Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer

Janz, Nancy K.; Mujahid, Mahasin S.; Lantz, Paula M.; Fagerlin, Angela; Salem, Barbara; Morrow, Monica; Deapen, Dennis; Katz, Steven J.

doi:10.1007/s11136-005-0288-6

Cited by 154 publications

(186 citation statements)

References 54 publications

Supporting

Mentioning

149

Contrasting

Unclassified

Order By: Relevance

“…Consistent with numerous previous findings in our study, quality of life increased for patients who were married and for patients with more education than patients who were not married or patients with less education (Janz et al, 2005;Ahn et al, 2009;Ashing-Giwa and Lim, 2009;Salonen et al, 2009). Breast cancer patients who were married had more physical and psychosocial support than patients who were single, divorced, or separated because their husbands or partners helped them cope with changes and negative emotions (Ahn et al, 2009;Ashing-Giwa and Lim, 2009;Salonen et al, 2009).…”

Section: Discussionsupporting

confidence: 91%

“…This finding is similar to the studies that have reported that an increase in income was significantly associated with improvement in body image (Rumsey et al, 2004;Janz et al, 2005;Beatty et al, 2008). Given that educational levels correlate with income level, patients with higher education and higher income would possess more information and resources to utilize for managing altered appearance and lowered body image (Ashing-Giwa and Lim, 2009).…”

Section: Discussionsupporting

confidence: 86%

“…Current research primarily focused on either clinical or demographic factors such as age, stage of breast cancer, treatment types, and length of survivorship (King et al, 2000b); Rosenberg et al, 2013). Researchers found that patients with mastectomy had worse body image compared to those who received breast-conserving surgery (King et al, 2000;Janz et al, 2005;Fobair et al, 2006). Patients who had additional treatment such as chemotherapy or radiation therapy had worse body image and elevated depression compared to patients who received surgery only (Schover et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Chang¹,

Choi²,

Kim³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Background: Breast cancer patients experience a variety of altered appearance -such as loss or disfigurement of breasts, discolored skin, and hair loss -which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Chang¹,

Choi²,

Kim³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…This view is consistent with multiple studies that have compared QOL after mastectomy and BCS. [27][28][29][30] A similar observation regarding the effect of volume on the use of BCS was made by Mandelblatt et al, 20 who used clinical vignettes to evaluate surgical perspectives on the treatment of invasive breast carcinoma in older women. Our population-based study differs from their hospital-based sample of attending surgeons treating Medicare beneficiaries with breast carcinoma in 1998.…”

Section: Discussionmentioning

confidence: 72%

Surgeon perspectives about local therapy for breast carcinoma

Katz

Lantz

Janz

et al. 2005

Cancer

Self Cite

View full text Add to dashboard Cite

BACKGROUNDGeographic variations in the use of mastectomy and the use of radiation therapy (RT) after breast‐conserving surgery (BCS) have motivated concerns that surgeons are not uniformly adhering to treatment standards.METHODSThe authors surveyed attending surgeons of a population‐based sample of patients with breast carcinoma diagnosed in Detroit and Los Angeles from December 2001 to January 2003 (n = 365; response rate, 80.0%). Clinical scenarios were used to evaluate opinions about local therapy.RESULTSOn average, surgeons reported that they devoted 31.3% of their total practice to breast carcinoma. Approximately one‐half of surgeons practiced in a community hospital setting, whereas 18.8% practiced in a cancer center. Compared to low volume surgeons, high volume surgeons were more likely to favor BCS with RT for invasive breast carcinoma (60.8%, 74.0%, and 87.2% for low, moderate, and high volume surgeons, respectively, P < 0.001). Surgeons who favored BCS were more likely to perceive greater quality of life (QOL) benefits for BCS than mastectomy (85.9%) compared with surgeons who favored mastectomy (28.6%) and those who did not favor 1 procedure over the other (60.0%, P < 0.001). In a ductal carcinoma in situ scenario, 35.0% of surgeons favored BCS without RT and 61.0% favored BCS with RT. Opinions regarding the role of RT after BCS varied by geographic site, surgeon volume, and patient age.CONCLUSIONSVariation in surgeon opinion concerning local therapy reflected clinical uncertainty about the benefits of alternative treatments. High volume surgeons more frequently endorsed current clinical guidelines that favor BCS compared with mastectomy. This may partly be explained by the greater belief that BCS confers a better patient QOL than mastectomy. Cancer 2005. © 2005 American Cancer Society.

show abstract

“…the surgery in which the whole breast is removed) (e.g. Ganz et al, 1992a;Janz et al, 2005;Moyer, 1997;Poulsen et al, 1997). The only difference between surgeries appears to be on body image and sexual functioning, as patients treated with mastectomy report more concerns with appearance and more sexual difficulties than those treated with BCS (e.g.…”

Section: Introductionmentioning

confidence: 99%

The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients

Moreira

Silva

Marques

et al. 2010

European Journal of Oncology Nursing

View full text Add to dashboard Cite

Keywords:Body image scale Instrument Body image Cancer Portuguese version EORTC Breast cancer a b s t r a c t Purpose: The aim of this study was to analyse the psychometric properties of the Portuguese version of the body image scale (BIS; Hopwood, P., Fletcher, I., Lee, A., Al Ghazal, S., 2001. A body image scale for use with cancer patients. European Journal of Cancer, 37,[189][190][191][192][193][194][195][196][197]. This is a brief and psychometric robust measure of body image for use with cancer patients, independently of age, cancer type, treatment or stage of the disease and it was developed in collaboration with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Study Group. Method: The sample is comprised of 173 Portuguese postoperative breast cancer patients that completed a battery of measures that included the BIS and other scales of body image and quality of life, in order to explore its construct validity. Results: The Portuguese version of BIS confirmed the original unidimensional structure and demonstrated adequate internal consistency, both in the global sample (a ¼ .93) as in surgical subgroups (mastectomy ¼ .92 and breast-conserving surgery ¼ .93). Evidence for the construct validity was provided through moderate to largely sized correlations between the BIS and other related measures. In further support of its discriminant validity, significant differences in BIS scores were found between women who underwent mastectomy and those who underwent breast-conserving surgery, with the former presenting higher scores. Age and time since diagnosis were not associated with BIS scores. Conclusions: The Portuguese BIS proved to be a reliable and valid measure of body image concerns in a sample of breast cancer patients, allowing a brief and comprehensive assessment, both on clinical and research settings.

show abstract

Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer

Abstract: Women should be reassured that few QOL differences exist based on surgical treatment, however, clinicians should recognize that the impact of treatment on QOL does vary by a woman's age and educational level.

Cited by 154 publications

References 54 publications

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Surgeon perspectives about local therapy for breast carcinoma

The Portuguese version of the Body Image Scale (BIS) – psychometric properties in a sample of breast cancer patients

Contact Info

Product

Resources

About