Quality of Life After Breast Cancer Diagnosis and Survival

Epplein, Meira; Zheng, Ying; Wang, Zheng; Chen, Zhi; Gu, Kai; Penson, David F.; Lü, Wei; Shu, Xiao‐Ou

doi:10.1200/jco.2010.30.6951

Cited by 157 publications

(144 citation statements)

References 33 publications

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“…Importantly, this support should be adequate to the demands of its recipients and should allow them to develop constructive methods to cope with the disease [2]. social support should be considered a health-oriented resource and, as such, should not be neglected during the treatment process, as it may constitute a vital determinant of biopsychosocial wellbeing [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Does anybody support the supporters? Social support in the cancer patient-caregiver dyad

Dębska¹,

Pasek²,

Wojtyna³

2017

fmpcr

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A -study Design, B -Data Collection, C -statistical analysis, D -Data Interpretation, E -Manuscript Preparation, F -Literature search, G -Funds CollectionBackground. Cancer and its treatment enforce changes in patient functioning. the principal objective of each patient is to efficiently cope with the disease, i.e. to completely recover or at least to slow its progression. Under such circumstances, patients and their relatives require various forms of support: emotional, informational and instrumental. Objectives. the aim of the study was to determine the level and sources of support available for cancer patients and their close relatives, who deal with the latter on a daily basis. Material and methods. the cross-sectional self-inventory study, conducted at cancer centers in krakow and tarnow, included 193 pairs of cancer patients and their caregivers. the study was based on the berlin social support scales and a sociodemographic-clinical survey. Results. Cancer patients had more perceived and received social support than their caregivers. Patients identified more sources of available support than their caregivers. when the level of support was stratified according to the caregiver's relation with the patient, caregivers-partners and caregivers-children presented higher levels of perceived support than caregivers-siblings and caregivers-parents. Caregivers received less support than patients from medical personnel. Conclusions. the discrepancy between the level of social support among patient and their caregivers leads to further research on the patient-caregiver dyad, especially with regard to the consequences for the whole family's quality of life. In connection with a deficit of support for caregivers from oncologists, GP's may constitute a valuable source of support, especially emotional and informational. Key words: social support, cancer, patient, caregiver.

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Section: Introductionmentioning

confidence: 99%

“…Many previous studies have documented the beneficial effects of support on the quality of life of cancer patients [1,3,4]. However, equally important, albeit often neglected or inadequately highlighted, is support for the supporters.…”

Section: Introductionmentioning

confidence: 99%

Does anybody support the supporters? Social support in the cancer patient-caregiver dyad

Dębska¹,

Pasek²,

Wojtyna³

2017

fmpcr

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“…These programs should take into consideration cultural variables and should focus on specific physical improvement and stress-reduction strategies as well as improvement of cognitive function, psychological well-being and functional wellness [25,26]. Barriers that patients face in receiving appropriate survivorship care should also be addressed including a fragmented and poorly coordinated health care system, an absence of a focus of responsibility for follow-up care, and a lack of guidance on how cancer survivors can maximize their own health outcomes.…”

Section: Resultsmentioning

confidence: 99%

Decreased Health Related Quality of Life among Hispanic Breast Cancer Survivors

Nahleh¹,

Dwivedi²,

Khang³

et al. 2016

MOJWH

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An exploratory research at the University of Chicago including 989 newly diagnosed breast cancer patients suggested an association between psychosocial stress post-diagnosis AbstractIntroduction: The breast cancer survivors' population is growing due to the increased rate of early diagnosis and appropriate management. Hispanics (Latinos) constitute a rapidly growing population. Hispanic cancer survivors are often left without appropriate follow up care after completion of therapy, partly because of the lack of financial support and resources, and limited awareness of possible subsequent physical and mental health problems among those survivors. We sought to evaluate the quality of life (QoL) of the Hispanic breast cancer survivors in El Paso, TX, a large American-Mexican border city, using a validated Health related-Quality of life survey (HRQOL SF-36). Materials and Methods:After IRB approval, we recruited Hispanic women within their first 5 years post-diagnosis with Stages I, II, or III breast cancer, and who have completed their active chemotherapy and/or radiation therapy. They were provided with a written SF-36 questionnaire. We analyzed the two main components of the SF-36, the physical health through a Physical Component Summary (PCS), and the mental health, through a Mental Component Summary (MCS). Results were compared with the US healthy population (mean 50) using a one sample t-test. SF-36 scores were also compared with similar studies using a two sample t-test. Results:The study suggests that both the physical and mental components of QoL were low. PCS was significantly lower than one standard deviation below the US norm whereas MCS was approximately one third of a standard deviation below the US norm; 47% of all survivors reported that physical or emotional problems interfere with their normal social activities; 39% of all patients reported having emotional problems like depression and anxiety; and 77% indicated difficulty performing their work. The mean PCS and MCS scores of our Hispanic population were inferior to similar non-Hispanic breast cancer survivors' population in other studies. Conclusion:Hispanic breast cancer survivors in El Paso, TX have decreased mental and physical health related QoL compared to healthy U.S. women and possibly other breast cancer survivors in the U.S. Further investigation is needed to determine the possible underlying causes of health disparities in breast cancer survivors and identify strategies to improve these outcomes.

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“…The use of all instruments in the interdisciplinary program intended to improving quality of life, QL, of breast cancer patients, is important, because there is an association between QL and tumor recurrence. Women with scores in the upper tertile of QL show a 38% (p = 0.002) reduction in the relative risk of death and a 48% (p < 0.001) 35 (B) reduction in the risk of tumor recurrence.…”

Section: Does the Interdisciplinary Rehabilitation Program Improve Thmentioning

confidence: 99%