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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 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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Metadata
- 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 › 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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