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- Title
Patient-reported outcomes in cancer survivors: a population-wide cross-sectional study.
- Authors
Jefford, Michael; Ward, Andrew; Lisy, Karolina; Lacey, Karen; Emery, Jon; Glaser, Adam; Cross, Hannah; Krishnasamy, Mei; McLachlan, Sue-Anne; Bishop, Jim; Ward, Andrew C; Emery, Jon D; Glaser, Adam W
- Abstract
<bold>Purpose: </bold>There is a lack of robust population-based data regarding the lived experience of cancer survivors. This study assessed the quality of life (QoL) of survivors of breast, colorectal, or prostate cancer, non-Hodgkin lymphoma or melanoma 1, 3 and 5 years post-diagnosis. Associations between various demographic and disease-related factors and QoL were assessed.<bold>Methods: </bold>A cross-sectional postal survey was undertaken. Eligible participants were identified from a population-based cancer registry. Patient-reported outcomes including QoL, symptom issues and information needs were collected using validated questionnaires.<bold>Results: </bold>Difficulties with all QoL domains were more prevalent amongst cancer survivors compared with the general population, particularly difficulties with usual activities (28 vs 15%) and anxiety or depression (35 vs 22%). Symptoms such as trouble sleeping, always feeling tired, trouble concentrating and fear of cancer recurrence persisted up to 5 years post-diagnosis. Factors associated with reduced QoL included having another long-standing health condition, cancer not responding fully to treatment, not having or not being certain of having a written care plan and being female.<bold>Conclusions: </bold>Cancer survivors experience inferior QoL and cancer-related symptoms for years following diagnosis. These results support further investigation into factors that contribute to poorer survivor outcomes and enhanced identification and intervention strategies for those requiring additional support.
- Subjects
HEALTH outcome assessment; CROSS-sectional method; QUALITY of life; BREAST cancer patients; PROSTATE cancer patients
- Publication
Supportive Care in Cancer, 2017, Vol 25, Issue 10, p3171
- ISSN
0941-4355
- Publication type
journal article
- DOI
10.1007/s00520-017-3725-5