Parental cancer: Health-related quality of life and current psychosocial support needs of cancer survivors and their children

The study aimed to identify and compare the factors affecting health-related quality of life (HRQoL) depending on the occupational status of cancer survivors. This study was a secondary data analysis from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2014 to 2018. Hierarchical multivariate linear regression was used to investigate the factors affecting the HRQoL of each group. Non-working cancer survivors had significantly lower HRQoL than working cancer survivors (p < 0.001). A hierarchical multiple regression model showed that demographic, health-related, and psychological characteristics explained 62.0% of non-working cancer survivors’ HRQoL (F = 4.29, p < 0.001). Among the input variables, health-related characteristics were the most influential factors (ΔR2 = 0.274, F = 9.84, p < 0.001). For working cancer survivors, health-related characteristics were the only variable that was statistically associated with HRQoL (F = 5.556, p < 0.001). It is important to enhance physical activities and manage the chronic disease to improve the HRQoL of working cancer survivors. Further, managing health-related characteristics, including depressive symptoms and suicidal ideation, is necessary for non-working cancer survivors. Regarding working survivors, psychological factors such as depressive symptoms and suicidal tendencies did not affect HRQoL. Therefore, an early and effective return to work program should be developed for the improvement of their HRQoL.

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Health-Related Quality of Life in Asian Differentiated Thyroid Cancer Survivors

Cancer Control ◽

10.1177/10732748211029726 ◽

2021 ◽

Vol 28 ◽

pp. 107327482110297

Author(s):

Wing-Lok Chan ◽

Horace Cheuk-Wai Choi ◽

Brian Lang ◽

Kai-Pun Wong ◽

Kwok-Keung Yuen ◽

...

Keyword(s):

Quality Of Life ◽

Thyroid Cancer ◽

Cancer Survivors ◽

Differentiated Thyroid Cancer ◽

Summary Score ◽

Health Related Quality ◽

Factors Associated ◽

Related Quality ◽

Health Related

Background: Health-related quality of life (HRQoL) is important for differentiated thyroid cancer survivors, but data for Asian survivors is lacking. This study aimed to have an overview of, and identify any disease-or treatment-related factors associated with, HRQoL in Asian differentiated thyroid cancer survivors. Patients and Methods: Thyroid cancer survivors were recruited from the thyroid clinics at Queen Mary Hospital, Hong Kong from February 2016 to December 2016. All adult differentiated thyroid cancer patients with stable disease more than or equal to 1 year received a survey on HRQoL using the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and Thyroid cancer specific quality of life (THYCA-QoL) questionnaire. Clinical information was collected retrospectively from the computerized clinical management system. To identify factors associated with poor HRQoL, univariable and stepwise multivariable regression analysis were performed. Results: A total of 613 survivors completed the questionnaires (response rate: 82.1%; female: 80.1%; median survivorship: 7.4 years (range: 1.0-48.2 years)). The QLQ-C30 summary score mean was 84.4 (standard deviation (SD): 12.7) while the THYCA-QoL summary score mean was 39.9 (SD: 9.7). The 2 highest symptom subscales were fatigue (mean: 26.4, SD: 20.6) and insomnia (mean: 26.2, SD: 27.6). Factors associated with worse HRQoL included serum thyrotropin (TSH) greater than 1.0 mIU/L, unemployment, and concomitant psychiatric disorders. Concomitant psychiatric illness (n = 40/613, 6.5%) also showed significant association with most of the symptom and functional subscales. Conclusions: Fatigue and insomnia were the 2 most common symptoms experienced by our differentiated thyroid cancer survivors. Long-term survivorship care with monitoring serum TSH level, supporting return-to-work and screening for concomitant psychiatric disorders should be offered.

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E-cigarette use and health-related quality of life among adult cancer survivors in the United States

Annals of Epidemiology ◽

10.1016/j.annepidem.2021.05.024 ◽

2021 ◽

Vol 61 ◽

pp. 13

Author(s):

I Jackson ◽

G Oboli ◽

A Udoh

Keyword(s):

Quality Of Life ◽

United States ◽

Cancer Survivors ◽

The United States ◽

Cigarette Use ◽

Health Related Quality ◽

Adult Cancer Survivors ◽

Related Quality ◽

Health Related

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Perceived Unmet Needs and Health-Related Quality of Life of Chinese Cancer Survivors at 1 Year After Treatment

Cancer Nursing ◽

10.1097/ncc.0b013e318263f28e ◽

2013 ◽

Vol 36 (3) ◽

pp. E23-E32 ◽

Cited By ~ 34

Author(s):

Winnie K. W. So ◽

Carmen W. H. Chan ◽

K. C. Choi ◽

Rayman W. M. Wan ◽

Suzanne S. S. Mak ◽

...

Keyword(s):

Quality Of Life ◽

Cancer Survivors ◽

Unmet Needs ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Chinese Cancer Survivors

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Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors

Preventive Medicine Reports ◽

10.1016/j.pmedr.2016.06.022 ◽

2016 ◽

Vol 4 ◽

pp. 262-269 ◽

Cited By ~ 31

Author(s):

Eline H. van Roekel ◽

Elisabeth A.H. Winkler ◽

Martijn J.L. Bours ◽

Brigid M. Lynch ◽

Paul J.B. Willems ◽

...

Keyword(s):

Quality Of Life ◽

Colorectal Cancer ◽

Cancer Survivors ◽

Sedentary Time ◽

Health Related Quality ◽

Colorectal Cancer Survivors ◽

Related Quality ◽

Health Related ◽

Time Accumulation

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Symptom burden, psychological distress, and health-related quality of life in cancer survivors with pelvic late radiation tissue injuries

Supportive Care in Cancer ◽

10.1007/s00520-021-06684-x ◽

2021 ◽

Author(s):

Grete K. Velure ◽

Bernd Müller ◽

May Aa. Hauken

Keyword(s):

Quality Of Life ◽

Psychological Distress ◽

Cancer Survivors ◽

Symptom Burden ◽

Life Questionnaire ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Tissue Injuries

Abstract Purpose Curative radiotherapy for cancer may lead to severe late radiation tissue injuries (LRTIs). However, limited knowledge exists about pelvic cancer survivors’ LRTI symptoms, distress, and health-related quality of life (HRQOL). We sought to assess the symptom burden, distress, and HRQOL in survivors with established pelvic LRTIs compared to norm populations and to investigate the relation between these factors. Methods Cancer survivors referred for treatment of established pelvic LRTIs were recruited nationwide. LTRIs were assessed with the Expanded Prostate Cancer Index Composite (EPIC), psychological distress was assessed with the General Health Questionnaire (GHQ-12), and HRQOL was assessed with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORCT-QLQ-C30). Results A total of 107 participants (mean age 64, 53% men) were included. Compared to norms, participants reported more urinary (mean 68.7 vs. 89.5; p = 0.00; d = 1.4) and bowel symptoms (mean 62.5 vs. 92.4; p = 0.00; d = 2.7), increased psychological distress (mean 13.4 vs. 10.3; p = 0.00; d = 0.6), and overall poorer HRQOL (mean 54.9 vs. 71.2; p = 0.00; d = 0.7). Higher symptom burden and higher levels of psychological distress were associated with lower HRQOL (r2 = 46%), but psychological distress did not moderate the influence of symptoms on HRQOL. Conclusion Cancer survivors with established pelvic LRTIs are highly burdened compared to norms. The association of the LRTI-related symptom burden with HRQOL is independent of the level of psychological distress. Both coping and treatment interventions are crucial to promoting long-term health and HRQOL. Trial registration NCT03570229.

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