Fear of recurrence and its impact on quality of life in patients with hematological cancers in the course of allogeneic hematopoietic SCT
Abstract
We examined the course and the prevalence of a high fear of cancer recurrence (FCR) in patients undergoing allogeneic PBSC transplantation (hematopoietic SCT (HSCT)) before HSCT (N=239), 100 days after (n=150, and 12 months after allogeneic HSCT (n=102). The Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the EORTC Quality of Life Questionnaire, and the Hospital Anxiety and Depression Scale were used. Pre-HSCT 36% of patients, 100 days after HSCT 24% of patients, and 1 year after HSCT 23% of patients fulfilled the criteria for high FCR (FoP-Q-SF cutoff=34). Being married (b=2.76, P=0.026), female gender (b=4.45, P<0.001) and depression (b=4.44, P<0.001) were significantly associated with FCR at baseline. One hundred days after HSCT, depression significantly predicted FCR (b=6.46, P<0.001). One year following HSCT, female gender (b=6.61, P=0.008) and higher depression were (b=4.88, P=0.004) significant predictors for FCR. Over the three assessment points, patients with high FCR had a significantly lower quality of life compared to patients with low FCR in physical functioning (P=0.019), role functioning (P=0.003), emotional functioning (P<0.001), cognitive functioning (P=0.003), social functioning (P<0.001) and global quality of life (P<0.001). Our data provide evidence that FCR is a prevalent problem in patients with hematological malignancies and has a significant adverse impact on health-related quality of life.
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Clinical FCR is associated with impairment in functioning, psychological distress, sleep difficulties, stress response symptoms, and lower quality of life in cancer survivors.
“clinical FCR is associated with impairment in functioning, psychological distress, sleep difficulties, stress response symptoms, and lower quality of life (QoL) [3–9].”
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- Authors
- Sarkar, S., Scherwath, A., Schirmer, L., Schulz-Kindermann, F., Neumann, K., Kruse, M., Dinkel, A., Kunze, S., Balck, F., Kröger, N., Koch, U., & Mehnert, A.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Charité – Universitätsmedizin Berlin (DE)
- Medizinische Hochschule Hannover (DE)
- TUM Klinikum (DE)
- University Hospital Carl Gustav Carus (DE)
- University Hospital Leipzig (DE)
- Corresponding author
- Sarkar, S
- Venue
- Bone Marrow Transplantation
- Published
- 2014-07-07
- Volume
- 49
- Issue
- 9
- Pages
- 1217-1222
- ISSN
- 0268-3369 (ISSN-L)
- 1476-5365
- OpenAlex
- W2048000402
- Cited by
- 102
- References
- 36
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 10 · 2023: 10 · 2022: 13 · 2021: 11 · 2020: 13 · 2019: 10 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 8 · 2014: 1
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Bone Marrow Transplantation (publishedVersion)
- PubMed (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Funders
- José Carreras Leukämie-Stiftung
- 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 › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- fear of cancer recurrence, allogeneic hematopoietic stem cell transplantation, hematologic malignancies, health-related quality of life, depression, anxiety, gender differences, marital status, physical function, role functioning, emotional functioning, cognitive function, social functioning
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Prospective Studies, Quality of Life, Transplantation, Homologous, Hematopoietic Stem Cell Transplantation, Transplantation Conditioning, Hematologic Neoplasms, Young Adult
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