Quality of Life determinants in women with breast cancer undergoing treatment with curative intent

Pandey, Manoj; Thomas, Boben; SreeRekha, Padmakumar; Ramdas, Kunnambath; Ratheesan, K.; Parameswaran, Sankarannair; Mathew, Beela Sarah; Rajan, Balakrishnan

doi:10.1186/1477-7819-3-63

Cited by 53 publications

(37 citation statements)

References 21 publications

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“…Verbal stigma ranging from gossip to outright abuse was also described. Similar manifestations are described by a study on breast cancer treatment and social stigma in Thailand [ 41 ], a study on attitudes towards breast cancer among South Asian women living the United Kingdom [ 42 ], a study on quality of life of women with breast cancer in India [ 43 ], a Nigerian study on the psychosocial concerns of women living with breast and cervical cancer [ 44 ], and a Kenyan study on stigma related to both cervical cancer and HIV [ 45 ].…”

Section: Discussionsupporting

confidence: 67%

A qualitative exploration of cervical and breast cancer stigma in Karnataka, India

Nyblade

Stockton

Travasso³

et al. 2017

BMC Women's Health

122

111

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BackgroundBreast and cervical cancer are two of the most common cancers among women worldwide and were the two leading causes of cancer related death for women in India in 2013. While it is recognized that psychosocial and cultural factors influence access to education, prevention, screening and treatment, the role of stigma related to these two cancers has received limited attention.MethodsTwo qualitative exploratory studies. One focusing on cervical cancer, the other on breast cancer, were conducted in Karnataka, India using in-depth interviews and focus group discussions. In the breast cancer study, 59 in-depth interviews were conducted with patients, primary caregivers and healthcare providers. In the cervical cancer study, 147 respondents were interviewed including older and younger women, husbands, healthcare providers and community leaders. While stigma was not the focus of either study, themes relating to stigma emerged and are the focus of this analysis.ResultsCancer stigma emerged as a general theme across both data sets. It appeared throughout the transcripts as descriptions of how women with breast or cervical cancer would be treated and talked about by husbands, family and the community (manifestations of stigma) and the reasons for this behavior. Stigma as a theme also arose through discussions around managing disclosure of a cancer diagnosis. Stigma was juxtaposed with a narrative of support for women with cancer. Three major themes emerged as driving the manifestations of cancer stigma: fear of casual transmission of cancer; personal responsibility for having caused cancer, and; belief in and fear of the inevitability of disability and death with a cancer diagnosis. Manifestations of cancer stigma were described in terms of experienced (enacted) stigma, including isolation or verbal stigma, and anticipated (fear of) stigma, should a cancer diagnosis be disclosed.ConclusionsThe presence in these communities of cancer stigma and its many forms emerged across both the cervical and breast cancer data sets. Stigma was a feared outcome of a cancer diagnosis and described as a barrier to screening, early diagnosis and treatment seeking for women with symptoms. While further research on cancer stigma is needed, this exploration of some of the driving factors provides insight for future programmatic efforts to reduce cancer stigma and improve access to information, screening and treatment.Electronic supplementary materialThe online version of this article (doi:10.1186/s12905-017-0407-x) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 67%

A qualitative exploration of cervical and breast cancer stigma in Karnataka, India

Nyblade

Stockton

Travasso³

et al. 2017

BMC Women's Health

122

111

View full text Add to dashboard Cite

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“…The data on occupation of the accompanying person were similar to those in the study by Pandey and colleagues, which also found that the accompanying person tended to be an unemployed spouse or son or daughter 28. In the present study, 80.39% of the accompanying persons were not employed outside the home 28…”

Section: Discussionsupporting

confidence: 88%

The costs of breast cancer in a Mexican public health institution

Gómez-Rico

Altagracia-Martínez

Kravzov-Jinich³

et al. 2008

RMHP

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Breast cancer (BC) is the second leading cause of death as a result of neoplasia in Mexico. This study aimed to identify the direct and indirect costs of treating female outpatients diagnosed with BC at a Mexican public hospital. A cross-sectional, observational, analytical study was conducted. A total of 506 medical records were analyzed and 102 were included in the cost analysis. The micro-costing process was used to estimate treatment costs. A 17-item questionnaire was used to obtain information on direct and indirect costs. Of the 102 women with BC included in the study, 92.2% (94) were at Stage II, and only 7.8% at Stage I. Total direct costs over six months for the 82 women who had modified radical mastectomy (MRM) surgury were US$733,821.15. Total direct costs for the 15 patients with conservative surgery (CS) were US$138,190.39. We found that the total economic burden in the study population was much higher for patients with MRM than for patients with CS.

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“…These findings may be explained by adult children's capacity to provide support to their parent during this difficult time and the patients’ inability to cope with the prospect of leaving their underage children without a parent. Although these findings have not been replicated in other studies, two breast cancer studies found that having underage children was a significant predictor of negative changes in QoL after surgery [21] and those with unmarried children had significantly lower QoL scores [22], which lends credence to our hypothesis.…”

Section: Discussionsupporting

confidence: 39%

Assessment of clinical and nonclinical characteristics associated with health-related quality of life in patients with high-grade gliomas: a feasibility study

Porter

Menon

Vick

et al. 2014

Support Care Cancer

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Purpose Results from several studies suggest that there is value in evaluating the association between nonclinical characteristics of patients and quality of life (QoL), but few studies have focused on brain cancer. The primary goal of this feasibility study was to explore the relationship between clinical factors and nonclinical factors and QoL in brain cancer patients. Methods Participants in this cross-sectional study were drawn from two hospital sites. Eligible patients were 18–75 years old with a pathologically confirmed diagnosis of a brain cancer histology and stable disease after treatment. Data were obtained from medical chart review and a self-administered survey consisting of main study variables and two QoL standardized measures. Independent sample t test was used to determine differences between patient factors and QoL measures. Results The sample population was comprised of 26 patients with a median age at survey of 57.5 years (range 33–72). Quality of life was adversely associated with younger age, having underage children and living alone. Patients’ meaning of QoL differed by gender, however most patients viewed it as affecting multiple aspects of their lives. Conclusions Nonclinical characteristics were significantly associated with QoL more often than clinical characteristics. Identifying these factors may help improve the quality of care for these patients. This effort demonstrates the relevancy and feasibility of conducting a larger scale study to confirm or refute these findings.

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Quality of Life determinants in women with breast cancer undergoing treatment with curative intent

Abstract: QOL derangements are common in breast cancer patients necessitating the provisions for patient access to psychosocial services. However, because of the huge patient load, a screening process to identify those meriting intervention over the general population would be a viable solution.

Cited by 53 publications

References 21 publications

A qualitative exploration of cervical and breast cancer stigma in Karnataka, India

A qualitative exploration of cervical and breast cancer stigma in Karnataka, India

The costs of breast cancer in a Mexican public health institution

Assessment of clinical and nonclinical characteristics associated with health-related quality of life in patients with high-grade gliomas: a feasibility study

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