Authors: Delphine Klein Mariette Mercier Edwige Abeilard Marc Puyraveau Arlette Danzon Véronique Dalstein Astrid Pozet AnneValérie Guizard Michel HenryAmar Michel Velten
Publish Date: 2011/02/22
Volume: 129, Issue: 1, Pages: 125-134
Abstract
Populationbased studies on quality of life QOL of longterm breast cancer survivors are quite recent and insufficient attention has been paid to the effect of time since diagnosis We compared longterm QOL of populationbased breast cancer survivors 5 10 and 15 years after diagnosis with that of healthy controls Breast cancer survivors were randomly selected from three populationbased cancer registries BasRhin Calvados and Doubs France along with healthy controls stratified for age and place of residence randomly selected from electoral rolls Participants completed five selfadministered questionnaires the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 EORTC QLQC30 Short Form36 SF36 Spielberger StateTrait Anxiety Inventory STAI Multidimensional Fatigue Inventory MFI and a life conditions questionnaire An analysis of variance was used to compare QOL scores of breast cancer survivors by period 5 10 or 15 years of diagnosis with those of controls adjusted for sociodemographic data and comorbidities Six hundred and fiftytwo cases and 1188 controls participated in the study For many QOL scales scores were significantly different between cancer survivors and controls A clinically significant difference was evidenced for the fatigue scales the SF36 physical functioning rolephysical and roleemotional scales with more favorable results for controls Differences decreased with time and 15year cancer survivors were generally not different from controls Scores were particularly influenced by age and mean household income More efforts should be made specifically during the first 5 to 10 years after diagnosis to help women with breast cancer to overcome their impairment in QOLThis research is supported by grants from the French hospital research programme Programme Hospitalier de Recherche Clinique the “Fondation de France” the “Ligue Contre le Cancer du Doubs” and the “Institut National du Cancer” The authors wish to thank all the physicians from the three cancer registries areas who kindly agreed to ask cases they had treated to participate in the study
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