Baseline psychosocial predictors of survival in localized melanoma

Lehto, Ulla-Sisko; Ojanen, Markku; Dyba, Tadeusz; Aromaa, Arpo; Kellokumpu‐Lehtinen, Pirkko

doi:10.1016/j.jpsychores.2007.01.001

Cited by 61 publications

(67 citation statements)

References 42 publications

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“…We have previously examined the contribution of baseline psychosocial factors to survival in localized breast cancer [26] and melanoma [27] 1 . Baseline life stressors were evaluated retrospectively over the course of 1 year and they did not predict survival.…”

Section: Introductionmentioning

confidence: 99%

“…The study sample comprises 59 newly diagnosed 28- to 70-year-old patients with Clark II–IV skin melanoma, as in our previous study [27]. The patients completed several validated questionnaires 3–4 months after the diagnosis [23,27].…”

Section: Introductionmentioning

confidence: 99%

“…The patients completed several validated questionnaires 3–4 months after the diagnosis [23,27]. Life events were evaluated with the Life Experience Survey [18] and the measurement was repeated at 9, 15, 21, 27, and 39 months.…”

Section: Introductionmentioning

confidence: 99%

“…The Cox proportional hazards regression model [28] was used to determine the predictors of survival time using Stata 10, as presented in our previous paper [27]. Survival was now followed up until November 2008 (≥10.5 years, median 11.4 years) when 25% of the patients had died (10 men, 5 women).…”

Section: Introductionmentioning

confidence: 99%

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Impact of Life Events on Survival of Patients with Localized Melanoma

Lehto

Ojanen

Dyba

et al. 2012

Psychother Psychosom

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of Life Events on Survival of Patients with Localized Melanoma

Lehto

Ojanen

Dyba

et al. 2012

Psychother Psychosom

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“…29 Reports in the literature regarding QoL in oncology patients show that factors related to the tumor (i.e. stage, site) are not predictive of quality of life and this was also clear in the present study conducted using the FACT-G. 29,30 In a study on the predictors of quality of life in skin melanoma conducted in Finland, Lehto et al 30 also reported correlations between sociodemographic factors, but not tumorrelated factors, and patients' quality of life.…”

Section: Discussionmentioning

confidence: 48%

Preditores de qualidade de vida em pacientes com melanoma cutâneo no serviço de dermatologia do Hospital de Clínicas de Porto Alegre

Barbato

Bakos

Bakos³

et al. 2011

An. Bras. Dermatol.

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BACKGROUNDS: Some symptoms present in melanoma patients are directly related to psychological stress, which emphasizes the need to evaluate quality of life (QoL) in these patients at all the stages of their disease. Objectives: The objective of this study was to evaluate quality of life in a sample of patients diagnosed with melanoma, using the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire. METHODS: A descriptive, cross sectional study was conducted between July and December, 2006 with all patients with skin melanoma receiving follow-up care at the Department of Dermatology of the Porto Alegre Teaching Hospital, Federal University of Rio Grande do Sul. RESULTS: Sixty patients were included in the study. Mean age was 55.6 years. Poor education level (primary school or less) was associated with a poorer FACT-G score. Patients with a family history of the disease had higher QoL scores in 3 of the 4 categories evaluated: physical, emotional and functional wellbeing (p<0.01). QoL scores were higher in married patients (82.42) compared to single patients (70.28) (p<0.01). Patients with metastases had lower scores in the functional wellbeing category and this difference was statistically significant. CONCLUSIONS: Factors related to the tumor, as well as gender, age and employment status, were not found to be predictive of quality of life in this sample. Quality of life scores were lower in the functional wellbeing domain in patients with metastases. Married patients are able to count on greater comfort and emotional support to help them deal with the diagnosis of melanoma. Patients with a family history of melanoma had significantly higher quality of life scores, while those with poor education levels had lower scores. Keywords: Dermatology; Quality of life indicators; Oncology; Melanoma; Quality of life; Resumo: FUNDAMENTOS: Alguns sintomas presentes nos pacientes com melanoma estão diretamente relacionados à tensão psicoló-gica, o que reforça a necessidade de avaliar a qualidade de vida em todas as fases da doença. OBJETIVOS: Avaliar a qualidade de vida dos pacientes diagnosticados com melanoma por meio do questionário Fact-G. MÉTODOS: Estudo descritivo transversal que incluiu todos os pacientes em seguimento no serviço de dermatologia do Hospital de Clínicas de Porto Alegre entre julho e dezembro de 2006. RESULTADOS: Sessenta pacientes foram incluídos. A idade média foi de 55,6 anos. O nível de escolaridade até primeiro grau foi correlacionado a escores mais baixos no Fact-G. Os pacientes com história familiar apresentaram maiores escores de QoL em três das quatro categorias avaliadas: bem-estar físico, emocional e funcional (P < 0,01). Pacientes casados mostraram melhor qualidade de vida (82,42) que os solteiros (70,28; P < 0,01). Os pacientes com metástase obtiveram uma menor pontuação no questionário no domínio bem-estar funcional. CONCLUSÕES: Os fatores relacionados ao tumor, assim como o sexo, a idade e a situação de emprego, não foram preditores de qualidade de vida. Pacient...

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