Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up Study

The purpose of this study was to identify subgroups of quality of life (QOL) changes in breast cancer survivors (BCSs), and to determine factors associated with subgroups of consistently low or deteriorated QOL. We enrolled 101 women recently diagnosed with breast cancer in South Korea and asked the...

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Main Authors: Soo-Hyun Kim, Ha-Yeon Jo
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/24/5809
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author Soo-Hyun Kim
Ha-Yeon Jo
author_facet Soo-Hyun Kim
Ha-Yeon Jo
author_sort Soo-Hyun Kim
collection DOAJ
description The purpose of this study was to identify subgroups of quality of life (QOL) changes in breast cancer survivors (BCSs), and to determine factors associated with subgroups of consistently low or deteriorated QOL. We enrolled 101 women recently diagnosed with breast cancer in South Korea and asked them to complete a questionnaire at baseline (within 1 month of diagnosis), 1 year later (Year 1), 2 years later (Year 2), and 3 years later (Year 3). We assessed QOL using the global QOL subscale from the EORTC QLQ-C30. We defined low QOL as a global QOL score 10 points below the mean score of the general population. Based on low QOL as defined in this study, we identified subgroups of QOL changes over 3 years. We identified four subgroups of QOL changes: improved (47.4%), stable (30%), continuously low (8.8%), and deteriorated (13.8%), and considered the last two categories (22.6%) poor QOL. Logistic regression analyses demonstrated that significant determinants of poor QOL were insomnia at Year 1, fatigue and anxiety at Year 2, and fatigue, depression, and comorbidity at Year 3. In conclusion, persistent symptoms of insomnia, fatigue, anxiety, depression, and comorbidity are potential risk factors for poor QOL in BCSs.
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spelling doaj.art-7415bcac0fc346699b8581b1e04df7862023-12-22T13:58:56ZengMDPI AGCancers2072-66942023-12-011524580910.3390/cancers15245809Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up StudySoo-Hyun Kim0Ha-Yeon Jo1Department of Nursing, Inha University, Incheon 22212, Republic of KoreaDepartment of Nursing, Inha University, Incheon 22212, Republic of KoreaThe purpose of this study was to identify subgroups of quality of life (QOL) changes in breast cancer survivors (BCSs), and to determine factors associated with subgroups of consistently low or deteriorated QOL. We enrolled 101 women recently diagnosed with breast cancer in South Korea and asked them to complete a questionnaire at baseline (within 1 month of diagnosis), 1 year later (Year 1), 2 years later (Year 2), and 3 years later (Year 3). We assessed QOL using the global QOL subscale from the EORTC QLQ-C30. We defined low QOL as a global QOL score 10 points below the mean score of the general population. Based on low QOL as defined in this study, we identified subgroups of QOL changes over 3 years. We identified four subgroups of QOL changes: improved (47.4%), stable (30%), continuously low (8.8%), and deteriorated (13.8%), and considered the last two categories (22.6%) poor QOL. Logistic regression analyses demonstrated that significant determinants of poor QOL were insomnia at Year 1, fatigue and anxiety at Year 2, and fatigue, depression, and comorbidity at Year 3. In conclusion, persistent symptoms of insomnia, fatigue, anxiety, depression, and comorbidity are potential risk factors for poor QOL in BCSs.https://www.mdpi.com/2072-6694/15/24/5809breast cancerdepressionfatigueinsomniaquality of life
spellingShingle Soo-Hyun Kim
Ha-Yeon Jo
Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up Study
Cancers
breast cancer
depression
fatigue
insomnia
quality of life
title Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up Study
title_full Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up Study
title_fullStr Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up Study
title_full_unstemmed Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up Study
title_short Factors Associated with Poor Quality of Life in Breast Cancer Survivors: A 3-Year Follow-Up Study
title_sort factors associated with poor quality of life in breast cancer survivors a 3 year follow up study
topic breast cancer
depression
fatigue
insomnia
quality of life
url https://www.mdpi.com/2072-6694/15/24/5809
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