Health, quality of life and cancer

Sægrov, Solveig

doi:10.1111/j.1466-7657.2005.00416.x

Cited by 15 publications

(12 citation statements)

References 19 publications

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“…These add to the list of vulnerability factors for the clinical team. The literature shows that cancer patients and their relatives experience their lowest QOL when the disease is newly diagnosed [8,36,37]. It appears that for those who are successfully treated, patients and caregivers become experienced in managing problems, especially where there is social support, leading to improvement in QOL[10-12,21].…”

Section: Discussionmentioning

confidence: 99%

“…The problematic issues for patients include sexual dysfunction associated with treatment, body image, fears over child bearing potential, and maintaining a household and career [32-35]. Hence, in the two or three years following diagnosis and treatment, women with breast and gynecologic cancers have significantly lower QOL domain scores than matched general population groups [8,36,37]. However, the robust finding from longitudinal studies is that, majority of long-term (≥ 5 years) survivors have QOL domain scores that are either similar to or higher than the general population[7,9-11].…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study

Awadalla

Ohaeri²,

Gholoum³

et al. 2007

BMC Cancer

122

108

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BackgroundQuality of life (QOL) issues are of interest in cancer because effective methods of treatment and detection have led to an increase in the number of long-term survivors. The objectives of the study were: to assess the subjective QOL of stable Sudanese women cancer outpatients and their family caregivers, using the WHO 26-item QOL Instrument; compare with matched general population groups, as well as diabetic and psychiatric patient groups; examine patient-caregiver concordance in ratings; and assess the variables associated with their QOL, with a view to identifying factors that can enhance quality of care.MethodsResponses of oncology outpatients with breast cancer (117), cervical cancer (46) and ovarian cancer (18) (aged 44.6, SD 11.5) were compared with those of their family caregivers and matched general population groups. Data were analyzed by univariate and multivariate statistics.ResultsThe cancer groups had similar QOL domain scores, which were significantly lower than those of their caregivers, but higher than the control group as well as those of psychiatric and diabetic patients studied previously. Patients who were married, with higher education, better employment, and with longer duration of illness had higher QOL. Patients on radiotherapy and their caregivers had higher QOL scores. Correlations between patient's ratings and caregiver impression of patient's QOL were high. Caregiver impression was a significant predictor of patient's and caregiver's QOL. Other predictors for the patient were: currently feeling sick and duration of illness; for the caregiver: feeling sick, relationship to patient, and age.ConclusionCancer patients in stable condition and with psychosocial support can hope to enjoy good QOL with treatment. The findings constitute an evidence base for the country's cancer care program, to boost national health education about prognosis in cancer. Families living with women cancer patients are vulnerable and need support if the patient is recently diagnosed, less educated, single, not formally employed; and the caregiver is female, parent, younger, less educated, unemployed and feels sick. Clinicians need to invest in the education and support of family caregivers. The patient-caregiver dyad should be regarded as a unit for treatment in cancer care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study

Awadalla

Ohaeri²,

Gholoum³

et al. 2007

BMC Cancer

122

108

View full text Add to dashboard Cite

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“…2). Based on former investigation, the programme has a rather conservative design providing the participants with education/information, physical training and participation in supportive group sessions [15,16,19,22,23] ( Fig. 2).…”

Section: Methodsmentioning

confidence: 99%

Nurse-led rehabilitation after gynaecological cancer surgery

Seibæk

Petersen

2008

Support Care Cancer

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“…There were 14 quantitative studies without a control group, three on emotional aspects, three on travel issues and eight on needs and quality of life, all in the active phase of treatment [9,11,[26][27][28][29][30][31][32][33][34][35][36][37]. Only one study [35] was longitudinal.…”

Section: Quantitative Studies With No Control Groupmentioning

confidence: 99%

Psychosocial well-being and supportive care needs of cancer patients living in urban and rural/regional areas: a systematic review

Butow

Phillips

Schweder

et al. 2011

Support Care Cancer

200

231

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PurposeTo describe what is known about levels of morbidity and the experience and needs of people with cancer, and their carers, living in rural areas. MethodsA search of online databases for English language papers describing or assessing the prevalence of psychosocial morbidity or needs in a population of rural or regional cancer patients. Excluded: intervention studies, discussion of service delivery, effectiveness of support groups or support via videoconferencing, concentrated on medical outcomes or survival rates, reported differences in the uptake of cancer screening, or concentrated on health attitudes or treatment decision making. ResultsThere were 37 studies included in the review, including 25 quantitative studies (all surveys), 11 of which included a control group of urban patients, and 12 qualitative studies. Until recently, most studies had methodological short-comings. Only two prospective studies were identified, most studies focused on breast cancer and few addressed psychological morbidity. The majority of controlled studies reported worse 3 outcomes for rural patients, who appear to have higher needs in the domains of physical/daily living. This may reflect more limited access to resources, a more selfsufficient lifestyle and personal characteristics, for example, being more stoical and less likely to ask for help. The need to travel for treatment caused many practical, emotional and financial problems for patients and burdened them with additional worry concerning family and work commitments. Some patients reported benefits in sharing experiences with others also forced to stay away from home, but most agreed that staying at home was preferable. ConclusionThis review highlights that whilst we are beginning to get some insight into the needs of people with cancer in rural areas, much is still unknown. Population-based, prospective studies including people with heterogenous cancers from rural and urban settings are needed.

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Health, quality of life and cancer

Abstract: Health personnel need to take more responsibility for the follow-up of persons with cancer throughout all stages of illness. More concern should be paid particularly to psychosocial needs.

Cited by 15 publications

References 19 publications

Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study

Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study

Nurse-led rehabilitation after gynaecological cancer surgery

Psychosocial well-being and supportive care needs of cancer patients living in urban and rural/regional areas: a systematic review

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