Quality of life among Ethiopian cancer patients

Wondie, Yemataw; Hinz, Andreas

doi:10.1007/s00520-020-05398-w

Cited by 22 publications

(38 citation statements)

References 33 publications

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“…The needs of patients with non-malignant conditions are also increasingly identi ed [39][40][41]. This research found that patients diagnosed with advanced illnesses in Bhutan have poor levels of functioning and varied levels of symptom severity indicating high support needs, consistent with advanced illnesses in other LMICs [33,[42][43][44][45]. Both cancer and non-cancer patients in Bhutan reported substantial symptom burdens.…”

Section: Discussionmentioning

confidence: 76%

“…Forty one percent of the Bhutanese patients in this study did not go to school and 13% had just primary education-indicating that 54% of the patients had signi cant problems with literacy. In the Ethiopian study [33] previously discussed, 53% of patients were also illiterate. DeWalt and colleagues in their systematic review on literacy and health outcomes concluded that "low literacy is associated with a range of adverse health outcomes" [60] (p. 1238).…”

Section: Discussionmentioning

confidence: 83%

“…A better understanding of the factors in uencing the QOL among patients with advanced illness can create awareness and facilitate policy development, particularly in resource constrained countries [33].…”

Section: Discussionmentioning

confidence: 99%

“…This is in contrast to the ndings of Thome and colleagues [29], who found that elderly cancer patients in Sweden had poorer scores, more complaints and subsequently poorer quality of life compared to non-cancer patients. and much more than the general population in the aforementioned countries [33,[46][47][48][49].…”

Section: Discussionmentioning

confidence: 99%

“…The existing normative data is most available for general populations and the mean scores for the Global Health/QOL across Australia (68.5, SD 21.5), Columbia, (77.1, SD 18.5), the European countries (66.1, SD 21.7) and Korea (67.7, SD 68.8) provide a reasonable picture of quality of life scores for those without advanced illness[46][47][48][49]. One study from Ethiopia[33], another developing country, that focused on cancer patients mostly with later stage disease, reported a better mean global health/QOL score than patients with advanced illnesses in Bhutan (Ethiopia 54.6, SD 26.2 compared with Bhutan 47.4, SD 24.1) despite the mean score for pain in cancer patients in the two countries being similar (Ethiopia 55, SD 36.2, Bhutan 55.2, SD 35.7). Symptoms like fatigue and nancial di culties related to the illness are worse among Bhutanese cancer patients (59.4, SD 34.8 and 81.6, SD 36.3, respectively) compared to…”

mentioning

confidence: 99%

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Palliative Care Needs among Patients with Advanced Illnesses in Bhutan

Laabar

Saunders

Auret

et al. 2020

Preprint

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Background Palliative care improves the quality of lives of patients and families affected by life-limiting illnesses through the prevention and relief of suffering. While palliative care is well established in developed countries, it is inadequate or non-existent in most developing countries. Palliative care is an emerging concept in Bhutan, a tiny Himalayan Kingdom. A small community palliative care service is available in the national referral hospital with three dedicated inpatient palliative care beds. This study explored the needs for palliative care among patients diagnosed with advanced illnesses and is a component of a larger project aimed to inform a suitable palliative care model for the country.Methods This is a cross-sectional descriptive study. A survey, using a structured questionnaire including the EORTC QLQ-C30, was carried out among patients with advanced illness in hospitals, primary care units and communities across the country. Purposeful and snowball sampling strategies were used to recruit study participants.Results Seventy (76%), out of 93 eligible patients, agreed to participate in the survey. Participants reported low to moderate scores on physical, role, emotional, cognitive and social functioning, a moderate score for the global health/ quality of life scale and moderately high (worse) scores in symptoms including fatigue, pain, insomnia, loss of appetite and the financial impact from the disease.Conclusions The symptom burden experienced by patients affected by terminal and advanced illnesses demonstrates the need for palliative care in Bhutan. These findings will help inform the development of a public health-focused palliative care model, modified to the Bhutanese context, as recommended by the World Health Organization.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Palliative Care Needs among Patients with Advanced Illnesses in Bhutan

Laabar

Saunders

Auret

et al. 2020

Preprint

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The effect of cognitive behavioural therapy integrated with activity pacing on cancer‐related fatigue, depression and quality of life among patients with breast cancer undergoing chemotherapy in Ethiopia: A randomised clinical trial

Getu

Chen

Addissie

et al. 2023

Intl Journal of Cancer

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Fatigue is a common symptom experienced by 80% of individuals who receive chemotherapy and is one of the major factors that affect quality of life (QoL) of patients with breast cancer. Our study aimed to assess the effect of cognitive behavioural therapy integrated with activity pacing (CBT‐AP) on cancer‐related fatigue among patients with breast cancer undergoing chemotherapy. A parallel‐group, randomised controlled trial was conducted. Severely fatigued patients were randomly assigned to the CBT‐AP or usual care (UC) groups using a computer‐generated random sequence. The new intervention was designed for seven sessions: three 2‐hour face‐to‐face and four 30‐minute telephone sessions. The primary outcome (fatigue severity) and the secondary outcomes (depression and QoL) were assessed at the end of the intervention and after 3 months. The data were analysed by repeated measures analyses of covariance (RM‐ANCOVA). CBT‐AP had a significant time effect (P < .001, ηp2 = 0.233) in reducing fatigue from baseline (adjusted mean = 7.48) to the end of the intervention (adjusted mean = 6.37) and the 3‐month follow‐up (adjusted mean = 6.54). Compared to the UC group, the CBT‐AP group had lower fatigue and depression scores, and higher global health status scores. The group × time interaction revealed a significant reduction in fatigue and depression in the CBT‐AP group compared to the UC group. Therefore, CBT‐AP appears to be effective in reducing fatigue and depression and improving QoL in patients with breast cancer undergoing chemotherapy. It is highly recommended to integrate a CBT‐AP intervention in routine cancer care.

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