Health‐related quality of life and psychological distress among cancer survivors in a middle‐income country

Subramaniam, Shridevi; Kong, Yek-Ching; Chinna, Karuthan; Kimman, Merel; Ho, Yan Zheng; Sa’at, Nadiah; Malik, Rozita Abdul; Taib, Nur Aishah Mohd; Abdullah, Matin Mellor; Lim, Gerard Chin Chye; Tamin, Nor Saleha Ibrahim; Woo, Yin Ling; Chang, Kian Meng; Goh, Pik Pin; Yip, Cheng Har; Bhoo‐Pathy, Nirmala

doi:10.1002/pon.4787

Cited by 37 publications

(29 citation statements)

References 33 publications

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“…The emotional aspects such as worry and irritability have been shown to be associated with HRQOL [33]. And also, in the past reports, there was a significant association between the HRQOL and psychological distress [34][35][36]. We similarly described the psychological distress during the treatment course of esophageal cancer is significantly associated with HRQOL influenced by esophagectomy [8].…”

Section: Hrqol: Eortc Qlq C-30/oes18supporting

confidence: 56%

Perioperative risk factors of psychological distress in patients undergoing treatment for esophageal cancer

et al. 2020

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Background Esophageal cancer patients often feel depressed and are fearful of metastasis and death. The objective of this study was to clarify the characteristics of patients with psychological distress at all 5 time points compared with patients with no psychological distress especially from standpoints of personal coping styles and QOL. Methods In total, 102 of 152 consecutive patients who attended the outpatient clinic at Toranomon Hospital between April 2017 and April 2019 met eligibility criteria for inclusion in this study. Questionnaires designed to identify psychological distress (HADS-scores) and assess QOL (EORTC QLQ C-30/OES18) were administered at 5 time points from the time of the first outpatient consultation to 3 months after esophagectomy. The questionnaire of coping strategies (MAC-scales) was administered at only time 1 point. Results Based on the trends of HADS-scores, we defined two groups: “persistent high-HAD scores” and “persistent low-HADS scores.” There are strong relationships between psychological distress and coping strategy, and psychological distress and QOL. The possibility that there are relationships between stress coping strategies and some QOL status depending on some point of treatment. Conclusions The psychological distress during the treatment course of esophageal cancer is significantly associated with the coping strategies and QOL influenced by esophagectomy. This study can provide baseline information for identifying patients in need of psychological management and paves the way for larger clinical studies in the future.

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Section: Hrqol: Eortc Qlq C-30/oes18supporting

confidence: 56%

Perioperative risk factors of psychological distress in patients undergoing treatment for esophageal cancer

et al. 2020

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“…This relationship cannot be attributed to group differences in the distribution of the tumor stages: the proportion of patients receiving chemotherapy varied between 58 and 62% in the four stage groups, and concerning surgery there was a (non-linear) association between receiving surgery and tumor stage with the highest surgery proportions for stage 2 (64%) and stage 3 (60%), while the proportions were lower for stage 1 (55%) and stage 4 (39%). The result of better QoL in patients receiving certain treatment was not found in previous studies from the middleincome countries Malaysia [32] and Taiwan [33]. These differences could be explained partly by the low level of economic standards of the Ethiopian cancer patients who might not be able to get the necessary treatment when needed, which could have contributed to their higher level of symptoms.…”

Section: Discussionmentioning

confidence: 65%

Quality of life among Ethiopian cancer patients

Wondie

Hinz

2020

Support Care Cancer

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Purpose Cancer is of increasing prevalence in less-developed countries. However, research on the patients' quality of life (QoL) in these countries is very limited. The aim of this study was to examine QoL of cancer patients in Africa. Method A sample of 256 cancer patients treated in an Ethiopian hospital was examined with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire EORTC QLQ-C30, the Multidimensional Fatigue Inventory, and the Hospital Anxiety and Depression Scale. A group of 1664 German cancer patients served as a comparison group. Results Most of the scales of the EORTC QLQ-C30 showed acceptable reliability in the Ethiopian sample. Compared with the German cancer patients, the Ethiopian patients showed lower QoL in most dimensions, especially in financial difficulties, physical functioning, pain, and appetite loss (effect sizes between 0.52 and 0.75). Illiteracy, tumor stage, and treatment (surgery and chemotherapy) were associated with QoL in the Ethiopian sample. QoL was strongly correlated with fatigue, anxiety, and depression. Conclusion The EORTC QLQ-C30 is a suitable instrument for measuring QoL in Ethiopia. The detriments in QoL in the Ethiopian patients indicate specific cancer care needs for the patients in a developing country.

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“…-HRQOL: EORTC QLQ C-30/OES18-The emotional aspects such as worry and irritability have been shown to be associated with HRQOL [33]. And also, in the past reports, there was signi cant association between the HRQOL and psychological distress [34][35][36][37][38]. We similarly described the psychological distress during treatment course of esophageal cancer is signi cantly associated with HRQOL in uenced by esophagectomy [8].…”

Section: Discussionmentioning

confidence: 76%

Perioperative Risk Factors of Psychological Distress in Patients Undergoing Treatment for Esophageal Cancer

Ohkura

Shindoh

Ichikura

et al. 2020

Preprint

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Background:Esophageal cancer patients often feel depressed and are fearful of metastasis and death. The objective of this study was to clarify the characteristics of patients with psychological distress at all 5time points compared with patients with no psychological distress especially from standpoints of personal coping styles and QOL.Methods:In total, 102 of 152 consecutive patients who attended the outpatient clinic at Toranomon Hospital between April 2017 and April 2019 met eligibility criteria for inclusion in this study. Questionnaires designed to identify psychological distress(HADS-scores) and assess QOL(EORTC QLQ C-30/OES18) were administered at 5 time points from the time of the first outpatient consultation to 3 months after esophagectomy. The questionnaire of coping strategies(MAC-scales) was administered at only Time1 point.Results:Based on the trends of HADS-scores, we defined two groups:“persistent high-HAD scores” and “persistent low-HADS scores”. There are strong relationships between psychological distress and coping strategy, and psychological distress and QOL. The possibility that there are relationships between stress coping strategies and some QOL status depending on some point of treatment.Conclusions:The psychological distress during treatment course of esophageal cancer is significantly associated with the coping strategies and QOL influenced by esophagectomy. This study can provide baseline information for identifying patients in need of psychological management and paves the way for larger clinical studies in the future.

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Health‐related quality of life and psychological distress among cancer survivors in a middle‐income country

Abstract: Cancer survivors in this middle-income setting have persistently impaired HRQoL and high levels of psychological distress. Development of a holistic cancer survivorship program addressing wider aspects of well-being is urgently needed in our settings.

Cited by 37 publications

References 33 publications

Perioperative risk factors of psychological distress in patients undergoing treatment for esophageal cancer

Perioperative risk factors of psychological distress in patients undergoing treatment for esophageal cancer

Quality of life among Ethiopian cancer patients

Perioperative Risk Factors of Psychological Distress in Patients Undergoing Treatment for Esophageal Cancer

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