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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한암학회 Cancer Research and Treatment Cancer Research and Treatment 제51권 제4호
발행연도
2019.1
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1,600 - 1,611 (12page)

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Purpose We aimed to evaluate health-related quality of life (HRQOL) at 1-year post-diagnosis in breast cancer (BC) patients and its association with overall survival using data from the National Cancer Center Hospital. Materials and Methods Data of a BC cohort were first obtained between 2004 and 2006 and followed up. HRQOL was assessed using EORTC QLQ-C30 and BC specific module QLQ-BR23 few days after diagnosis and 1 year after that. We examined and compared the difference in the two HRQOL scores measured for each patient by the patient’s current survival status. The Cox proportional hazards model was fitted to evaluate the impact of HRQOL on survival, with adjustment for baseline HRQOL and other factors. Results Of 299 enrolled patients, 206 responded at 1-year post-diagnosis (80.6%) and were followed up for 11.6 years on average. At 1-year post-diagnosis, survivors had better HRQOL scores than those who died, although their health status was similar at baseline. Survivors reported significant increase 1 year after diagnosis in global health status and emotional scales. Between the groups, functional scales such as physical, role, and emotional were significantly different. Functional scales, including physical (adjusted hazard ratio [aHR], 0.70), role (aHR, 0.68), emotional (aHR, 0.72), and symptom scales, including fatigue (aHR, 1.34), dyspnea (aHR, 1.29), appetite loss (aHR, 1.24) were significantly associated with overall survival. Patients who were less worried about future health had favorable survival (aHR, 0.83). Conclusion Besides treatment-related symptoms, non-medical aspects at 1-year post-diagnosis, including functional well-being and future perspective, are predictive of long-term survival. Intervention to enhance physical, role, and emotional support for women soon after their BC diagnosis might help to improve disease survival outcomes afterwards.

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참고문헌 (39)

참고문헌 신청
Gotay CC / 2008 / The prognostic significance of patient-reported outcomes in cancer clinical trials / J Clin Oncol 26:1355~1363 google schola Montazeri A / 2008 / Health-related quality of life in breast cancer patients : a bibliographic review of the literature from 1974 to 2007 / J Exp Clin Cancer Res 27:32 google schola Hahn EA / 2007 / Precision of health-related quality-of-life data compared with other clinical measures / Mayo Clin Proc 82:1244~1254 google schola Sprangers MA / 2010 / Disregarding clinical trial-based patientreported outcomes is unwarranted : five advances to substantiate the scientific stringency of quality-of-life measurement / Acta Oncol 49:155~163 google schola Staren ED / 2011 / The prognostic role of quality of life assessment in breast cancer / Breast J 17:571~578 google schola

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