Quality of life among long-term breast cancer survivors: A systematic review
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The aim of this study was to review the literature on quality of life among long-term survivors of breast cancer and identify the specific aspects of quality of life that were affected in these survivors. We also describe predictors of quality of life. Published research reports were included if they described the quality of life of breast cancer survivors diagnosed at least five years earlier. The methodological quality of the 10 selected studies, conducted between 1997 and 2004, was high according to a list of predefined criteria. Most studies reported that long-term survivors of breast cancer experienced good overall quality of life. However, almost all studies reported that breast cancer survivors experienced some specific problems (e.g., a thick and painful arm and problems with sexual functioning). The current medical condition, amount of social support and current income level were strong positive predictors of quality of life, and the use of adjuvant chemotherapy emerged as a negative predictor. More research on the specific medical and psychosocial needs of survivors is needed in order to be able to design appropriate intervention studies. If anything, this review shows that focusing on the long-term effects of breast cancer is important when evaluating the full extent of cancer treatment.
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Diagnosis and treatment of breast and gynaecologic cancers are associated with high rates of often persistent psychological distress and ongoing challenges to quality of life.
“Diagnosis and treatment of these cancers are associated with high rates of often persistent psychological distress and ongoing challenges to quality of life (QOL) [1,6,9,10,12].”
From Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study (2015) · cites this paper as [10]
Section 3.3 (page unavailable) reports more mild-to-moderate depressive symptoms in some long-term breast cancer survivors than in controls, alongside specific lasting quality-of-life problems. But the review covers breast cancer, not gynaecologic cancers, and says most studies found good overall quality of life; it does not establish high rates of persistent psychological distress across both cancer groups. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe methodological quality of included studies was assessed using a 14-item standardized checklist.
“All manuscripts meeting the selection criteria were assessed for their methodological quality, using a 14-item standardized checklist with small modifications as listed in Table 1[9,10].”
From Health-related quality of life in women with endometriosis: a systematic review (2012) · cites this paper as [9]
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- Authors
- Mols, F., Vingerhoets, A. J. J. M., Coebergh, J. W., & van de Poll-Franse, L. V.
- Affiliations
- Tilburg University (NL)
- Erasmus MC (NL)
- Corresponding author
- Mols, Floortje
- Venue
- European Journal of Cancer
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 41
- Issue
- 17
- Pages
- 2613-2619
- ISSN
- 0959-8049 (ISSN-L)
- OpenAlex
- W2127815244
- Cited by
- 585
- References
- 20
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 19 · 2023: 18 · 2022: 42 · 2021: 36 · 2020: 38 · 2019: 27 · 2018: 35 · 2017: 34 · 2016: 50 · 2015: 33 · 2014: 26 · 2013: 37 · 2012: 35
- FWCI
- 1.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Cancer (publishedVersion)
- Research portal (Tilburg University) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- 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 › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer survivors, quality of life, long-term effects of cancer treatment, adjuvant chemotherapy, arm lymphedema, sexual dysfunction, social support, income level, predictors of quality of life
- MeSH terms
- Adult, Aged, Aged, 80 and over, Breast Neoplasms, Female, Humans, Middle Aged, Quality of Life, Survivors
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