Assessment and impact in quality-of-life post radiotherapy in breast cancer patients treated at Acharya Vinoba Bhave Rural Hospital (AVBRH), Sawangi, 2023 - 2024 (original) (raw)

Quality of life and its determinants: A study among cancer patients in radiotherapy outpatient department of a tertiary care hospital of Kolkata

Journal of Preventive Medicine and Holistic Health, 2020

Introduction: Cancer patients suffer a lot physically, emotionally & practically. In some cancer disease quality of life has become an important end point for treatment. Thus quality of life assessment becomes an important issue among cancer patients. Objective: To evaluate the quality of life of cancer patients attending Radiotherapy OPD in IPGMER, Kolkata and to find out, if any association of socio-demographic profile with the quality of life. Materials and Methods: A descriptive type of observational study, with cross sectional study design was conducted among the patients attending Radiotherapy OPD of I.P.G.M.E.R. & S.S.K.M Hospital. Results: The most negatively affected domain by cancer was the psychological domain which had the lowest mean score among all the domains (37.25±16.3). Mean scores in psychological (41.4) and environmental domain (54.3) were significantly (p<0.05) higher in persons suffering from cancer for more than 5 years. Mean scores were also higher in all the domains in patients who had undergone some form of surgical interventions for their cancer. Conclusions: Most affected by cancer is psychological quality of life. But with longer duration of cancer patients seemed to get adjusted with the suffering. Undergoing surgery not only improved physical perception of health, but also acted as a psychological boost up.

Quality of life of women treated with radiotherapy for breast cancer

Supportive Care in Cancer, 2008

Goals of work Radiotherapy is routinely used in the treatment of early breast cancer, particularly in women who have undergone lumpectomy. Its impact on the quality of life of patients is important and is taken into consideration when making informed choices about treatment from both a patient's and health professional's point of view. This study reports on the quality of life of women at baseline, the completion of radiotherapy and 7 months after the completion of radiotherapy. Materials and methods European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C-30 and BR-23 questionnaires were used to evaluate quality of life of 61 women treated with radiotherapy for breast cancer. Additionally, demographic and treatment variables were analysed in relation to quality of life outcomes to determine if there were any significant predictors of quality of life. Main results There was no difference in quality of life of women at baseline, completion and 7 months after completion of radiotherapy. Fatigue and breast symptoms increased during radiotherapy but returned to baseline levels at 7 months. Fatigue was the strongest predictor of poor quality of life in women after radiotherapy. Conclusion Women retain a high quality of life and return to baseline function by 7 months after radiotherapy. Treatment may best be targeted to alleviate fatigue and breast symptoms during radiotherapy.

Assessment on the Quality Of Life of Breast Cancer Patients Undergoing Radiation Treatment in Ghana

2014

Objective the primary aim of the study was to assess factors that contribute to the quality of life of breast cancer patient undergoing treatment to determine the overall quality of life and to suggest ways and methods to improve the situation. Method Ninety breast cancer patients referred to the Oncology Unit were conveniently sampled within a three month period. Quality of life assessment was performed using the Functional Assessment of Cancer Therapy (FACT-B) - Specific Scale for breast cancer version 4. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 16. Results The peak incidence age was between (56-65) years, 60% had triple modality treatment; thus had undergone surgery and were on chemotherapy and radiotherapy. Seventeen percent had surgery and were on chemotherapy only, 10% had surgery and were on radiotherapy only, 10% had surgery and only one patient was on chemotherapy and radiotherapy. The scores for the quality of life domains were General...

ASSESSMENT OF QUALITY OF LIFE IN BREAST CANCER PATIENTS: A RETROSPECTIVE COHORT STUDY

In India the Breast cancer is the most common type of cancer in women. The patients with breast cancer were facing many problems neither by the disease nor by the treatment side effects. So that measuring quality of life in patients with breast cancer is important for assessing the treatment outcomes. Thus in our study we analysed the impact of treatment on quality of life of women with breast cancer. The purpose of present study is to assess the quality of life in breast cancer patients to manage their treatment and to prevent further progression of disease.

Study of quality of life and characteristic factors in women with breast cancer undergoing different types of therapy

Journal of Applied Pharmaceutical Science, 2016

Breast cancer is the most common cancer among women and an increasingly important issue is to evaluate quality of life (QoL) among these patients. The objective of this study was to appreciate the QoL and associated factors among breast cancer womenundergoing different types of therapy. A cross-sectional study was carried out among 166 breast cancer women from two specialized centres in Baghdad, Iraq, from February 2014 to December 2014. The questionnaire used in this study was "The Functional Assessment of Cancer Therapy-Breast (FACT-B)". The majority were employee (60.3%), with high school education (63.2%), with no family history of cancer (79.5%). Majority were diagnosed with grade II (56.6%) and tumor size less than 2 cm in diameter (95.8%). The majority of women underwent mastectomy (98.2%), received chemotherapy, radiotherapy, and Tamoxifen therapy (89.8%, 29.5%, and 36.1%; respectively).The study found a significant difference between the quality of life among cancer patients and job, stage of cancer, size of tumor, and radiotherapy. Job, stage of cancer, size of tumor, and radiotherapy significantly influenced the women QoL. Therefore, more attention on these variables is highly recommended when dealing with breast cancer patients undergoing different types of therapy.

Quality of life of breast cancer patients in the course of adjuvant radiotherapy

Supportive Care in Cancer, 2008

Goals of the work In cancer patients, there is an ongoing interest in evaluating the impact of therapeutic interventions on health-related quality of life (hrqol). However, only a few longitudinal studies are published being able to measure the influence of therapy for the patients' quality of life. Based on these data, our aim was to evaluate changes of hrqol during the course of adjuvant radiotherapy in breast cancer patients with special focus on subgroup analysis. Materials and methods Sixty-one women undergoing radiotherapy after breast conserving surgery were asked to answer the EORTC Quality of life questionnaire (EORTC-QOL-C30) three times: at the beginning of radiotherapy, in the forth week and 6 weeks after the end of treatment. To identify patients with changes of their qol during the observation time, the function scale "Global health status/ Quality of life" was used enabling us to classify three subgroups: (1) unchanged hrqol (NC), (2) increasing hrqol (INC), (3) decreasing of hrqol (DEC). Main results Patients with an increasing hrqol (N=25) demonstrated a significant increase in the role as well as in the emotional functioning scales. In patients with a decreasing hrqol (N=15), no changes in any of the function scales were found, while a significant decrease in their cognitive functioning was observed in patients with no change in hrqol (N=21). Conclusions Although the interpretation of these data is difficult because only a few data are available to compare our results, it could be demonstrated that emotional support and the ability to maintain a daily routine in additionally irradiated breast cancer patients is important to optimise hrqol. If hrqol decreases during the course of radiotherapy, the function scales of the EORTC-QOL-C30 seem to be insensitive to reflect this decrease.

Validation of EORTC quality-of-life questionnaire in Indian women with operable breast cancer

The National medical journal of India

The European Organization for Research and Treatment of Cancer (EORTC) module QLQ-C30 and the breast cancer-specific module BR-23 have been validated worldwide to assess the quality of life (QOL) in women with breast cancer. No such study has been published on Indian women using EORTC questionnaires. QOL was assessed in relation to surgery, adjuvant chemotherapy, radiation therapy and hormone therapy in 299 Indian women with operable breast cancer (OBC) at the Breast Unit of Tata Memorial Hospital (TMH), Mumbai, from October 1998 to September 2001. The QLQ-C30 module was used to assess physical health, emotional, cognitive and social functioning, and the BR-23 module to assess breast cancer treatment-related symptoms. Assessment was done at 3 visits: visit 1 (after surgery); visit 2 (during adjuvant therapy) and visit 3 (on completion of adjuvant therapy). Of the 299 women at first visit, 274 (91.6%) completed the visit 2 questionnaire and 239 (80%) completed the visit 3 questionnai...

Quality of life among breast cancer patients undergoing treatment in national cancer centers in Nepal

Asian Pacific Journal of Cancer Prevention, 2014

To study the quality of life and to identify associated factors among breast cancer patients undergoing treatment in national cancer centers in Nepal. One hundred breast cancer patients were selected and interviewed using a structured questionnaire. European Organization of Research and Treatment of Cancer EORTC-QLQ-C30 and EORTC-QLQ-BR23 were used to assess quality of life and modified Medical Outcome Study -Social Support survey(mMOS-SS) was used to assess social support. Only multi-item scales of EORTC C30 and BR23 were analyzed for relationships. Independent sample T-tests and ANOVA were applied to analyze differences in mean scores. The score of global health status/quality of life (GHS/GQoL) was marginally above average (mean=52.8). The worst performed scales in C-30 were emotional and social function while best performed scales were physical and role function. In BR-23, most of the patients fell into the problematic group regarding sexual function and enjoyment. Almost 90% ha...