The Malaysian Breast Cancer Survivorship Cohort (MyBCC): a study protocol

Islam, Tania; Bhoo‐Pathy, Nirmala; Su, Tin Tin; Majid, Hazreen Abdul; Nahar, Azmi Mohd; Ng, Chong Guan; Dahlui, Maznah; Hussain, Samsinah; Cantwell, Marie; Murray, Liam; Taib, Nur Aishah Mohd

doi:10.1136/bmjopen-2015-008643

Cited by 16 publications

(17 citation statements)

References 29 publications

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“…MyBCC is a prospective cohort study aims to identify the association between genetics, lifestyle and nutrition on overall survival and quality of life of Malaysian breast cancer patients. Please refer to the previous literature for further information of MyBCC cohort study [ 28 ]. In the current study, we mainly studied the association of depression and anxiety with perceived distress among the breast cancer subjects at diagnosis, 6 months and 12 months after diagnosis.…”

Section: Methodsmentioning

confidence: 99%

Perceived distress and its association with depression and anxiety in breast cancer patients

et al. 2017

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BackgroundBreast cancer patients often experience a high level of distress. Psychological distress is a broad construct encompass both depression and anxiety. Previous studies in examining which of these psychological symptoms (either anxiety or depression) were more significantly associated with the distress level in breast cancer patients is lacking. This study aims to compare the level of depression and anxiety between patients with different level of distress. The correlation between the changes in distress level with depression or anxiety over 12 months was also examined.MethodsThis study is from the MyBCC cohort study. Two hundred and twenty one female breast cancer patients were included into the study. They were assessed at the time of diagnosis, 6 months and 12 month using Hospital Anxiety and Depression Scale (HADS) and distress thermometer. The information on age, ethnicity, treatment types and staging of cancer were collected.Results50.2%, 51.6% and 40.3% of patients had perceived high level of distress at baseline, 6 months and 1 year after diagnosis. Those with high perceived level of distress had significant higher anxiety scores even after adjusted for the underlying depressive scores (Adjusted OR at baseline = 1.28, 95% CI = 1.13–1.44; adjusted OR at 6 months = 1.27, 95% CI = 1.11–1.45; adjusted OR at 12 months = 1.51, 95% CI = 1.29–1.76). There were no significant differences in the depressive scores between the subjects with either low or high distress level. There was reduction in perceived level of distress, anxiety and depression scores at 12 months after the diagnosis. The decrease of distress was positively correlated with the reduction of anxiety scores but not the changes of depressive scores (r’ = 0.25).ConclusionAnxiety is a more significant psychological state that contributed to the feeling of distress in breast cancer as compared with depression. Levels of anxiety at diagnosis in this study would justify screening for anxiety, early identification and therapy for maintaining the psychological well-being of breast cancer patients. Further studies will be needed to measure the effectiveness of therapeutic interventions.

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Section: Methodsmentioning

confidence: 99%

Perceived distress and its association with depression and anxiety in breast cancer patients

et al. 2017

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“…In total, 400 patients were enrolled as part of the Malaysia Breast Cancer Cohort (MyBCC) study. 25 The MyBCC study is an ongoing hospital-based prospective cohort study of Malaysian women who are newly diagnosed with primary breast cancer (within 3 months of diagnosis), >18 years old, and able to read and understand Malay, English, Mandarin, or Tamil. The exclusion criteria are the following: patients who have a prior history of any other cancer, patients who are bedridden at the time of recruitment, patients whose attending physician certifies them as unfit as a result of other prevailing medical conditions, and patients who are reluctant to join the study.…”

Section: Methodsmentioning

confidence: 99%

Use of Complementary and Alternative Medicine Among Newly Diagnosed Breast Cancer Patients in Malaysia: An Early Report From the MyBCC Study

et al. 2017

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Background. The use of complementary and alternative medicine (CAM) has increased and little is known on CAM use during the initial period. Therefore, the aim was to determine prevalence of CAM use among newly diagnosed breast cancer patients prior to seeking conventional treatment. Methods. This is a cross-sectional study involved interviewing newly diagnosed breast cancer patients in the University Malaya Medical Centre (UMMC) using a structured questionnaire. Eligible respondents were interviewedduring a routine clinical visit. Results. A total of 400 patients were interviewed, of whom 139 (34.8%) were CAM users. Dietary supplementation (n = 107, 77.0%) was the most frequently used type of CAM, followed by spiritual healing (n = 40, 28.8%) and traditional Chinese medicine (n = 32, 23.0%). Malay ethnic group (n = 61, 43.9%) was the largest group of CAM users, followed by Chinese (n = 57, 41.0%) and Indian (n = 20, 14.4%). Majority of these CAM users (n = 87, 73.1%) did not disclose the use of CAM to their doctors. Most of them used remedies based on the recommendation of family and friends. Malay ethnicity and patients with 3 or more comorbidities were more likely to use CAM. Conclusion. There is substantial use of CAM among breast cancer patients in UMMC prior to seeking hospital treatment, and the most popular CAM modality is dietary supplements. Since, the majority of CAM users do not disclose the use of CAM to their physicians, therefore health care providers should ensure that those patients who are likely to use CAM are appropriately counseled and advised.

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“…This study is a part of a prospective cohort study, Malaysian Breast Cancer Survivorship Cohort (MyBCC) Study. The detail of the study was previously published . We defined surgical adherence as patients undergoing surgery within 30 days or within 60 days due to physician delay.…”

Section: Time To Surgery Interval and Type Of Surgery In Breast Cancementioning

confidence: 99%

“…The detail of the study was previously published. 5 We defined surgical adherence as patients undergoing surgery within 30 days or within 60 days due to physician delay. The physician delay was when the recommended date for elective surgery given by the surgeons was beyond 30 days.Our study recruited 466 female patients.…”

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Adherence rate and the factors contribute toward the surgical adherence of breast cancer in Malaysia

et al. 2020

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The Malaysian Breast Cancer Survivorship Cohort (MyBCC): a study protocol

Cited by 16 publications

References 29 publications

Perceived distress and its association with depression and anxiety in breast cancer patients

Perceived distress and its association with depression and anxiety in breast cancer patients

Use of Complementary and Alternative Medicine Among Newly Diagnosed Breast Cancer Patients in Malaysia: An Early Report From the MyBCC Study

Adherence rate and the factors contribute toward the surgical adherence of breast cancer in Malaysia

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