The quality of life of cancer patients: A review of the literature
Abstract
In recent years the necessity of including quality of life (QL) measurement in cancer research has been stressed. In this paper an overview is given of the results of studies into the QL of cancer patients. From descriptive studies it appears that the quality of certain domains of life is impaired by cancer treatment. Results from studies in which two or more groups of cancer patients are being compared are not consistent. The expectation that the QL of patients is impaired more negatively by certain treatment modalities is confirmed in some studies but not in several others. Even the assumption that the QL of cancer patients is worse than the QL of the normal population is not substantiated. In this paper explanations for these unexpected results are forwarded. First, the definition and operationalization of the concept QL differs from one study to another. QL may either refer to an overall evaluation or to the evaluation of certain domains of life, and, either to the subjective experience of the patient or the evaluation of the situation by others. Secondly, other methodological difficulties especially with respect to reliability, validity and design are described. Finally, it is suggested that psychological mechanisms may account for the absence of differences between cancer patients and others and may therefore, on theoretical grounds, explain the established inconsistencies.
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In general, results from comparative studies are meager and do not support the assumption that cancer or cancer treatment lead to a significantly lower quality of life.
“in general the results from comparative studies are meager and do not support the assumption that cancer or cancer treatment lead to a significantly lower quality of life”
From Neurodiversity, epistemic injustice, and the good human life (2022) · cites this paper as de Haes and van Knippenberg, 1985
Even significant illness and disability, such as cancer, renal failure, and paralysis, have been shown to have a surprisingly small intrinsic effect on levels of wellbeing as such.
“Indeed, even significant illness and disability, such as cancer, renal failure, and paralysis, have been shown to have a surprisingly small intrinsic effect on levels of wellbeing as such.”
From Neurodiversity, epistemic injustice, and the good human life (2022) · cites this paper as de Haes and van Knippenberg, 1985
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- Authors
- de Haes, J. C. J. M., & van Knippenberg, F. C. E.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1985-01
- Volume
- 20
- Issue
- 8
- Pages
- 809-817
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2078047818
- Cited by
- 366
- References
- 3
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 5 · 2012: 9
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- quality of life, cancer patients, cancer treatment side effects, quality of life assessment, definition of quality of life, reliability and validity, psychological mechanisms
- MeSH terms
- Adaptation, Psychological, Humans, Neoplasms, Quality of Life, Research Design
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