Surviving cancer: A comparison of 5-year disease-free breast cancer survivors with healthy women

Helgeson, Vicki S.; Tomich, Patricia L.

doi:10.1002/pon.848

Cited by 137 publications

(131 citation statements)

References 38 publications

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“…Taken together, the data of the current study deepen and specify the information described above for a sample of Italian long-term cancer survivors [1]. In addition, they expand the results of these cross-sectional studies (e.g., [9][10][11][12]14]) that show how the quality of life of the survivor with more years of diagnosis tends to approach that of the controls to a greater extent than is the case for survivor in a smaller number of years from diagnosis.…”

Section: Discussionmentioning

confidence: 71%

“…Worse SF-36 scores except Bodily pain in a sample of UK cancer survivors (heterogeneous for cancer type and survivorship length) than in controls from the general population (matched by gender and age) were also found by Santin et al [10]. Conversely, Helgeson and Tomich [11] compared the SF-36 scores of 5 years diseasefree breast cancer survivors with those of age-and neighborhood-matched controls and obtained statistically significant differences only in Physical functioning (lower in survivors than controls) (see also [12]). In addition to the comparison with the general population, in the present study, comparison with standard data for healthy adults and comparison with standard data for cancer patients were carried out.…”

Section: Discussionmentioning

confidence: 85%

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Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population

Annunziata

Muzzatti

Flaiban

et al. 2017

Support Care Cancer

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Purpose Understanding the quality of life (QoL) of cancer survivors is relevant to both clinical practice and health care policy. The current study compared the QoL profile in this specific population with that of a normative sample for the general population, as well as with those of both healthy and oncological patients normative sub-samples. In addition, associations between the obtained QoL profile and the main socio-demographic and clinical characteristics of the sample were examined. Methods Three hundred and ninety-two adult long-term cancer survivors (i.e., people 5 + years from their cancer diagnosis who were free from it and its treatments) were enrolled during follow-up visits and compiled the Short Form 36 Health Survey. Results In comparison with the normative data for the adult general population, the present sample showed lower scores in Physical functioning, Role-physical limitation, and Roleemotional limitations (all differences were both statistically and clinically significant); the difference in Vitality was only statistically significant. In all eight SF-36 scales, scores of the present sample were clinically and statistically lower than those of the normative healthy subsample, whereas they were statistically and clinically higher than those of normative subsample which had experienced cancer, except for Rolephysical limitation. The QoL profile was associated with gender (p = 0.002), age (p = 0.001), education (p < 0.001), occupational status (p < 0.001), and the presence of other health issues (p < 0.001). Conclusion These data support the utility of rehabilitative programs which integrate both healthcare and social interventions. In addition, they encourage the monitoring of the health status of this specific population, within a broad frame which simultaneously takes into consideration health and QoL.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 85%

Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population

Annunziata

Muzzatti

Flaiban

et al. 2017

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“…The physical impairment of the breast cancer survivors was observed in previous studies 24,28 . Romito et al 37 , in a study involving 255 Italian long-term breast cancer survivors, suggested that health-related quality of life (The Medical Outcomes Study Short Form 12), especially the physical aspect, was worse than in healthy subjects even a decade after the cancer experience.…”

Section: Fatigue and Quality Of Lifementioning

confidence: 80%

“…Researchers have reported that breast cancer survivors displayed poorer quality of life than control groups 15,21,[25][26][27] , whereas other authors have not 23,24,26,28,29 .…”

Section: Introductionmentioning

confidence: 99%

Fatigue and quality of life in breast cancer survivors: a comparative study

Kluthcovsky¹,

Urbanetz²

2015

Rev. Bras. Ginecol. Obstet.

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PURPOSE: To assess fatigue and quality of life in disease-free breast cancer survivors in relation to a sample of age-matched women with no cancer history and to explore the relationship between fatigue and quality of life. METHODS: A cross-sectional study was conducted in a sample of 202 consecutive disease-free Brazilian breast cancer survivors, all of whom had completed treatment, treated at 2 large hospitals. The patients were compared to age-matched women with no cancer history attending a primary health care center. The Piper Fatigue Scale-Revised and the World Health Organization Quality of Life Instrument (WHOQOL-BREF) were used to measure the fatigue and quality of life, respectively. Socio-demographic and clinical variables were also obtained. The χ 2 test, generalized linear model, and Spearman correlation coefficient were used for statistical purposes. The adopted level of significance was 5%. RESULTS: Breast cancer survivors experienced significantly greater total and subscale fatigue scores than comparison group (all p-values<0.05). In addition, survivors reported a poorer quality of life in physical (p=0.002), psychological (p=0.03), and social relationships (p=0.03) domains than comparison group. No difference was found for the environmental domain (p=0.08) for both groups. For survivors of breast cancer and for comparison group, the total and subscale fatigue scores were related to lower quality of life (all p-values<0.01). CONCLUSION: The findings of this study highlight the importance of assessing fatigue and quality of life in breast cancer survivors. ResumoOBJETIVO: Avaliar a fadiga e a qualidade de vida de sobreviventes de câncer de mama, livres da doença, em relação a uma amostra de mulheres da mesma idade, sem histórico de câncer, e explorar a relação entre fadiga e qualidade de vida. MÉTODOS: Estudo transversal realizado com uma amostra consecutiva de 202 pacientes brasileiras, sobreviventes de câncer de mama e livres da doença, que haviam completado o tratamento em 2 grandes hospitais. As pacientes foram comparadas com mulheres da mesma idade, sem história de câncer, acompanhadas em uma Unidade Básica de Saúde. A Escala de Fadiga de Piper-Revisada e o World Health Organization Quality of Life Instrument (WHOQOL-BREF) foram usados para avaliar a fadiga e a qualidade de vida, respectivamente. Dados sociodemográficos e clínicos também foram obtidos. O teste do χ 2 , modelo linear generalizado e coeficiente de correlação de Spearman foram utilizados para fins estatísticos. Foi adotado o nível de significância de 5%. RESULTADOS: As sobreviventes de câncer de mama apresentaram significativamente maiores escores de fadiga total e das subescalas do que o grupo controle (todos os valores de p<0,05). Além disso, as sobreviventes relataram pior qualidade de vida nos domínios físico (p=0,002), psicológico (p=0,03) e relações sociais (p=0,03) do que o grupo controle. Nenhuma diferença foi encontrada para o domínio ambiental (p=0,08) entre os 2 grupos. Para as sobreviventes de câncer de mama...

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“…A subsequent report derived from the same study compared 267 disease-free survivors with 187 controls. 16 There were no significant (P < .05) differences between patients and controls on the MOS Vitality Scale or the General and Physical Fatigue Scales of the MFSI. However, patients who had not previously received an educational intervention 17 scored significantly higher on the MFSI Mental Fatigue Scale than both patients who had received the intervention and controls.…”

mentioning

confidence: 96%

Fatigue after treatment for early stage breast cancer

Jacobsen

Donovan

Small

et al. 2007

Cancer

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BACKGROUND.Evidence suggests that fatigue may be a greater problem for cancer survivors than people without cancer. The present study sought to determine whether fatigue was greater in women who had completed treatment for early‐stage breast cancer relative to a demographically matched comparison group of women with no cancer history.METHODS.As part of a larger study, women with stage 0‐II breast cancer were recruited before the start of chemotherapy and radiotherapy (n = 100) or radiotherapy only (n = 121). Fatigue was assessed at the end of treatment and 2, 4, and 6 months later. An age‐ and geographically matched sample of women with no history of cancer was recruited and assessed for comparison purposes.RESULTS.Relative to comparison subjects, breast cancer survivors reported more days of fatigue in the past week at all 4 study assessments (P < .05). These differences appeared to be clinically meaningful in that a greater percentage of patients than nonpatients earned scores in the abnormal range on this measure at each assessment (P < .05). Additional analyses indicated that differences in fatigue between patients and comparison subjects were attributable primarily to heightened fatigue in women who received both chemotherapy and radiotherapy.CONCLUSIONS.Findings suggest that fatigue is a greater problem for breast cancer survivors in the 6 months after completion of chemotherapy than for women with no cancer history. Future research should include longer‐term follow‐up to determine the persistence of fatigue in this population of survivors. Cancer 2007. © 2007 American Cancer Society.

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Surviving cancer: A comparison of 5-year disease-free breast cancer survivors with healthy women

Cited by 137 publications

References 38 publications

Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population

Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population

Fatigue and quality of life in breast cancer survivors: a comparative study

Fatigue after treatment for early stage breast cancer

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