Survival chances and psychological aspects of quality of life in patients with localized early stage breast cancer

Albert, Ute‐Susann; Koller, Michael; Wagner, Uwe; Schulz, K.-D.

doi:10.1007/s00011-004-0365-2

Cited by 16 publications

(11 citation statements)

References 19 publications

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“…Specifically, increased rurality was associated with reports of lower overall well‐being, lower functional well‐being (eg, ability to work, enjoyment of life, acceptance of illness), and increased concerns about breast cancer specific symptoms (eg, hair loss, weight change, lymphedema) at 1 month following treatment completion. These findings are consistent with prior research reporting lower QOL among rural dwelling breast cancer survivors, 6 and they suggest that characteristics of the communities to which patients return can have an effect on QOL outcomes. However, while providing preliminary indications that rural residence may be associated with lower QOL in some domains, this study also highlights the fact that individual variables, such as willingness to seek social support, may be even more central to early QOL outcomes experienced by breast cancer survivors.…”

Section: Discussionsupporting

confidence: 91%

“…4 Among rural women living with cancer, high levels of depression and hopelessness/helplessness have been noted. 5 Rural women living with cancer report lower than average quality of life (QOL) 6 and may have particular concerns about being stigmatized within their communities as a result of their cancer diagnosis. 7 One way in which rural and urban areas may differ is in the availability of community-based social support.…”

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confidence: 99%

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Does Rurality Affect Quality of Life Following Treatment for Breast Cancer?

Reid-Arndt

Cox

2010

The Journal of Rural Health

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Purpose The present research examined the extent to which rural residence and social support seeking are associated with quality of life (QOL) among breast cancer patients following chemotherapy. Methods Female breast cancer patients (n = 46) from communities of varying degrees of rurality in a mid-sized Midwestern state completed psychological and QOL measures at 1 month post-chemotherapy. Analyses assessed the relationships between QOL outcomes, rurality, and social support seeking. Findings Using age and education as covariates, regression analyses were conducted to determine the extent to which QOL was related to social support seeking and rural/urban residence. Analyses revealed that social support seeking was associated with lower scores on multiple indices of QOL, and it was associated with higher self-reported symptoms of depression. Several significant associations with rural/urban residence were noted as well. Specifically, increasing rurality, as defined by USDA Rural-Urban continuum codes, was associated with lower overall QOL, lower functional well-being, and increased complaints of breast cancer-specific symptoms. Conclusions These findings highlight the relevance of continued efforts to address social support needs among women with a history of breast cancer living in rural and urban communities. They also suggest that individuals in more rural communities may be at risk for lowered QOL in the early period following cancer treatment. Future research is needed to replicate these results with larger and more diverse samples of rural and urban dwelling individuals, and to determine whether these effects may be attributed to identifiable characteristics of rural communities (eg, fewer cancer-related resources).

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Section: Discussionsupporting

confidence: 91%

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confidence: 99%

Does Rurality Affect Quality of Life Following Treatment for Breast Cancer?

Reid-Arndt

Cox

2010

The Journal of Rural Health

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“…Consistent with this outcome, Koopman et al ([41]; N ¼ 100) found that a large majority of rural breast cancer survivors in their sample considered their diagnosis to be one of their most stressful life events, reported relatively high levels of helplessness/hopelessness, and some met the criteria for Post Traumatic Stress Disorder. Similarly, Albert et al's ( [42]; N ¼ 269) quantitative-survey findings showed that rural breast cancer survivors had a relatively low level of quality of life when they were discharged from the hospital. Although the levels of quality of life for rural breast cancer survivors tended to improve over a 12-month period, these levels remained below the population average.…”

Section: The Implications Of Lack Of Health Informationmentioning

confidence: 87%

The breast cancer experience of rural women: a literature review

Bettencourt¹,

Schlegel²,

Talley³

et al. 2007

Psycho-Oncology

107

124

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This report is a review of studies that focus on rural breast cancer survivorship. It includes a total of 14 studies using large databases and 27 other studies using qualitative and quantitative methods. In our review of this literature, we identified four broad themes, including access to treatment and treatment type, medical providers and health information, psychosocial adjustment and coping, and social support and psychological support services. We review the findings of the rural breast cancer survivorship studies within each of these broad themes. A few of the findings of the review include that rural and urban women receive different primary treatments for breast cancer, that rural women may have greater difficulty negotiating their traditional gender roles during and after treatment, that rural women desire greater health-related information about their breast cancer, and that rural women have less access to mental health therapy. The review discusses the implications of these findings as well as the weakness in the literature.

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“…Embora o R24h, quando comparado aos questionários de freqüência alimentar (QFA), possa não ser a ferramenta mais adequada para avaliar o consumo de micronutrientes, o R24h mostrou-se adequado aos objetivos deste estudo. Portanto, não há o melhor método de consumo, mas sim o mais adequado a uma situação específica 37 , pois a verdadeira ingestão de alimentos e nutrientes constitui uma variável latente, cujos resultados não podem ser considerados livres de erros 38 .…”

Section: I S C U S S ã Ounclassified

Aversão alimentar adquirida e qualidade de vida em mulheres com neoplasia mamária

Verde

Pedro

Netto³

et al. 2009

Rev. Nutr.

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OBJETIVO: Avaliar o comportamento alimentar de mulheres com câncer de mama submetidas à quimioterapia, e sua relação com a qualidade de vida destas pacientes. MÉTODOS: A partir de um ensaio clínico do tipo antes e depois, selecionou-se 25 mulheres do Hospital AC Camargo (São Paulo, Brasil) durante o período de outubro de 2005 a abril de 2006. As pacientes inclusas no estudo apresentavam diagnóstico de câncer de mama, com estadiamento I e II e indicação de tratamento quimioterápico adjuvante. Nos momentos T0 (antes) e T1 (após o tratamento quimioterápico), o comportamento alimentar (consumo e aversão alimentar) foi avaliado por três recordatórios 24 horas e um questionário Food Action, respectivamente. A qualidade de vida foi monitorada por meio do questionário Functional Assessment of Cancer Therapy-Breast. RESULTADOS: Após o tratamento quimioterápico (T1), o consumo de macro e micronutrientes não apresentou alterações significantes, mas o consumo de frutas e sucos aumentou (p=0,03). Perfil inverso foi observado em relação à preferência por café preto (p=0,01) e pelo grupo de bebidas (p<0,001). Alimentos gordurosos (38%), laticínios (23%), café preto (15%), chá (15%), chocolate (7%) e carne vermelha (7%) foram os principais alimentos associados ao desconforto das pacientes. Análises de qualidade de vida mostraram que o tratamento quimioterápico promoveu significante redução no bem estar físico (p<0,01). Após o mesmo, algumas variáveis do comportamento alimentar foram significantemente correlacionadas com os parâmetros de qualidade de vida. CONCLUSÃO: A relação bilateral entre comportamento alimentar e qualidade de vida foi modificada negativamente pelo tratamento quimioterápico.

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Survival chances and psychological aspects of quality of life in patients with localized early stage breast cancer

Cited by 16 publications

References 19 publications

Does Rurality Affect Quality of Life Following Treatment for Breast Cancer?

Does Rurality Affect Quality of Life Following Treatment for Breast Cancer?

The breast cancer experience of rural women: a literature review

Aversão alimentar adquirida e qualidade de vida em mulheres com neoplasia mamária

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