Journal ArticleDOI
Then and now: quality of life of young breast cancer survivors.
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TLDR
A large number of women under age 50, a quarter of all cases of breast cancer, are especially vulnerable to physical and psychosocial late effects of their treatment due to having more aggressive treatment and their relative youth.Abstract:
Background: Women under age 50, a quarter of all cases of breast cancer, are especially vulnerable to physical and psychosocial late effects of their treatment due to having more aggressive treatment and their relative youth.
Methods: In person interviews were conducted with the population-based sample: 185 women who were under 50 at diagnosis and were cancer-free 5 years later. Quality of life in the physical, psychological, social, and spiritual domains was assessed and compared with results obtained a few months after diagnosis.
Results: Five years after diagnosis, 92% rated their health as good or excellent, and only 10% said their health had been getting worse. Between baseline and 5 years, there were significant improvements in surgical symptoms, body image, worry about the future, patient–physician communication, intrusiveness of treatment, and all of the SF-36 measures except for general health. There were significant decreases in emotional support and the size of one's social network. More women were now menopausal (75% due to treatment) and there were fewer children at home. There were no significant changes in employment status, marital/partner status, sexual activity, sexual problems, self-esteem, and attendance at religious services or frequency of prayer. In multivariate models, a greater increase in physical quality of life was associated with reporting fewer chronic conditions, being employed, having been treated by chemotherapy and fewer had no children under age 18 living at home. A greater increase in mental quality of life was associated with fewer chronic conditions and a smaller decrease in emotional support.
Conclusions: 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. Copyright © 2004 John Wiley & Sons, Ltd.read more
Citations
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Journal ArticleDOI
Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies
Sébastien Simard,Belinda Thewes,Gerry Humphris,Mélanie Dixon,Ceara Hayden,Shab Mireskandari,Gozde Ozakinci +6 more
TL;DR: This review aims to provide a comprehensive overview of current scientific knowledge on FCR and to formulate recommendations for future research to stimulate the research and the development of targeted interventions for cancer survivors and their carers.
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American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline
Carolyn D. Runowicz,Corinne R. Leach,N. Lynn Henry,Karen S. Henry,Heather T. Mackey,Rebecca Cowens-Alvarado,Rachel S. Cannady,Mandi Pratt-Chapman,Stephen B. Edge,Linda A. Jacobs,Arti Hurria,Lawrence B. Marks,Samuel J. LaMonte,Ellen Warner,Gary H. Lyman,Patricia A. Ganz +15 more
TL;DR: Recommendations on surveillance for breast cancer recurrence, screening for second primary cancers, assessment and management of physical and psychosocial long-term and late effects of breast cancer and its treatment, health promotion, and care coordination/practice implications are made.
Journal ArticleDOI
Quality of Life, Fertility Concerns, and Behavioral Health Outcomes in Younger Breast Cancer Survivors: A Systematic Review
TL;DR: In this article, the authors found that younger women with breast cancer experience distinct psychosocial and menopause-related concerns, weight gain, and physical inactivity, and a need for more longitudinal research to manage these symptoms and adverse health outcomes remains.
Journal ArticleDOI
Quality of life among long-term breast cancer survivors: A systematic review
TL;DR: This review shows that focusing on the long-term effects of breast cancer is important when evaluating the full extent of cancer treatment, and the current medical condition, amount of social support and current income level were strong positive predictors of quality of life.
Journal ArticleDOI
Quality of life among younger women with breast cancer.
TL;DR: Younger breast cancer survivors are at risk for impaired QOL up to several years after diagnosis, and may need interventions that specifically target their needs related to menopausal symptoms and problems with relationships, sexual functioning, and body image.
References
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Book
SF-36 health survey: Manual and interpretation guide
TL;DR: TheSF-36 is a generic health status measure which has gained popularity as a measure of outcome in a wide variety of patient groups and social and the contribution of baseline health, sociodemographic and work-related factors to the SF-36 Health Survey: manual and interpretation guide is tested.
Journal ArticleDOI
Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents
Lisa F. Berkman,S L Syme +1 more
TL;DR: The findings show that people who lacked social and community ties were more likely to die in the follow-up period than those with more extensive contacts.
Journal ArticleDOI
Quality of life in cancer patients--an hypothesis.
TL;DR: An hypothesis is proposed which suggests that the quality of life measures the difference, or the gap, at a particular period of time between the hopes and expectations of the individual and that individual's present experiences.
Journal ArticleDOI
Quality of Life in Long-Term, Disease-Free Survivors of Breast Cancer: a Follow-up Study
Patricia A. Ganz,Katherine A. Desmond,Beth Leedham,Julia H. Rowland,Beth E. Meyerowitz,Thomas R. Belin +5 more
TL;DR: Long-term, disease-free breast cancer survivors reported high levels of functioning and QOL many years after primary treatment, however, past systemic adjuvant treatment was associated with poorer functioning on several dimensions of QOL.