Literature DB >> 16220403

Significant negative impact of adjuvant chemotherapy on health-related quality of life (HR-QoL) in women with breast cancer treated by conserving surgery and postoperative 3-D radiotherapy. A prospective measurement.

Razvan M Galalae1, Jan Michel, Jens Ullrich Siebmann, Thomas Küchler, Kirsten Eilf, Bernard Kimmig.   

Abstract

PURPOSE: To prospectively assess health-related quality of life (HR-QoL) in women after conserving surgery for breast cancer during/after postoperative 3-D radiotherapy. PATIENTS AND METHODS: 109 consecutively treated patients were analyzed. HR-QoL was assessed at initiation (t1), end (t2), and 6 weeks after radiotherapy (t3) using the EORTC modules QLQ-C30/BR23. Patients were divided into three therapy groups. Group I comprised 41 patients (radiotherapy and adjuvant chemotherapy), group II 45 patients (radiotherapy and adjuvant hormonal therapy), and group III 23 patients (radiotherapy alone). Reliability was tested. Scale means were calculated. Univariate (ANOVA) and multivariate (MANCOVA) analyses were performed.
RESULTS: Reliability testing revealed mean Cronbach's alpha> 0.70 at all measurement points. ANOVA/MANCOVA statistics revealed significantly better HR-QoL for patients in group II versus I. Patients receiving radiotherapy alone (group III) showed the best results in HR-QoL. However, scale mean differences between groups II and III were not significant.
CONCLUSION: HR-QoL measurement using EORTC instruments during/after radiotherapy is reliable. Adjuvant chemotherapy significantly lowered HR-QoL versus hormones or radiotherapy alone. Chemotherapy patients did not recover longitudinally (from t1 to t3).

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Year:  2005        PMID: 16220403     DOI: 10.1007/s00066-005-1403-x

Source DB:  PubMed          Journal:  Strahlenther Onkol        ISSN: 0179-7158            Impact factor:   3.621


  3 in total

1.  Comparison of health utility weights among elderly patients receiving breast-conserving surgery plus hormonal therapy with or without radiotherapy.

Authors:  Askal Ayalew Ali; Hong Xiao; Rima Tawk; Ellen Campbell; Anastasia Semykina; Alberto J Montero; Vakaramoko Diaby
Journal:  Curr Med Res Opin       Date:  2016-12-08       Impact factor: 2.705

2.  One-year recovery from breast cancer: Importance of tumor and treatment-related factors, resilience, and sociodemographic factors for health-related quality of life.

Authors:  Katarina Veličković; Carl A K Borrebaeck; Pär-Ola Bendahl; Cecilia Hegardt; Per Johnsson; Corinna Richter; Lisa Rydén; Ingalill Rahm Hallberg
Journal:  Front Oncol       Date:  2022-08-16       Impact factor: 5.738

Review 3.  Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007.

Authors:  Ali Montazeri
Journal:  J Exp Clin Cancer Res       Date:  2008-08-29
  3 in total

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