Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive Care
A known cut-off problem hampers the interpretation of quality of life (QOL) scores. The purpose of this study was to apply a novel approach for the EORTC QLQ-C30 instrument to identify the proportion of breast cancer (BC) patients in need of supportive care. Changes in QOL during the COVID-19 pandem...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-03-01
|
| Series: | Cancers |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6694/15/6/1770 |
| _version_ | 1797613010897862656 |
|---|---|
| author | Friederike Hammersen Dorothea Fischer Telja Pursche Angelika M. Strobel Alexander Katalinic Louisa Labohm Annika Waldmann |
| author_facet | Friederike Hammersen Dorothea Fischer Telja Pursche Angelika M. Strobel Alexander Katalinic Louisa Labohm Annika Waldmann |
| author_sort | Friederike Hammersen |
| collection | DOAJ |
| description | A known cut-off problem hampers the interpretation of quality of life (QOL) scores. The purpose of this study was to apply a novel approach for the EORTC QLQ-C30 instrument to identify the proportion of breast cancer (BC) patients in need of supportive care. Changes in QOL during the COVID-19 pandemic were evaluated, as well as changes over time (after treatment termination and up to 4 years later). Data were obtained from a cohort study on young adult BC patients with minor children participating in a mother–child rehab program. Cross-sectional QOL data were collected from 2015 to 2021 (baseline). Follow-up data were available for up to 4 years after diagnosis for a subgroup. The baseline cohort included 853 women (mean age 35 years). More than 50% had a need for supportive care. In the subgroup with follow-up, this proportion remained at a high level up to several years after diagnosis. During the COVID-19 pandemic, changes regarding the proportion with this need were not as high as expected—with the exception of changes on the QLQ-C30 scale ‘role functioning’ (+15%). Even several years after diagnosis, every second BC patient with minor children had a need for supportive care, which is much higher than previously found. Healthcare staff should be aware of this potential need and should address this issue. |
| first_indexed | 2024-03-11T06:48:56Z |
| format | Article |
| id | doaj.art-b6bdb09bcd164fbdb438a289fce4c605 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T06:48:56Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-b6bdb09bcd164fbdb438a289fce4c6052023-11-17T10:06:57ZengMDPI AGCancers2072-66942023-03-01156177010.3390/cancers15061770Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive CareFriederike Hammersen0Dorothea Fischer1Telja Pursche2Angelika M. Strobel3Alexander Katalinic4Louisa Labohm5Annika Waldmann6Institute for Social Medicine and Epidemiology, University of Luebeck, Ratzeburger Allee 160, 23562 Luebeck, GermanyDepartment of Obstetrics and Gynecology, Ernst von Bergmann Clinic, Charlottenstraße 72, 14467 Potsdam, GermanyDepartment of Gynecology and Obstetrics, Hospital Dueren gem. GmbH, Roonstraße 30, 52351 Dueren, GermanyDepartment of Obstetrics and Gynecology, University Hospital of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23562 Luebeck, GermanyInstitute for Social Medicine and Epidemiology, University of Luebeck, Ratzeburger Allee 160, 23562 Luebeck, GermanyInstitute for Social Medicine and Epidemiology, University of Luebeck, Ratzeburger Allee 160, 23562 Luebeck, GermanyInstitute for Social Medicine and Epidemiology, University of Luebeck, Ratzeburger Allee 160, 23562 Luebeck, GermanyA known cut-off problem hampers the interpretation of quality of life (QOL) scores. The purpose of this study was to apply a novel approach for the EORTC QLQ-C30 instrument to identify the proportion of breast cancer (BC) patients in need of supportive care. Changes in QOL during the COVID-19 pandemic were evaluated, as well as changes over time (after treatment termination and up to 4 years later). Data were obtained from a cohort study on young adult BC patients with minor children participating in a mother–child rehab program. Cross-sectional QOL data were collected from 2015 to 2021 (baseline). Follow-up data were available for up to 4 years after diagnosis for a subgroup. The baseline cohort included 853 women (mean age 35 years). More than 50% had a need for supportive care. In the subgroup with follow-up, this proportion remained at a high level up to several years after diagnosis. During the COVID-19 pandemic, changes regarding the proportion with this need were not as high as expected—with the exception of changes on the QLQ-C30 scale ‘role functioning’ (+15%). Even several years after diagnosis, every second BC patient with minor children had a need for supportive care, which is much higher than previously found. Healthcare staff should be aware of this potential need and should address this issue.https://www.mdpi.com/2072-6694/15/6/1770breast neoplasmsyoung adultsminor childrenneed for supportive carequality of lifeoncology |
| spellingShingle | Friederike Hammersen Dorothea Fischer Telja Pursche Angelika M. Strobel Alexander Katalinic Louisa Labohm Annika Waldmann Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive Care Cancers breast neoplasms young adults minor children need for supportive care quality of life oncology |
| title | Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive Care |
| title_full | Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive Care |
| title_fullStr | Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive Care |
| title_full_unstemmed | Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive Care |
| title_short | Young Adult German Breast Cancer Patients Participating in a Three-Week Inpatient Mother–Child Rehab Program Have High Needs for Supportive Care |
| title_sort | young adult german breast cancer patients participating in a three week inpatient mother child rehab program have high needs for supportive care |
| topic | breast neoplasms young adults minor children need for supportive care quality of life oncology |
| url | https://www.mdpi.com/2072-6694/15/6/1770 |
| work_keys_str_mv | AT friederikehammersen youngadultgermanbreastcancerpatientsparticipatinginathreeweekinpatientmotherchildrehabprogramhavehighneedsforsupportivecare AT dorotheafischer youngadultgermanbreastcancerpatientsparticipatinginathreeweekinpatientmotherchildrehabprogramhavehighneedsforsupportivecare AT teljapursche youngadultgermanbreastcancerpatientsparticipatinginathreeweekinpatientmotherchildrehabprogramhavehighneedsforsupportivecare AT angelikamstrobel youngadultgermanbreastcancerpatientsparticipatinginathreeweekinpatientmotherchildrehabprogramhavehighneedsforsupportivecare AT alexanderkatalinic youngadultgermanbreastcancerpatientsparticipatinginathreeweekinpatientmotherchildrehabprogramhavehighneedsforsupportivecare AT louisalabohm youngadultgermanbreastcancerpatientsparticipatinginathreeweekinpatientmotherchildrehabprogramhavehighneedsforsupportivecare AT annikawaldmann youngadultgermanbreastcancerpatientsparticipatinginathreeweekinpatientmotherchildrehabprogramhavehighneedsforsupportivecare |