Quality of life in patients undergoing treatment for breast cancer at a tertiary care hospital (original) (raw)
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Quality of life of breast cancer patients
Globally Breast cancer incidence is increasing and mortality ratio because of breast cancer is also increasing in developing countries because of unavailability of screening and diagnostic facilities as well people are not aware from the risk factors and early symptoms so that timely intervention will lead to increase survival. Due to advance in detection and treatment, increasing number of women are diagnosed with surviving breast cancer each year one of the largest group of cancer survival. The study aim to asses health related quality of life in patients of breast cancer who usually come for follow up after getting treatment. The study was conducted in HOLY Family Hospital Rawalpindi .The study was completed in three month duration. It was cross sectional descriptive study based on quantitative method. A total of 78 female patients participated with breast cancer treatment and came for follow-up were included in the study ,the mean age was 44.3 year with a range from 25-55 year ,majority of patients were in 40-50 year of age. Overall rating of quality of life was 9.0% responds very bad, 39.7% Bad, 41% neither good nor bad, and 10.3% responds good. Out of 78 respondents 40% were dissatisfied with their general health. In this study quality of life assessed with different treatment modalities of breast cancer and out of that patient with partial mastectomy respond 50% bad and 50% of neither good nor bad, while 13% responds very bad and 33.3% bad of complete mastectomy. Radiotherapy treatment responds 25% very bad while 50% nor good nor bad while chemotherapy responds 40% bad quality of life. Out of 78 almost 55% responds after complaints of treatment is pain, while 25% of complained weight gain, hair fall and slight fever, fatigue. In conclusion subjects participated in study experienced decrease quality of life in parameter of specific social and physical health.
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 Women with Breast Cancer at the Time of Diagnosis in New Delhi
Journal of Cancer Science & Therapy, 2011
Recent advances in diagnosis and treatment of cancer have led to an increase in cancer survival and hence, there is a greater emphasis on quality beside quantity of survival [11]. However little is known about the QOL of survivors. The current study was carried out to asses the Quality of life of women with breast cancer at the time of diagnosis. This study discusses the physical, psychological, social and spiritual well-being domains of QOL in breast cancer patients at the time of diagnosis. Methods Study Design: Descriptive Study; A case series of patients studied at the time of diagnosis. Study Setting: The present study was conducted at Lok Nayak Hospital, New Delhi, India. LNH is a 1600 bedded teaching hospital attached to Maulana Azad Medical College, located in the central part of Delhi. The hospital provides services to more than one million patients per year from Delhi and neighboring states. Study period: The study was conducted from January 2006 to May 2007; Period of data collection was 17 months. Study subjects: All the women with primary breast cancer, detected in surgery Out Patient Department (OPD), were included in the study. Inclusion criteria: All the newly detected primary breast cancer female cases. Exclusion criteria: Patients with past history or recurrence of breast cancer ,patients having metastasis at the time of diagnosis, patients with reconstructive surgery, patients with severe psychiatric illness, patients with any other cancer. Methodology: The diagnosis of breast cancer was made by the surgeon on the basis of physical examination and FNAC (Fine Needle Aspiration Cytology)/Core Biopsy report. After the diagnosis, the informed consent was taken from each of the patient and was interviewed using pre-tested, pre-structured and semi-coded proforma. The investigator has taken the help of a trained person who could communicate in local language with the subjects. Interview of each patient took approximately 45 to 60 minutes to complete the questionnaire.
Factors That Relevant to the Quality of Life of Breast Cancer Patients
Journal of Maternity Care and Reproductive Health, 2018
Breast cancer is a health problem since so many years ago especially to women. In 2013, Basic Health Research (Riskesdas) showed that the number of national breast cancer prevalence was the second most numerous patients in the world especially attacked women in Indonesia. The common problems experienced by breast cancers patients is the decrease of life quality of the patients. The purpose of this research was to identify factors related to the life quality of the breast cancers patients in Bandung city. This research used cross sectional method. The determination of life quality based on Quality of Life Cancer Survivor Version (QOL-CSV). Accidental sampling was used to choose samples. This research was taken place in four rumah singgah (shelters) of breast cancer located in Bandung city. There were 30 women involved in this study. Inclusive criterion in this research was the patients of breast cancers who are undergoing medications such as surgery, chemotherapy, or radiotherapy, wh...
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.
Assessment of quality of life of breast cancer patients attending a tertiary hospital in Bangladesh
ObjectiveBreast cancer is the most commonly diagnosed malignancy and a leading cause of death among women. This cross-sectional study assessed the quality of life (QOL) of breast cancer patients attending a tertiary hospital in Dhaka, Bangladesh.MethodData were obtained from 359 female breast cancer patients at a tertiary hospital between November 23 and December 9, 2019, using a digital platform (Kobo Toolbox). A Bangla translation of the QOL questionnaire (EORTC-QLQ-C30) was used to assess QOL. The survey comprised three scales: global health, functional, and symptoms scale. For the functional and global health scales, we adopted a cut-off level of ≥66% score for good QOL and ≤33% for poor QOL, which was reversed for the symptoms scale. Using STATA 13.0, we performed descriptive and logistic regression analyses.ResultAmong the 359 patients, 86.35% were housewives, and 50.42% of them came from the Dhaka division. In contrast to the 38.44% and 42.90 % of respondents who scored highl...
Quality of Life and Its Contributing Factors among Breast Cancer Patients after Intensive Treatment
Annals of Cancer Research and Therapy, 2020
Objective: The survey aims to explore the quality of life and its contributing factors among breast cancer patients who had been treated at the hospital and returned for follow-up care and/or for taking hormonal therapy. Methods: This cross-sectional study deployed questionnaire-based interviews with 115 patients when they came to the hospital for follow-up care and/or taking hormonal therapy at the Oncology Center of Hue Central Hospital (Vietnam) from April to May 2019. Collected data were analyzed using SPSS software 21 for Windows. Results: The mean age of our study was 53.2 years. Among the total respondents, 88.7% of patients had hormone receptorpositive breast cancer. Most respondents reported experiencing symptoms that decreased their health-related quality of life, such as dry mouth, appetite changes, fatigue, arm pain, and limited mobility in ipsilateral arm. The majority felt insecure because of their asymmetric and less good-looking post-mastectomy body image. Most of them were no longer interested in sexual activities. A large number of respondents turned to complementary therapies at home, which often incurred considerable costs. Conclusion: This survey contributes to the understanding of patients' suffering symptoms, their concerns and anxiety, and distress during outpatient care/ clinic. It also provides baseline information on their thoughts and preferences for complementary therapies. Altogether the study carries important implications for clinicians to plan more effective treatment and care for breast cancer patients.
Background: Bangladesh is facing a high burden of breast cancer. Late presentation with advance stage is the common feature of breast cancer patient in Bangladesh, when it is extremely difficult to manage this deadly disease. It is easily understandable that the incidence and mortality of breast cancer is growing at a fast rate. But as we do not have any cancer registry along with relevant data it is difficult to say the exact situation in Bangladesh the rate of breast cancer occurrence is estimated to be 22.5 per 100000 females of all ages; In case of Bangladeshi women, aged between 15-44 years, breast cancer has the highest prevalence 19.3 per 100000 compared to any other type of cancer. However, this figure is far more less than the real figure, simply because very few cases is diagnosed and reported. Many patients die with unnoticed cancer. There may be many reasons behind this, but studies in many other countries show that poor or no knowledge, ignorance, lack of awareness and misbelieve is one of the leading causes of this fastest silent killer. Methods: This prospective quasiexperimental study was conducted in the Department of Surgery, Rajshahi Medical College Hospital, Bangladesh from August 2014 to July 2019. Samples were collected in non-randomized basis with stage IB-IIIB breast cancer in female (n=1156) with the age group of 35-65 years and their mean age was 48.16 years. Diagnosis was performed with history, clinical examinations and investigations. Types of surgery were depending upon the TNM staging of the disease and the mean post-operative hospital stay was 4 days. The follow up time was 5 years and the mean follow up time 4.61 months. Outcomes variables are satisfaction (Surgical site pain, Post radiation scar pain, Local relapse of disease, Nodal metastasis, Distance metastasis and response to chemo-radiation), communications and the quality of life (Systemic therapy side effects, fatigue, sleep disturbance, and arm symptoms). Questionnaire was made according to the treatment protocol of breast Cancer. The study was performed for the research purpose of experience and quality of life following breast cancer surgery, Results: Studies from experience generally noted that, with the wide local excision, lobectomy & mastectomy with or without axillary dissection. Advanced surgical treatment generally had an effect on long-term outcomes. In contrast, the processes of care, such as choosing therapy, good patient-physician communication, participants had completed primary treatment (surgery and radiation and/or chemotherapy. Mean time from initial surgical treatment to completion of the questionnaire was 24 months Mean number of symptoms reported, with the most common symptom scales being Surgical site pain (10 %), Post radiation scar pain (10%), Local relapse of disease (2%), Nodal metastasis (30%), Distance metastasis (2%), No response (HER-2 Positive) to chemo-radiation (0.5%), The systemic therapy evokes its side effects (100%), fatigue (22%), Sleep disturbance (18%), And arm symptoms (8%). Younger age and poorer health status at diagnosis were associated with worse symptoms. Fatigue had the greatest impact on QOL, with significant differences between those with high and low fatigue across 7 QOL dimensions. Socio demographic, prior health status, clinical, And treatment/diagnostic factors explained only 9%-27% of the variance in QOL outcomes. Adding symptom Istiak