisions were made based on the results of statistical analyses, recommendations of the experts, and in-depth discussion among research team members.Results: Following the two evaluation rounds, the revised NSQ-BC comprised 26 items across five subscales of needs: physical, psychological, respect/self-esteem, information, and rehabilitation. Item ratings from the expert panellists met the aforementioned criteria (ie, Kendall's W = 0.329, P < 0.001). Except for the "respect/self-esteem needs" subscale, Cronbach's α for all subscales exceeded 0.70. All items had acceptable discriminant and convergent validity. Additionally, two new items-good environment/facilities and economic support-were added to the NSQ-BC, as recommended by the experts. Conclusions:The NSQ-BC was developed fully via the comprehensive use of Delphi technique and pilot cross-sectional surveys. It provides evidence of a proper instrument for needs assessment and evaluation among women with breast cancer in mainland China.

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“…As an explanation, the assumption of differences between the patients might not serve well as a distinguishing rule for the purpose of instrument validity. Regardless of the fact that there is a general tendency toward reaching a satisfactory QoL over the course of time (24), a study revealed that there are some discrepancies among the patients in terms of the patterns of improvement in their QoL (25). These findings imply that the differences in the pattern of QoL improvement might blur the symptomatology included in FBSI index.…”

Section: Discussionmentioning

confidence: 99%

The Validation of Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI) Among Iranian Women with Breast Cancer

et al. 2020

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Background: Patient-reported outcomes (PROs) are widely utilized in research and clinical practice. The functional assessment of cancer therapy-breast cancer (FACT-B) provides effective indexes addressing different dimensions of quality of life (QoL) in patients with breast cancer. Objectives: The study aimed at evaluating the validity of the functional assessment of cancer therapy-breast symptom index (FBSI-6 and -8) on Iranian patients. Methods: Overall, 223 patients from three cancer centers participated in the present study. Internal consistency was assessed via Cronbach's alpha and inter-item correlations. Spearman's rho correlation was utilized to evaluate convergent/divergent validity and performance of the target indexes in terms of psychosocial distress, compared to trial outcome index-physical/functional/breast (TOI-PFB), as well as TOI emotional/social/breast (TOI-ESB) cancer subscales. The known-groups analysis, using Mann-Whitney U and Kruskal-Wallis tests, was conducted based on the history of metastasis, chemotherapy, radiotherapy, mastectomy, and time since diagnosis. P value < 05 was considered significant. Results: Both of the target indexes showed acceptable internal consistency. They were highly correlated with physical wellbeing and TOI-PFB, moderately with functional wellbeing and breast cancer subscale, lowly with the arm subscale, and very lowly with social wellbeing (P < 0.0001). All indexes showed significant and negative correlations with distress symptoms (P < 0.0001). The FBSI-8 slightly outperformed FBSI-6 in terms of distress symptoms. No significant differences were seen in the target indexes based on clinical characteristics, including metastasis, chemotherapy, radiotherapy, mastectomy surgery, and time since diagnosis. Conclusions: The current study confirmed the validity of FBSI-6 and -8 among Iranian women with breast cancer. Further research is required to evaluate the more profound properties of FBSI.

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Trajectories of quality of life following breast cancer diagnosis

Cited by 32 publications

References 44 publications

Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study

Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study

The Needs Self‐Rating Questionnaire for Breast Cancer (NSQ‐BC): Development of a tool for the needs assessment of women with breast cancer in mainland China

The Validation of Functional Assessment of Cancer Therapy-Breast Symptom Index (FBSI) Among Iranian Women with Breast Cancer

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