Assessment of health related quality of life and distress in an Asian community-based cancer rehabilitation program

Abstract

Background: Cancer survivors have reduced health related quality of life (HRQOL) and high levels of distress during and after active treatment, due to physical, psychological and social problems. Understanding the prevalence and associations of HRQOL and distress in a patient population in the community is important to design rehabilitation programs. Methods: This was a cross-sectional observational study conducted at a community-based cancer rehabilitation center, with the aim of investigating the prevalence and associations of HRQOL and distress in cancer patients. Results: There were 304 patients who were recruited. We found low levels of HRQOL and high levels of distress in patients, with a mean FACT-G7 total score of 11.68, and a mean distress thermometer score of 3.51. In the multivariate regression model, significant factors for low QROL were metastatic disease (OR=2.98; 95% CI = 1.15-7.72; p=0.025) and Malay ethnicity (OR=0.157; 95% CI = 0.056-9.44; p<0.001). Regression analyses also found that significant distress were associated with family health issues (OR=4.27; 95% CI=1.41-10.71; p=0.003), depression (OR=8.34; 95% CI=2.51-28.04; p=0.001), worry (OR=3.08; 95% CI=1.41-6.75; p=0.005), breathing (OR=4.59; 95% CI=1.52-13.86; p=0.007), getting around (OR=4.03; 95% CI=1.36-11.95; p=0.012) and indigestion (OR=3.31; 95% CI=1.06-10.32; p=0.039).Conclusions: A high prevalence of impaired HRQOL and distress was reported in cancer survivors even in a community rehabilitation setting. The physical and psychosocial well-being of cancer survivors should be monitored and managed as part of community-based cancer rehabilitation.