scholarly journals Health-related Quality of Life Among Cervical Cancer Survivors at a Tertiary Hospital in Kumasi, Ghana

2020 ◽  
Author(s):  
Kwabena Amo Antwi ◽  
Ramatu Agambire ◽  
Thomas Opkoti Konney ◽  
Yvonne Nartey ◽  
Adu-Appiah Kubi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Body Image ◽  
Cancer Survivors ◽  
Financial Burden ◽  
Figo Stage ◽  
Related Quality ◽  
Eortc Qlq ◽  
Loss Of Appetite

Abstract BackgroundCervical cancer survivors often experience significant diminution in health-related quality of life (HRQoL). We aimed to investigate the overall HRQoL, determine the role of the stage of disease and type of treatment received on HRQoL, and evaluate predictors of HROoL among cervical cancer survivors in Ghana.MethodsA hospital-based cross-sectional study was conducted in 153 cervical cancer patients who completed curative treatment between January 2004 and December 2018 at Komfo Anokye Teaching Hospital. The European Organization for Research and Treatment of Cancer core questionnaire (EORTC QLQ C-30) supplemented with the cervical cancer-specific (EORTC QLQ-CX24) module was used. The Kruskal-Wallis test was used to determine the effect of the stage of cervical cancer and the type of treatment received on mean scores of the different domains of HRQoL. Multivariate logistic regression was performed to identify predictors of HRQoL.ResultsThe mean global health status (GHS) was 79.7 (+/-16.2), and it differed significantly with FIGO stage, with 84.1 76.2, and 79.9, for stages I, II and III respectively (p=0.012). Financial burden was higher in participants with FIGO stage II compared to stage I disease (45.4 vs 20.8, p=0.012.). The mean GHS scores for surgery, chemoradiation and radiation only were 85.2, 75.9, and 82.1 respectively (p=0.027). Compared to participants who were treated with Chemoradiation, those treated with surgery had lower financial difficulties (12.1 vs 41.6 , p=0.019), better body image (95.7vs 79.5, p =0.039) and better symptom experience (5.9 vs 12.0, p =0.043).The likelihood that survivors’ HQROL is affected is decreased with illiteracy (AOR = 0.30, 95% CI=0.09–1.00), and increased with complaints of pain (AOR=5.50, 95%CI=1.68-18.29), loss of appetite (AOR=13.24, 95% CI=2.71– 64.67) and diminution in body image perception (AOR = 6.04, 95% CI=1.67–21.83). ConclusionCervical cancer survivors in Ghana have overall satisfactory HRQoL. Surgical treatment is associated with improved HRQoL and less financial burden. Efforts to enhance HRQoL should also be focused on maximizing survivors’ body image and managing pain and loss of appetite. Educating women about expected impacts on their quality of life, and strategies to manage and mitigate these impacts, is essential.

scholarly journals Health-related quality of life among cervical cancer survivors at a tertiary hospital in Kumasi, Ghana

2021 ◽  
Author(s):  
Kwabena Amo Antwi ◽  
Ramatu Agambire ◽  
Thomas Opkoti Konney ◽  
Yvonne Nartey ◽  
Adu-Appiah Kubi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Body Image ◽  
Cancer Survivors ◽  
Financial Burden ◽  
Figo Stage ◽  
Related Quality ◽  
Eortc Qlq ◽  
Loss Of Appetite

Abstract Background: Cervical cancer survivors often experience significant diminution in health-related quality of life (HRQoL). We aimed to investigate the overall HRQoL, determine the role of the stage of disease and type of treatment received on HRQoL, and evaluate predictors of HROoL among cervical cancer survivors in Kumasi, Ghana. Methods: A hospital-based cross-sectional study was conducted in 153 cervical cancer patients who completed curative treatment between January 2004 and December 2018 at Komfo Anokye Teaching Hospital. The European Organization for Research and Treatment of Cancer core questionnaire (EORTC QLQ C-30) supplemented with the cervical cancer-specific (EORTC QLQ-CX24) module was used. The Kruskal-Wallis test was used to determine the effect of the stage of cervical cancer and the type of treatment received on mean scores of the different domains of HRQoL. Multivariate logistic regression was performed to identify predictors of HRQoL. P < 0.05 was considered statistically significant. Results: The mean global health score (GHS) was 79.7 (+/-16.2), and it differed significantly with International Federation of Gynaecology and Obstetrics (FIGO) stage, with 84.1 76.2, and 79.9, for stages I, II and III respectively (p=0.012). Financial burden was higher in participants with FIGO stage II compared to stage I disease (45.4 vs 20.8, p=0.012.). The mean GHS scores for surgery, chemoradiation and radiation only were 85.2, 75.9, and 82.1 respectively (p=0.027). Compared to participants who were treated with Chemoradiation, those treated with surgery had lower financial difficulties (12.1 vs 41.6 , p=0.019), better body image (95.7vs 79.5, p =0.039) and better symptom experience (5.9 vs 12.0, p =0.043).The likelihood that survivors’ GHS is affected is decreased with illiteracy (AOR = 0.30, 95% CI=0.09–1.00), and increased with complaints of pain (AOR=5.50, 95%CI=1.68-18.29), loss of appetite (AOR=13.24, 95% CI=2.71– 64.67) and diminution in body image perception (AOR = 6.04, 95% CI=1.67–21.83). Conclusion: Cervical cancer survivors in Kumasi, Ghana have overall satisfactory HRQoL. Surgical treatment is associated with improved HRQoL and less financial burden. Efforts to enhance HRQoL should also be focused on maximizing survivors’ body image and managing pain and loss of appetite. Educating women about expected impacts on their quality of life, and strategies to manage and mitigate these impacts, is essential.

scholarly journals Health-Related Quality of Life in Cervical Cancer Survivors: A Population-Based Survey

2009 ◽  
Vol 73 (5) ◽  
pp. 1501-1509 ◽  
Author(s):  
Ida J. Korfage ◽  
Marie-Louise Essink-Bot ◽  
Floortje Mols ◽  
Lonneke van de Poll-Franse ◽  
Roy Kruitwagen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Cancer Survivors ◽  
Population Based ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Population Based Survey

scholarly journals Influence of a Multimodal and Multimodal-Aerobic Therapy Concept on Health-Related Quality of Life in Breast Cancer Survivors

2018 ◽  
Vol 18 ◽  
pp. 153473541882044 ◽  
Author(s):  
Désirée Poier ◽  
Arndt Büssing ◽  
Daniela Rodrigues Recchia ◽  
Yvonne Beerenbrock ◽  
Marcus Reif ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Current Treatment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Eortc Qlq

Context: Cancer-related fatigue (CRF) is one of the most burdensome symptoms in breast cancer survivors (BCSs), accompanied by reduced health-related quality of life (HRQOL). Objectives: This study investigated the influence of a multimodal therapy (MT; psychoeducation, eurythmy therapy, painting therapy, and sleep education/restriction), or a combination therapy (CT; MT plus aerobic training [AT]) on HRQOL in BCS with chronic CRF in comparison with AT alone. Methods: One hundred and twenty-six BCSs with CRF were included in a pragmatic comprehensive cohort study and allocated either per randomization or by preference to MT, CT, or AT. The EORTC QLQ-C30 core questionnaire was used to measure HRQOL. All analyses on HRQOL parameters were done in an explorative intention. Results: Patients were assigned to MT (n = 44), CT (n = 54), or AT (n = 28). CT was significantly superior to AT after 10 weeks of intervention (T1) in improving physical function. MT was found to have significant superiority over AT at T1 and T2 for physical functioning, emotional functioning, insomnia, and financial problems as well as role functioning, cognitive, social functioning, and fatigue 6 months later (T2). Conclusion: A multimodal approach appears to be a suitable concept for BCS with chronic CRF. A confirmatory study with larger samples should demonstrate the superiority of MT and adapted CT in HRQOL compared with the current treatment AT found in these explorative analyses.

Relationship between body image and health‐related quality of life in Chinese cancer survivors during the transitional cancer survivorship

2018 ◽  
Vol 28 (2) ◽  
pp. 324-328 ◽  
Author(s):  
Ka Ming Chow ◽  
Carmen W.H. Chan ◽  
Alice W.Y. Leung ◽  
Martin M.H. Wong ◽  
Kai Chow Choi
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Cancer Survivors ◽  
Cancer Survivorship ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Chinese Cancer Survivors

Health-related quality of life in oropharyngeal cancer survivors – a population-based study

2018 ◽  
Vol 72 (2) ◽  
pp. 30-35
Author(s):  
Thomas Guenzel ◽  
U. Walliczek-Dworschak ◽  
A. Teymoortash ◽  
S. Singer ◽  
M. Eichler ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Survivors ◽  
Oropharyngeal Cancer ◽  
Adjuvant Radiotherapy ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Eortc Qlq ◽  
Sticky Saliva

Objective: The aim of this study was to compare QoL of oropharyngeal cancer survivors who had received different treatments. Subjects and methods: We contacted 954 survivors. Each survivor received the QoL questionnaires EORTC QLQ-C30 and EORTC QLQ-H&N35. Results: A total of 263 survivors completed the questionnaires (28% responses). Forty-five of them had undergone surgery, 20 had received definitive radiotherapy or chemo-radiotherapy, 85 surgery plus adjuvant radiotherapy, and 111 surgery plus adjuvant chemo-radiotherapy. Survivors who had received adjuvant radiotherapy and surgery reported significantly more problems with swallowing (B=13.43 [95% Confidence Interval (CI) 1.83-25.03]), senses (B=24,91 [CI 11.86-37.97]), eating (B=16.91 [CI 3.46-30.36]), dry mouth (B=26.42 [CI 12.17-40.67]), sticky saliva (B=22.37 [CI 6.23-38.50]) and nutritional supplements (B=18.59 [CI 0.62-36.56]) than those who had received surgery only. Survivors who had received adjuvant chemo-radiotherapy and surgery reported significantly many more problems with dry mouth (B=34.15 [CI 18.91-49.39]) and sticky saliva (B=22.90 [CI 5.65-40.16]), and fewer problems with physical functioning (B=-12.07 [CI 0.49-23-64]). Conclusion: Survivors who participated in this survey and who had undergone surgery alone reported in some head- and neck-specific domains a better health-related quality of life than patients who had undergone multi-modal treatment or adjuvant radiotherapy.

Validation of the Polish version of the EORTC QLQ-CX24 module for the assessment of health-related quality of life in women with cervical cancer

2013 ◽  
Vol 23 (2) ◽  
pp. 214-220 ◽  
Author(s):  
D. Paradowska ◽  
K.A. Tomaszewski ◽  
M. Bałajewicz-Nowak ◽  
K. Bereza ◽  
I.M. Tomaszewska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Health Related Quality ◽  
Polish Version ◽  
Related Quality ◽  
Health Related ◽  
Eortc Qlq

scholarly journals Population-Based Assessment of Cancer Survivors' Financial Burden and Quality of Life: A Prospective Cohort Study

2015 ◽  
Vol 11 (2) ◽  
pp. 145-150 ◽  
Author(s):  
S. Yousuf Zafar ◽  
Rebecca B. McNeil ◽  
Catherine M. Thomas ◽  
Christopher S. Lathan ◽  
John Z. Ayanian ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Survivors ◽  
Financial Burden ◽  
Population Based ◽  
Health Related Quality ◽  
Future Studies ◽  
Related Quality ◽  
Health Related ◽  
Improve Patient

Financial burden is prevalent among cancer survivors and is related to patients' health-related quality of life. Future studies should consider interventions to improve patient education and engagement with regard to financial burden.

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