Then and now: quality of life of young breast cancer survivors

Bloom, Joan R.; Stewart, Susan L.; Chang, Subo; Banks, Priscilla J.

doi:10.1002/pon.794

Cited by 340 publications

(373 citation statements)

References 53 publications

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“…However, breast cancer patients after diagnosis have poorer physical functioning in comparison with healthy controls [6][7][8][9], and more frequent malaise [10][11][12]. Furthermore, breast cancer patients feel more stress and anxiety about the future compared to the general population and have lower mental domain scores [13][14][15]. These findings suggest that the diagnosis and various treatments of breast cancer will affect the long-term HRQOL.…”

Section: Introductionmentioning

confidence: 80%

“…The most important task is to provide a social support system and rehabilitation for patients with long-term physical, mental and functional problems after cancer treatment, with the goal of improving long-term HRQOL, on which social support has a great effect [5,8,14,16].…”

Section: Introductionmentioning

confidence: 99%

“…This includes clarifying patterns of physical and psychosocial recovery over time, identifying social backgrounds, clinicopathological and treatment-related factors that influence long-term HRQOL, and identifying areas and persons requiring support in the future. Factors with significant effects on long-term HRQOL after treatment of breast cancer include age [18][19][20][21][22][23][24][25], race [9,25], educational status [19][20][21], income [7,8,13], marriage [11,13,21,24,25], recurrence [9,26], disease period [11,20], surgical procedure [7,19,20], chemotherapy [8,10,11,14,20,24], physical activities [27] and culture [25,28]. In our previous longitudinal prospective study, the factors predicting HRQOL at one year after surgery were mood disturbance, poor body image, lower income and positive axillary nodes one month after surgery [17].…”

Section: Introductionmentioning

confidence: 99%

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Associations among baseline variables, treatment-related factors and health-related quality of life 2 years after breast cancer surgery

Taira

Shimozuma

Shiroiwa

et al. 2011

Breast Cancer Res Treat

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Provision of social support and rehabilitation for patients with physical, mental and functional problems after cancer treatment is important for long-term health-related quality of life (HRQOL). Effective use of human and financial healthcare resources requires identification of patients requiring rehabilitation. The objectives of the current study were to clarify the patterns of physical and psychosocial recovery over time, to evaluate the associations among baseline variables, treatment-related factors and HRQOL at 6 months, 1 and 2 years after breast cancer surgery, and to identify the significant factors predicting HRQOL at each point. A multicenter longitudinal study was performed to evaluate physical conditions, anxiety, depression and HRQOL at one month (baseline), 6 months, and 1 and 2 years after surgery in 196 patients (mean age: 53.3 years old) with early breast cancer and no postoperative recurrence. Physical conditions were evaluated using a patient-reported symptom checklist. HRQOL was rated using the Functional Assessment of Cancer Treatment scale-General (FACT-G) and the Breast Cancer subscale (FACT-B). Anxiety and depression were rated using the Hospital Anxiety and Depression Scale (HADS).More than 50% of patients had local problems of "tightness", "arm weakness" and "arm lymphedema", and systemic problems of "reduced energy, fatigue, and general weakness" postoperatively. The HRQOL score significantly improved one year after surgery, and scores for physical, emotional and functional well-being also increased with time, whereas the score for social well-being was highest at baseline and decreased with time. Depression and anxiety significantly improved with time. Concomitant disease, marital status and the presence of a partner, anxiety and depression at baseline, pathological lymph node involvement, and adjuvant intravenous chemotherapy were significant factors predicting FACT-G scores at 6 months and 1 and 2 years after surgery. Depression at baseline was a strong predictor of HRQOL up to 2 years after surgery. These results suggest that physical rehabilitation is required for tightness and lymphedema to improve long-term postoperative physical function. A further study of psychosocial interventions is required to improve depression and social well-being after breast cancer surgery.

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Section: Introductionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associations among baseline variables, treatment-related factors and health-related quality of life 2 years after breast cancer surgery

Taira

Shimozuma

Shiroiwa

et al. 2011

Breast Cancer Res Treat

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show abstract

“…Younger, premenopausal women seem to experience more distress, higher levels of depression, cope less well and report poorer quality of life than older women [8][9][10].…”

Section: Women's Experiences Of Breast Cancermentioning

confidence: 99%

The experiences, needs and concerns of younger women with breast cancer: a meta‐ethnography

et al. 2011

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Objective: This meta-ethnography synthesises the evidence on the experiences, needs and concerns of younger women with breast cancer.Methods: Using a method called 'reciprocal translation' we developed a conceptual model to reflect the local and social contexts, issues, processes, needs and concerns of importance in this literature.Findings: Key findings relate to the particular point in the life-course at which young women with breast cancer stand. Issues for these women relate to feeling different as a result of cancer, fear of recurrence, feeling 'out of sync' and altered embodied subjectivity. Young women with breast cancer use three processes to integrate the changes that cancer brings, namely, balancing, normalising and changing. Our conceptual model also highlights young women's needs, primarily for support, information, childcare, counselling and spiritual support. Areas of reproduction, fertility and sexuality were also of particular concern. The included papers have methodological limitations that impact on our findings, such as opportunistic data analyses, lack of theoretical frameworks and limited reference to socio-cultural factors.Conclusion: The conceptual model developed as a result of this meta-ethnography provides a basis for practitioners to address these young women's concerns more adequately and comprehensively.

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“…Although, previous research has suggested that cancer survivors believe that healthy behaviors can prevent cancer recurrence, these studies have focused mostly on the quality of life and the adjustments made after cancer (Bloom et al, 2004;Rabin and Pinto, 2006;Costanzo and Ryff, 2009). Another study indicated that social support had a positive impact on cancer patients (Helgeson and Cohen, 2000).…”

Section: Breast Cancer Survivors' Efforts To Renew and Preserve Theirmentioning

confidence: 99%

Breast Cancer Survivors' Efforts to Renew and Preserve Their Health in Taiwan

Wang

Chung

2012

Asian Pacific Journal of Cancer Prevention

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Then and now: quality of life of young breast cancer survivors

Abstract: Five years after diagnosis, young breast cancer survivors who remained cancer-free enjoyed good health and improved quality of life. Nonetheless, physical, social, and psychological concerns must be addressed so that young breast cancer survivors will continue to be resilient as they age.

Cited by 340 publications

References 53 publications

Associations among baseline variables, treatment-related factors and health-related quality of life 2 years after breast cancer surgery

Associations among baseline variables, treatment-related factors and health-related quality of life 2 years after breast cancer surgery

The experiences, needs and concerns of younger women with breast cancer: a meta‐ethnography

Breast Cancer Survivors' Efforts to Renew and Preserve Their Health in Taiwan

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