Comparison of younger and older breast cancer survivors and age‐matched controls on specific and overall quality of life domains
Open accessAbstract
BACKGROUND: Younger survivors (YS) of breast cancer often report more survivorship symptoms such as fatigue, depression, sexual difficulty, and cognitive problems than older survivors (OS). This study sought to determine the effect of breast cancer and age at diagnosis on quality of life (QoL) by comparing 3 groups: 1) YS diagnosed at age 45 years or before, 2) OS diagnosed between 55 and 70, and 3) for the YSs, age‐matched controls (AC) of women not diagnosed with breast cancer. METHODS: Using a large Eastern Cooperative Oncology Group (ECOG) database, 505 YS were recruited who were aged 45 years or younger when diagnosed and 622 OS diagnosed at 55 to 70 years of age. YS, OS, and AC were compared on physical, psychological, social, spiritual, and overall QoL variables. RESULTS: Compared to both AC and to OS, YS reported more depressive symptoms ( P = .005) and fatigue ( P < .001), poorer self‐reported attention function ( P < .001), and poorer sexual function ( P < .001) than either comparison group. However, YS also reported a greater sense of personal growth ( P < .001) and perceived less social constraint ( P < .001) from their partner than AC. CONCLUSIONS: YS reported worse functioning than AC relative to depression, fatigue, attention, sexual function, and spirituality. Perhaps even more important, YS fared worse than both AC and OS on body image, anxiety, sleep, marital satisfaction, and fear of recurrence, indicating that YS are at greater risk for long‐term QoL problems than survivors diagnosed at a later age. Cancer 2014;120:2237–2246. © 2014 American Cancer Society .
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For many young adult cancer survivors, the impact of treatment is significant and long-lasting, including physical symptoms such as pain and fatigue, psychological distress, and increased risk of long-term health problems such as second cancers and early-onset cardiovascular disease.
“For many YA cancer survivors, the impact of treatment is significant and long-lasting, including difficult physical symptoms (e.g., pain, fatigue) [4–6], psychological distress [6–10], and an increased risk of long-term health problems (e.g., second cancers, early-onset cardiovascular disease) [11–13].”
From Improving symptom management for survivors of young adult cancer: rationale and study protocol for a pilot randomized controlled trial (2024) · cites this paper as [6]
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“Research suggests that younger and female patients with cancer report greater unmet supportive-care needs, and older patients may experience less emotional variation than younger patients.(41-46) We also demonstrated a relationship between the number of comorbid conditions and greater PTSD symptoms, which may indicate…”
BackgroundBarriers to physical activity: a study of academic and community cancer survivors with pain
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“The primary independent variable for this secondary analysis was FCR. FCR was measured utilizing the Concerns About Recurrence Scale (CARS) Total Worries Index.23 The CARS Total Worries Index includes 28 items on a 0 (“Not at all”)–5 (“All or most of the time”) scale that are summed together for a FCR total worries sc…”
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Self-citationLate Effects of Breast Cancer Treatment and Outcome after Corrective Interventions
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“It has also been demonstrated that the late cognitive effects are maximum at the extremes of life (Vodermaier, 2009 ; Champion et al., 2014; Piccirillo et al., 2015).”
BackgroundMedical and information needs among young women with breast cancer in Mexico
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“Intention to screen for colorectal cancer and actual screening were assessed by questions successfully used in past research (28).”
MethodSelf-citationDeterminants of satisfaction with life and self-esteem in women with breast cancer
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Quality of Life in Partners of Young and Old Breast Cancer Survivors
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Self-citationYoung Women With Breast Cancer: Treatment, Care, and Nursing Implications
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“Previous research has shown YAs experience higher perceived physical and cognitive deficits compared to older adults that may limit their ability to return to work (Champion et al., 2014; Stone et al., 2017).”
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“At 6 months post treatment, fatigue was consistently described as changing their ability to participate in their important activity, a consistent complaint of cancer survivors that has been described in other studies (Charlier et al., 2013; Huang et al., 2014; Penttinen et al., 2011).”
BackgroundResultPredictors of psychological distress in breast cancer survivors: A biopsychosocial approach
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An RCT to Increase Breast and Colorectal Cancer Screening
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“Asia races, limited cancer knowledge, active treatments, and the life-changing complications as results of therapies have been identified as the contributing factors [4, 7, 12, 13].”
BackgroundCognitive dysfunction prevalence and associated factors in older breast cancer survivors
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“Data for this study were taken from a larger study of breast cancer survivors and their partners (Champion et al., 2014).”
Self-citationMetastatic breast cancer in older patients: A longitudinal assessment of geriatric outcomes
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Low Sexual Desire in Breast Cancer Survivors and Patients: A Review
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“One of the reasons for the less psychological adaptation, both during and after treatment (Ahmad et al., 2015), is the fear of recurrence (Cohee et al., 2015).”
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“…cancer survivors of different ages might experience common treatment side effects, younger women reported low levels of quality of life (Bantema-Joppe et al., 2015; Champion et al., 2014), including psychological distress, sexual functioning and body image concerns, and relationship problems.”
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- Authors
- Champion, V. L., Wagner, L. I., Monahan, P. O., Daggy, J., Smith, L., Cohee, A., Ziner, K. W., Haase, J. E., Miller, K. D., Pradhan, K., Unverzagt, F. W., Cella, D., Ansari, B., & Sledge, G. W.
- Affiliations
- Indiana University Indianapolis (US)
- Northwestern University (US)
- IU Health Physicians Indianapolis Indiana
- Indiana University Health (US)
- Northern Indiana Cancer Research Consortium (US)
- Corresponding author
- Champion, Victoria L.
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2014-05-28
- Volume
- 120
- Issue
- 15
- Pages
- 2237-2246
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- PMC
- PMC4158315
- OpenAlex
- W1531255325
- Cited by
- 278
- References
- 52
- Citations by year
- 2026: 17 · 2025: 15 · 2024: 24 · 2023: 23 · 2022: 38 · 2021: 35 · 2020: 24 · 2019: 28 · 2018: 25 · 2017: 17 · 2016: 10 · 2015: 18 · 2014: 4
- FWCI
- 7.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion, other-oa)
- Purdue University Indianapolis (Indiana University) (submittedVersion, other-oa)
- Funders
- American Cancer Society (RSGPB-04-089-01-PBP)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- breast cancer survivors, young age at diagnosis, age at diagnosis, quality of life, depressive symptoms, fatigue, sexual function, cognitive function, attention, body image, anxiety, sleep, marital satisfaction, fear of recurrence, spirituality, personal growth, social constraints
- MeSH terms
- Age Factors, Aged, Breast Neoplasms, Female, Humans, Middle Aged, Quality of Life, Survivors
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