Cancer‐related chronic pain: Examining quality of life in diverse cancer survivors
Abstract
Background Disparities in cancer survival and pain rates negatively impact quality of life (QOL). This study examines cancer-related chronic pain (CP) and its impact on QOL in diverse cancer survivors. Methods This survey study focused on current and past pain, health, and QOL in black and white cancer survivors. Participants with breast, colorectal, lung, and prostate cancer and multiple myeloma were recruited through the Michigan State Cancer Registry. Analysis of variance was used to examine outcome differences by pain status, race, and sex. Hierarchical regressions explored predictors for experiencing pain. Results The subjects (N = 199) were 31% black, 49% female, and 57 to 79 years old; 19.5% experienced current pain, and 42.6% reported pain since diagnosis. Women experience more pain (P Conclusions The authors extend the literature by showing that 20% of diverse cancer survivors had cancer-related CP, and 43% had experienced pain since diagnosis, revealing racial and sex disparities in cancer-related CP's incidence and impact on QOL. Having pain was related to poorer QOL in several domains and was more frequently experienced by women. Although black race was not related to pain prevalence, it was related to greater severity. This study reveals an unaddressed cancer survivorship research, clinical, and policy issue.
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The majority of studies exploring the relationship between body image distress and quality of life in patients with head and neck cancer have not considered important psychological variables related to quality of life, or have considered only some of these variables.
“the majority of the studies exploring the relationship between body image distress and QoL have not considered important psychological variables related to QoL in patients with HNC (e.g., coping strategies, social anxiety symptoms, self-esteem, intolerance of uncertainty, and presence of pain), or have considered only some of these variables”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [7]
Pain represents a major issue before, during, and after treatments in head and neck cancer and may persist for years.
“in HNC, pain represents a major issue before, during, and after treatments and may persist for years”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [7]
Pain negatively impacts quality of life in head and neck cancer.
“negatively impacting QoL”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [7]
Women bear an unequal burden of pain compared to men [7, 70].
“Regarding oncological pain, our results support previous evidence showing that women bear an unequal burden of pain compared to men [7, 70], despite no gender differences in terms of HNC-related variables and physical QoL emerged in the current sample.”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [7]
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John Henryism and blood pressure differences among Black Men
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- Authors
- Green, C. R., Hart‐Johnson, T., & Loeffler, D. R.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Green, Carmen R.
- ORCID
- Loeffler, Deena R.
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2010-11-18
- Volume
- 117
- Issue
- 9
- Pages
- 1994-2003
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W1486532351
- Cited by
- 266
- References
- 2
- Citations by year
- 2026: 11 · 2025: 7 · 2024: 15 · 2023: 23 · 2022: 15 · 2021: 22 · 2020: 16 · 2019: 27 · 2018: 25 · 2017: 14 · 2016: 17 · 2015: 15 · 2014: 18 · 2013: 19 · 2012: 17
- FWCI
- 6.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- cancer survivors, quality of life, racial disparities, sex differences, pain intensity, pain interference, disability, depressive symptoms, breast cancer, colorectal cancer, lung cancer, prostate cancer, multiple myeloma, survivorship
- MeSH terms
- Aged, Chronic Disease, Female, Humans, Male, Middle Aged, Neoplasms, Pain, Quality of Life, Socioeconomic Factors, Survivors, Black People, White People, Health Status Disparities
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