Association between race and physical functioning limitations among breast cancer survivors

Gallicchio, Lisa; Calhoun, Carla; Helzlsouer, Kathy J.

doi:10.1007/s00520-013-2066-2

Cited by 15 publications

(17 citation statements)

References 21 publications

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“…Patients were mailed a survey on long-term health outcomes (including cardiovascular disease, sleep issues, and physical functioning) among cancer survivors in June 2008 and again to nonrespondents in November 2009. The survey was designed to help develop institution-specific programs for cancer survivors as well as to better understand the role of patient characteristics and cancer treatments on long-term health, including that related to cardiovascular health and physical functioning [9–11]. The survey took approximately 20 minutes to complete, and consent was implied by return of the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

“…The Spirituality Self-Rating Scale assessed spirituality with a continuous scale produced by summing six individual Likert scale items, with a possible score range of 6–30 [14], with higher values indicating greater spirituality. Physical function was measured by calculating a summary score (range 0–32) for the 12-item limitation of functional activity component of the Adult Health Status and Limitation of Activity section from the National Health Interview Survey [11]. The summary score was then categorized into “no limitation” and three tertile-based categories (low, intermediate, and high limitation scores).…”

Section: Methodsmentioning

confidence: 99%

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Marital status and optimism score among breast cancer survivors

Croft

Sorkin

Gallicchio

2014

Support Care Cancer

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Purpose There are an increasing number of breast cancer survivors, but their psychosocial and supportive care needs are not well-understood. Recent work has found marital status, social support, and optimism to be associated with quality of life, but little research has been conducted to understand how these factors relate to one another. Methods Survey data from 722 breast cancer survivors were analyzed to estimate the association between marital status and optimism score, as measured using the Life Orientation Test-Revised. Linear regression was used to estimate the relationship of marital status and optimism, controlling for potential confounding variables and assessing effect modification. Results The results showed that the association between marital status and optimism was modified by time since breast cancer diagnosis. Specifically, in those most recently diagnosed (within 5 years), married breast cancer survivors had a 1.50 higher mean optimism score than unmarried survivors (95 % confidence interval (CI) 0.37, 2.62; p=0.009). The difference in optimism score by marital status was not present more than 5 years from breast cancer diagnosis. Conclusions Findings suggest that among breast cancer survivors within 5 years since diagnosis, those who are married have higher optimism scores than their unmarried counterparts; this association was not observed among longer-term breast cancer survivors. Future research should examine whether the difference in optimism score among this subgroup of breast cancer survivors is clinically relevant.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Marital status and optimism score among breast cancer survivors

Croft

Sorkin

Gallicchio

2014

Support Care Cancer

Self Cite

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“…[11, 30–32] Some have shown no differences in upper extremity function by race[30] or full mediation by BMI,[32] while others did not report findings specific to upper body functioning by race,[11] or did not exclusively focus on breast cancer. [31] Often, prior studies did not use validated scales to measure UED, nor account for co-morbid conditions, such as obesity, that might affect functioning.…”

Section: Introductionmentioning

confidence: 99%

Black breast cancer survivors experience greater upper extremity disability

Dean

DeMichele

LeBlanc

et al. 2015

Breast Cancer Res Treat

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Purpose Over one third of breast cancer survivors experience upper extremity disability. Black women present with factors associated with greater upper extremity disability, including: increased body mass index (BMI), more advanced disease stage at diagnosis, and varying treatment type compared with Whites. No prior research has evaluated the relationship between race and upper extremity disability using validated tools and controlling for these factors. Methods Data were drawn from a survey study among 610 women with stage I–III hormone receptor positive breast cancer. The QuickDASH (Disabilities of the Arm, Shoulder and Hand) is an 11-item self-administered questionnaire that has been validated for breast cancer survivors to assess global upper extremity function over the past 7 days. Linear regression and mediation analysis estimated the relationships between race, BMI and QuickDASH score, adjusting for demographics and treatment types. Results Black women (n=98) had 7.3 points higher average QuickDASH scores than White (n=512) women (p<0.001). After adjusting for BMI, age, education, cancer treatment, months since diagnosis, and aromatase inhibitor status, Black women had an average 4-point (95% confidence interval: 0.18–8.01) higher QuickDASH score (p=0.04) than White women. Mediation analysis suggested that BMI attenuated the association between race and disability by 40%. Conclusions Even several years post-treatment, Black breast cancer survivors had greater upper extremity disability, which was partially mediated by higher BMIs. Close monitoring of high BMI Black women may be an important step in reducing disparities in cancer survivorship. More research is needed on the relationship between race, BMI, and upper extremity disability.

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“…African American breast cancer survivors have been found to be at greater risk for experiencing significant functional impairments than White breast cancer survivors [30]. Investigators surveying survivors who had been seen at a Baltimore hospital concluded that this disparity was associated with fewer years of education and more comorbidities.…”

Section: Discussionmentioning

confidence: 99%