Menopausal-Related Symptoms in Women One Year After Breast Cancer Surgery

Mazor, Melissa; Lee, Kathryn; Dhruva, Anand; Cataldo, Janine; Paul, Steven M.; Melisko, Michelle; Smoot, Betty; Levine, Jon D.; Elboim, Charles; Conley, Yvette P.; Miaskowksi, Christine

doi:10.1016/j.jpainsymman.2017.11.030

Cited by 8 publications

(9 citation statements)

References 48 publications

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“…Indeed, about 60% to 100% of breast cancer survivors reportedly experience at least one menopausal symptom. 4 Chemotherapy could result in temporary or permanent ovarian failure and subsequent premature menopause in pre-menopausal women, and endocrine therapy could worsen existing menopausal symptoms. 5 Also, menopausal symptoms could result from quitting hormone therapy (HT) during the breast cancer treatment process 5 ; those taking HT at the time of diagnosis are usually advised to cease HT.…”

Section: Introductionmentioning

confidence: 99%

Decreasing menopausal symptoms of Asian American breast cancer survivors through a technology-based information and coaching/support program

Kim

Lee

et al. 2019

Menopause

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Objective: One of the most prevalent and distressing symptoms following breast cancer treatment is menopausal symptoms. Asian American breast cancer survivors have lower quality of life and often receive inadequate management of menopausal symptoms compared to other racial/ ethnic groups. Technology-based programs could be a solution to fill the gap in care. The purpose of this study was to test the efficacy of a technology-based information and coaching/support program on menopausal symptoms of Asian American breast cancer survivors.Methods: This study adopted a randomized pretest/posttest group design among 91 Asian American breast cancer survivors (42 in an intervention group who used the program and the American Cancer Society [ACS] website and 49 in a control group who used only the ACS website). The intervention was a theory-driven and culturally tailored intervention program that aimed to provide information and coaching/support using computers and mobile devices. Multiple instruments were used to measure background characteristics and menopausal symptoms at pretest, post 1-month, and post 3-months. An intent-to-treat linear mixed-model growth curve analysis was used to analyze the data. Results:The intervention group showed a significant decrease in the distress scores of menopausal symptoms over time: physical (β = −0.07, p = 0.08), psychological (β = −0.13, p = 0.05), psychosomatic (β = −0.17, p = 0.06), and total symptoms (β = −0.19, p = 0.01). Theorybased variables including attitudes, social influences and self-efficacy partially mediated the impact of the intervention on the distress scores of menopausal symptoms (p < 0.10).

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Section: Introductionmentioning

confidence: 99%

Decreasing menopausal symptoms of Asian American breast cancer survivors through a technology-based information and coaching/support program

Kim

Lee

et al. 2019

Menopause

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“…Symptoms and concerns can cause different levels of distress (Mazor et al, 2018;Palmer et al, 2017;Vance et al, 2019) and can impact the quality of life negatively (Lambert et al, 2021). A significant number of patients after primary cancer treatment feel unprepared about how to manage life (Fitch et al, 2020).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Symptoms and need for individualised support during the first year after primary treatment for breast cancer—A qualitative study

Rooth,

Sundberg,

Gustavell

et al. 2024

Journal of Clinical Nursing

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BackgroundThe survival rate among patients with breast cancer is high. It is well described that after primary treatment patients may experience symptoms and concerns but the needs and resources during the first year to manage everyday life are not well described.AimTo describe experiences of symptom distress, needs and support during the first year after primary treatment for breast cancer from the perspectives of patients and healthcare professionals.DesignQualitative descriptive.MethodsData collection through individual interviews with patients (n = 17) and a focus group interview with healthcare professionals (n = 7). Data was analysed using thematic analysis and resulted in three themes.ResultsThe first theme, ‘Struggling with symptoms and changes in everyday life’ shows how symptoms and concerns interfered with the everyday life of patients and in some situations even impeded them. Patients try to adapt to their new situation by creating new routines and managing symptoms through self‐care. The second theme, ‘Adaption in a period of uncertainty’ describes thoughts about cancer recurrence and doubts about continuing with the endocrine therapy if symptoms prolong. In the third theme, ‘Support and need for individualized follow‐up care’ healthcare professionals described that they provide support by being available and by giving both verbal and written information. Patients expressed that the information could be too general and voiced a need for more individually tailored support.ConclusionDuring the first year after primary treatment, patients with breast cancer describe how they try to manage by themselves, but express both unmet needs and a wish for extended and more individually tailored support. The healthcare professionals recognised that patients lack a structured plan for the first year and the need for continued support. This stresses a need for development of care models with special consideration towards individualised support after breast cancer treatment.No Patient or Public ContributionThere was no patient or public involvement in the design or conduct of the study. The interview study was not considered to benefit from involving patients or healthcare professionals when designing the interview guides as they were developed through literature and previous research of patients treated for breast cancer.

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“…For staff to be able to support and promote QoL in the next of kin to older persons in nursing homes, the staff need to adapt palliative care efforts to the specific and complex needs of the families [1]. However, it seems that staff in nursing homes do not have sufficient knowledge, skills and training in managing symptoms and other aspects of palliative care [10, 11] and that staff in nursing homes have requested more education and knowledge in palliative care [12, 13] as well as training in how to meet the emotional and existential needs of the next of kin [7]. Therefore, the KUPA project (an acronym for the Swedish title: KUnskapsbaserad PAlliativ vård, which in English is “Knowledge-based Palliative Care”] implemented an educational palliative care intervention directed to staff and managers in 20 nursing homes in Sweden.…”

Section: Introductionmentioning

confidence: 99%

Next of kin’s quality of life before and after implementation of a knowledge-based palliative care intervention in nursing homes

2019

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PurposeThe purpose of this study was to evaluate whether an educational palliative care intervention improved the quality of life for next of kin to older persons in nursing homes.MethodsAltogether, 90 next of kin in the intervention group and 105 next of kin in the control group were included. Data were collected using the WHOQOL-BREF questionnaire, answered before and 3 months after the intervention was completed. Descriptive and comparative analyses were performed.ResultsThis study found a statistically significant increase in the Physical health subscale in the intervention group but not in the control group. In contrast, the General health score decreased in the control group but not in the implementation group. Furthermore, we found an increase in the item able to perform activities of daily living in the intervention group and a decrease in the item energy and fatigue in the control group.ConclusionThe results indicated small statistical changes regarding next of kins’ QoL in favour of the intervention. Lessons learned from the study for future research are to include next of kin as participants at meetings about next of kin and to include more meetings about the theme next of kin. Both approaches would bring a stronger focus on the family-centred care aspect of the intervention into the education component, which this study indicates the need for.Trial registryTrial registration NCT02708498. Date of registration 26 February 2016.

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Menopausal-Related Symptoms in Women One Year After Breast Cancer Surgery

Cited by 8 publications

References 48 publications

Decreasing menopausal symptoms of Asian American breast cancer survivors through a technology-based information and coaching/support program

Decreasing menopausal symptoms of Asian American breast cancer survivors through a technology-based information and coaching/support program

Symptoms and need for individualised support during the first year after primary treatment for breast cancer—A qualitative study

Next of kin’s quality of life before and after implementation of a knowledge-based palliative care intervention in nursing homes

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