Mingzhu Su1,2, Xingxing Hua1,2, Jialin Wang3, Nengliang Yao1,2, Deli Zhao4, Weidong Liu5, Yuewei Zou6, Roger Anderson7, Xiaojie Sun8,9. 1. School of Health Care Management, Shandong University, Jinan, China. 2. NHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, China. 3. Shandong Provincial Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical Sciences, Jinan, China. 4. Feicheng People's Hospital, Feicheng, Shandong, China. 5. Health and Family Planning Commission of Linqu County, Linqu, Shandong, China. 6. Rushan Center for Disease Control and Prevention, Rushan, Shandong, China. 7. Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA. 8. School of Health Care Management, Shandong University, Jinan, China. xiaojiesun@sdu.edu.cn. 9. NHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, China. xiaojiesun@sdu.edu.cn.
Abstract
PURPOSE: The purpose of the study was to examine health-related quality of life (HRQoL) about the most common cancers survivors (lung, stomach, colorectal, breast, and esophageal cancer) in rural China. METHODS: We administrated a cross-sectional study in three counties in Shandong province from August to September 2017. The five-level EuroQol-5-dimension (EQ-5D-5L) questionnaire was used to measure the HRQoL among cancer patients at least 8 months post-diagnosis. The Chinese population-based preference trade-off time (TTO) model and discrete choice experiment (DCE) were used to convert the EQ-5D-5L utility score. Tobit regression model was used to identify independent associations between socio-demographic, clinical variables with the HRQoL. RESULTS: In total, 452 cancer survivors were included. The mean EQ-5D-5L utility scores and Visual Analog Scale (EQ-VAS) scores were 0.841 (SD = 0.233) and 70.35 (SD = 18.80) for cancer survivors, respectively. Among the five dimensions, 58.6% of survivors had at least slight levels of pain/discomfort, and 39.2% showed at least slight levels of anxiety/depression. The influencing factors of HRQoL included cancer stage at diagnosis, tumor site, comorbidities, annual household income, and migrant worker status (rural-to-urban migration). Compared to other cancer patients, lung cancer patients had the lowest HRQoL. Higher household income and being a migrant worker were associated with a higher HRQoL for cancer survivors. CONCLUSIONS: Cancer survivors in rural China have deteriorated HRQoL, and a substantial number of survivors have pain/discomfort problems. Our study provides detailed data on HRQoL of rural cancer survivors for future supportive and survivorship care in China.
PURPOSE: The purpose of the study was to examine health-related quality of life (HRQoL) about the most common cancers survivors (lung, stomach, colorectal, breast, and esophageal cancer) in rural China. METHODS: We administrated a cross-sectional study in three counties in Shandong province from August to September 2017. The five-level EuroQol-5-dimension (EQ-5D-5L) questionnaire was used to measure the HRQoL among cancerpatients at least 8 months post-diagnosis. The Chinese population-based preference trade-off time (TTO) model and discrete choice experiment (DCE) were used to convert the EQ-5D-5L utility score. Tobit regression model was used to identify independent associations between socio-demographic, clinical variables with the HRQoL. RESULTS: In total, 452 cancer survivors were included. The mean EQ-5D-5L utility scores and Visual Analog Scale (EQ-VAS) scores were 0.841 (SD = 0.233) and 70.35 (SD = 18.80) for cancer survivors, respectively. Among the five dimensions, 58.6% of survivors had at least slight levels of pain/discomfort, and 39.2% showed at least slight levels of anxiety/depression. The influencing factors of HRQoL included cancer stage at diagnosis, tumor site, comorbidities, annual household income, and migrant worker status (rural-to-urban migration). Compared to other cancerpatients, lung cancerpatients had the lowest HRQoL. Higher household income and being a migrant worker were associated with a higher HRQoL for cancer survivors. CONCLUSIONS:Cancer survivors in rural China have deteriorated HRQoL, and a substantial number of survivors have pain/discomfort problems. Our study provides detailed data on HRQoL of rural cancer survivors for future supportive and survivorship care in China.
Entities:
Keywords:
Cancer survivors; China; Health-related quality of life; Rural
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