Cited by 281Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeCancer-related cognitive impairment studies

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Comparison of younger and older breast cancer survivors and age‐matched controls on specific and overall quality of life domains

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Champion, Victoria L., Wagner, Lynne I., Monahan, Patrick O., Daggy, Joanne, Smith, Lisa, Cohee, Andrea, Ziner, Kim W., Haase, Joan E., Miller, Kathy D., Pradhan, Kamnesh, Unverzagt, Frederick W., Cella, David, Ansari, Bilal, Sledge, George W.·2014·Cancer

DOI 10.1002/cncr.28737PMC PMC4158315

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Abstract

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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Impact of age-related socio-economic and clinical determinants of quality of life among long-term breast cancer survivors
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A Randomized Trial to Compare a Tailored Web-Based Intervention and Tailored Phone Counseling to Usual Care for Increasing Colorectal Cancer Screening
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“Intention to screen for colorectal cancer and actual screening were assessed by questions successfully used in past research (28).”
MethodSelf-citation
Determinants of satisfaction with life and self-esteem in women with breast cancer
Cobo‐Cuenca, A. I., Espinosa, N. M. M., Rodríguez‐Borrego, M. A., & Carmona‐Torres, J. M. (2018) · Quality of Life Research · doi:10.1007/s11136-018-2017-y · Cited by 33
Patient characteristics associated with sleep disturbance in breast cancer survivors
Ratcliff, C. G., Zepeda, S. G., Hall, M. H., Tullos, E. A., Fowler, S., Chaoul, A., Spelman, A. R., Arun, B., & Cohen, L. G. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05777-3 · Cited by 33
The impact of chronic comorbidities at the time of breast cancer diagnosis on quality of life, and emotional health following treatment in Canada
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Quality of Life in Partners of Young and Old Breast Cancer Survivors
Cohee, A. A., Bigatti, S., Shields, C., Johns, S. A., Stump, T., Monahan, P., & Champion, V. (2018) · Cancer Nursing · doi:10.1097/ncc.0000000000000556 · Cited by 23
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Young Women With Breast Cancer: Treatment, Care, and Nursing Implications
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The Psychological Distress and Quality of Life of Breast Cancer Survivors in Sydney, Australia
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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).”
Background
Longitudinal changes of health-related quality of life over 10 years in breast cancer patients treated with radiotherapy following breast-conserving surgery
Gao, Y., Rosas, J. C., Fink, H., Behrens, S., Chang-Claude, J. C., & Seibold, P. (2023) · Quality of Life Research · doi:10.1007/s11136-023-03408-y · Cited by 28
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Patient-reported cosmetic satisfaction and the long-term association with quality of life in irradiated breast cancer patients
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Predictors of psychological distress in breast cancer survivors: A biopsychosocial approach
Pérez-Tejada, J., Labaka, A., Pascual‐Sagastizábal, E., Garmendia, L., Iruretagoyena, A., & Arregi, A. (2019) · European Journal of Cancer Care · doi:10.1111/ecc.13166 · Cited by 29
An RCT to Increase Breast and Colorectal Cancer Screening
Champion, V. L., Christy, S. M., Rakowski, W., Lairson, D. R., Monahan, P. O., Gathirua‐Mwangi, W. G., Stump, T. E., Biederman, E. B., Kettler, C. D., & Rawl, S. M. (2020) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2020.03.008 · Cited by 27
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The detrimental effects of ambivalence over emotional expression on well‐being among Mainland Chinese breast cancer patients: Mediating role of perceived social support
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Impact of Diabetes on the Symptoms of Breast Cancer Survivors
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Anxiety and depression after breast cancer: The predictive role of monoamine levels
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How breast cancer therapies impact body image – real-world data from a prospective cohort study collecting patient-reported outcomes
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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].”
Background
Cognitive dysfunction prevalence and associated factors in older breast cancer survivors
Crouch, A., Champion, V. L., Unverzagt, F. W., Pressler, S. J., Huber, L. L., Moser, L. R., Cella, D. F., & Ah, D. M. V. (2021) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2021.07.001 · Cited by 25
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Relationship Between Depressive Symptoms and Social Cognitive Processing in Partners of Long-Term 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-citation
Metastatic breast cancer in older patients: A longitudinal assessment of geriatric outcomes
de Boer, A. Z., Derks, M. G. M., de Glas, N. A., Bastiaannet, E., Liefers, G., Stiggelbout, A. M., van Dijk, M. A., Kroep, J. R., Ropela, A., van den Bos, F., et al. (2020) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2020.04.002 · Cited by 25
Low Sexual Desire in Breast Cancer Survivors and Patients: A Review
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Factors associated with depressive symptoms in young long-term breast cancer survivors
Cohee, A. A., Stump, T. E., Adams, R. N., Johns, S. A., Ah, D. M. V., Zoppi, K. A., Fife, B. L., Monahan, P. O., Cella, D. F., & Champion, V. L. (2016) · Quality of Life Research · doi:10.1007/s11136-016-1241-6 · Cited by 24
Self-citation
Longitudinal effect of emotional processing on psychological symptoms in women under 50 with breast cancer
Martino, M. L., Gargiulo, A., Lemmo, D., Dolce, P., Barberio, D., Abate, V., Avino, F., & Tortoriello, R. (2019) · Health Psychology Open · doi:10.1177/2055102919844501 · Cited by 24
“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).”
Background
Anxiety in disease-free breast cancer patients might be alleviated by provision of psychological support, not of information
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Research on body image cognition, social support and illness perception in breast cancer patients with different surgical methods
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A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors
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“…based on a participant’s progress toward their individual PA goals, such as through “continuous tuning interventions” that use a participant’s data and real-time optimization algorithms to “tune” the intervention to meet their individual needs (Chevance et al., 2021; Hekler et al., 2020).”
Background
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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.”
Background
The quality of life in acromegalic patients with biochemical remission by surgery alone is superior to that in those with pharmaceutical therapy without radiotherapy, using the newly developed Japanese version of the AcroQoL
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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: Champion, Victoria L.
Wagner, Lynne I.
Monahan, Patrick O.
Daggy, Joanne
Cohee, Andrea
Haase, Joan E.
Miller, Kathy D.
Pradhan, Kamnesh
Unverzagt, Frederick W.
Cella, David
Sledge, George W.
Venue: Cancer
Publisher: Wiley
Published: 2014-05-28
Volume: 120
Issue: 15
Pages: 2237-2246
ISSN: 0008-543X (ISSN-L)
1097-0142
DOI: 10.1002/cncr.28737
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
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 › Oncology › 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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Comparison of younger and older breast cancer survivors and age‐matched controls on specific and overall quality of life domains

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