Influence of Socioeconomic Status and BMI on the Quality of Life after Mastectomy in Bangladeshi Breast Cancer Patients in a Public Hospital

Rahman, Md. Mizanur; Ahsan, Md. Abul; Monalisa, Nazratun Nayeem; Rahman, Khadiza

doi:10.1093/jjco/hyu144

Cited by 18 publications

(19 citation statements)

References 30 publications

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“…We are aware of few studies among cancer survivors in Southeast Asia or other LMICs [19, 35]. Most research on cancer survivorship has been conducted in high-income settings where patients were more likely to receive a timely diagnosis, optimal treatment, follow-up, and survivorship care.…”

Section: Discussionmentioning

confidence: 99%

“…A diagnosis of lung cancer and having comorbid conditions are also associated with a high symptom burden and low HRQoL [12, 13, 36, 37]. In both low- and high-income settings, socioeconomic disparity in cancer survivors has been associated with poor HRQoL [12, 13, 35, 42–45] and psychological distress [46, 47]. Possible explanations may be poorer recognition of cancer symptoms and more barriers to access appropriate and timely healthcare services by patients with low socioeconomic status [48].…”

Section: Discussionmentioning

confidence: 99%

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Health-related quality of life and psychological distress among cancer survivors in Southeast Asia: results from a longitudinal study in eight low- and middle-income countries

Kimman

Jan

Peters

et al. 2017

BMC Med

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BackgroundA better understanding of health-related quality of life (HRQoL) and psychological distress in cancer survivors can raise awareness, promote the development of policies in cancer survivorship care, and facilitate better targeted use of limited resources in low- and middle-income countries (LMICs). The main objectives of this paper were therefore to assess HRQoL and the prevalence of psychological distress amongst cancer survivors in Southeast Asia and identify risk factors of these outcomes.MethodsThe ACTION study was a longitudinal study in eight LMICs in Southeast Asia with 5249 first time cancer survivors followed up at 1 year after diagnosis. HRQoL was assessed using the EORTC QLQ-C30 and EQ-5D. Psychological distress (anxiety and depression) was assessed using the Hospital Anxiety and Depression Scale. General linear models and multiple logistic regression were used to identify independent predictors of HRQoL and psychological distress.ResultsOne year after diagnosis, the mean EORTC QLQ-C30 global health score for survivors was 66.2 out of 100 (SD 22.0), the mean index score on the EQ-5D was 0.74 (SD 0.23), 37% of survivors had at least mild levels of anxiety, and 46% showed at least mild levels of depression. Poorest HRQoL and highest prevalence of anxiety and depression were seen in patients with lung cancer and lymphomas, while highest scores and least psychological distress were seen in female patients with breast and cervical cancer. The most significant predictor of poor HRQoL and psychological distress outcomes was cancer stage at diagnosis. Age, co-morbidities, treatment, and several socioeconomic factors were associated with HRQoL and psychological distress.ConclusionsCancer survivors in LMICs in Southeast Asia have impaired HRQoL and substantial proportions have psychological distress. Patients with advanced cancer stages at diagnosis and those in a poor socioeconomic position were most at risk of such poor outcomes. Supportive interventions for cancer patients that address wider aspects of patient wellbeing are needed, as well as policies that address financial and other barriers to timely treatment.Electronic supplementary materialThe online version of this article (doi:10.1186/s12916-016-0768-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Health-related quality of life and psychological distress among cancer survivors in Southeast Asia: results from a longitudinal study in eight low- and middle-income countries

Kimman

Jan

Peters

et al. 2017

BMC Med

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“…Breast cancer (BC) is a serious, stressful and life-threatening disease 1 . However, over the years, the survival rates of patients have increased due to early diagnosis and progress in response to treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding nutrition and nutrient intake-related side effects, nutritional status, body composition and food consumption can play important roles in the HRQL of patients 4 . In fact, healthy eating habits 5 and adequate body weight 1 , 4 are directly related to the HRQL of women with BC.…”

Section: Introductionmentioning

confidence: 99%

Relationship between food perceptions and health-related quality of life in a prospective study with breast cancer patients undergoing chemotherapy

Marinho¹,

Custódio²,

Ferreira³

et al. 2018

Clinics

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OBJECTIVE:To correlate the perceptions related to dietary intake with the domains and subscales of health-related quality of life (HRQL) in women with breast neoplasms receiving chemotherapy.METHODS:In this prospective study, 55 women with breast cancer were followed up during chemotherapy at three different times (T0, T1, T2). Before chemotherapy, perceptions related to food consumption were evaluated. HRQL was analyzed with the EORTC QLQ-C30 and Br23 instruments 21 days after each investigated cycle. The differences (T2-T0) in the subscales and HRQL domains were correlated with the differences (T2-T0) in the appetite scores. Spearman's correlation was used to verify a possible correlation between differences in functional and overall HRQL domains (T2-T0) and differences in appetite scores for certain foods and between the differences in some subscales of EORTC QLQ-C30 and Br23 (T2-T0) and differences in appetite scores for certain food groups (T2-T0).RESULTS:Correlations between pain and appetite for bitter taste and between an increased appetite for juices and pain intensification or fatigue were identified, and pain was correlated with an appetite for starchy foods. An appetite for vegetables, legumes and meat/eggs was correlated with physical function. The only significant correlation with social functions occurred between the appetite for sweet foods and these functions. We found a correlation between overall health, emotional function, social function and physical function and the appetite for juices.CONCLUSION:Chemotherapy alters the individual's relationship with food and, consequently, the individual's HRQL.

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“…No presente estudo, não se observou correlação significativa entre qualidade de vida e estado nutricional, resultado diferente de um estudo que examinou a qualidade de vida em pacientes de Bangladesh e constatou que a melhoria da renda familiar, do estado nutricional e do ambiente de trabalho podem ter um impacto sobre a melhoria da qualidade de vida de pacientes com CM durante as fases de tratamento (38) . Um estudo transversal com 100 iranianas sobreviventes de CM demonstrou que as sobreviventes com melhor estado nutricional tiveram melhores escalas de funcionamento e menos sintomas clínicos (17) .…”

Section: Discussionunclassified

Qualidade de vida, estado nutricional e consumo alimentar de mulheres com câncer de mama em tratamento quimioterápico

Scheibler

Silva

Moreira³

et al. 2016

RBPS

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Quality of life, nutritional status and food consumption of women with breast cancer undergoing chemotherapy Calidad de vida, estado nutricional y consumo alimentario de mujeres con cáncer de mama en tratamiento de quimioterapia RESUMO Objetivo: Avaliar a qualidade de vida, o estado nutricional e o consumo alimentar de mulheres diagnosticadas com câncer de mama em quimioterapia. Métodos: Estudo transversal e analítico envolvendo 70 mulheres, de 30 a 59 anos, em um hospital do Rio Grande do Sul, no período de maio a outubro de 2015. Aplicou-se o questionário European Organization for Research and Treatment of Câncer Quality of Life Questionnaire C30 (EORTC QLQ-C30). As variáveis antropométricas coletadas foram: peso atual, altura, circunferência braquial, circunferência da cintura, circunferência do quadril e prega cutânea tricipital. O consumo alimentar foi avaliado pelo recordatório alimentar de 24 horas. Resultados: Sobrepeso e obesidade foram encontrados respectivamente em 37,1% e 37% das mulheres de acordo com o índice de massa corporal. A média do consumo de calorias, carboidratos, lipídios, colesterol, fibras, cálcio e ferro foi significativamente inferior à recomendação, com destaque para nutrientes como fibras (91,4% dos casos), cálcio (87,7% dos casos) e ferro (mais de 90% dos casos). No entanto, o consumo médio de proteínas (72,9% dos casos > 15% do VCT) e vitamina C (mais de 50% dos casos) foi superior ao recomendado. Conclusão: A qualidade de vida das mulheres com câncer de mama em quimioterapia foi considerada baixa e elas apresentaram uma elevada prevalência de sobrepeso e obesidade. Além disso, o consumo alimentar foi superior à recomendação para proteínas e vitamina C, e inferior para calorias, carboidratos, lipídios, colesterol, fibras, cálcio e ferro. Não foi observada associação significativa entre qualidade de vida e estado nutricional.

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Influence of Socioeconomic Status and BMI on the Quality of Life after Mastectomy in Bangladeshi Breast Cancer Patients in a Public Hospital

Abstract: Improvement of family income, nutritional status and improvement of working environment might have an impact on the improvement of the quality of life of breast cancer patients during the phases of treatment.

Cited by 18 publications

References 30 publications

Health-related quality of life and psychological distress among cancer survivors in Southeast Asia: results from a longitudinal study in eight low- and middle-income countries

Health-related quality of life and psychological distress among cancer survivors in Southeast Asia: results from a longitudinal study in eight low- and middle-income countries

Relationship between food perceptions and health-related quality of life in a prospective study with breast cancer patients undergoing chemotherapy

Qualidade de vida, estado nutricional e consumo alimentar de mulheres com câncer de mama em tratamento quimioterápico

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