Cited by 505Cancer survivorship and careWomen's cancer prevention and managementChildhood Cancer Survivors' Quality of Life

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Quality of Life at the End of Primary Treatment of Breast Cancer: First Results From the Moving Beyond Cancer Randomized Trial

Ganz, P. A., Kwan, L., Stanton, A. L., Krupnick, J. L., Rowland, J. H., Meyerowitz, B. E., Bower, J. E., Belin, T. R.·2004·JNCI Journal of the National Cancer Institute

DOI 10.1093/jnci/djh060

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Abstract

BACKGROUND: During the last decade, survival rates for breast cancer have increased as a result of earlier detection and increased use of adjuvant therapy. Limited data exist on the psychosocial aspects of the transitional period between the end of primary treatment and survivorship. We investigated the baseline psychosocial status of women enrolled in a randomized trial testing two psychosocial interventions for women at the end of primary treatment. METHODS: Participants, identified within 1 month after surgery (registration), provided demographic information and limited measures of quality of life. They were followed until they finished primary treatment (enrollment), at which time they completed a mailed baseline survey that included standardized measures of quality of life (including standardized scales of physical and emotional functioning), mood, symptoms, and sexual functioning. A total of 558 patients (mean age = 56.9 years) were enrolled in the study between July 1, 1999, and June 30, 2002. Health outcomes were examined according to treatment received: mastectomy with and without chemotherapy, and lumpectomy with and without chemotherapy. All statistical tests were two-sided. RESULTS: Among all treatment groups, patients who had a mastectomy had the poorest physical functioning at registration (P<.001) and at enrollment (P=.05). At enrollment, mood and emotional functioning were similar among all patients, with no differences by type of treatment received. At enrollment, symptoms, including muscle stiffness, breast sensitivity, aches and pains, tendency to take naps, and difficulty concentrating, were common among patients in all groups and were statistically significantly associated with poor physical functioning and emotional well-being. Sexual functioning was worse for women who received chemotherapy than for those who did not, regardless of type of surgery (P<.001). CONCLUSIONS: At the end of primary treatment for breast cancer, women in all treatment groups report good emotional functioning but report decreased physical functioning, particularly among women who have a mastectomy or receive chemotherapy. Clinical interventions to address common symptoms associated with treatment should be considered to improve physical and emotional functioning at the end of primary treatment for breast cancer.

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Authors: Ganz, P. A., Kwan, L., Stanton, A. L., Krupnick, J. L., Rowland, J. H., Meyerowitz, B. E., Bower, J. E., & Belin, T. R.
Affiliations: University of California, Los Angeles (US)
University of Southern California (US)
Corresponding author: Ganz, P. A.
ORCID: Ganz, P. A.
Kwan, L.
Stanton, A. L.
Rowland, J. H.
Meyerowitz, B. E.
Bower, J. E.
Belin, T. R.
Venue: JNCI Journal of the National Cancer Institute
Publisher: Oxford University Press (OUP)
Published: 2004-03-02
Volume: 96
Issue: 5
Pages: 376-387
ISSN: 0027-8874 (ISSN-L)
1460-2105
DOI: 10.1093/jnci/djh060
OpenAlex: W2138355767
Cited by: 505
References: 70
Citations by year: 2026: 6 · 2025: 12 · 2024: 5 · 2023: 9 · 2022: 10 · 2021: 23 · 2020: 9 · 2019: 19 · 2018: 17 · 2017: 19 · 2016: 19 · 2015: 22 · 2014: 27 · 2013: 34 · 2012: 42
FWCI: 14.29
Type: journal article
Language: en
Open access: closed
Locations: JNCI Journal of the National Cancer Institute (publishedVersion)
PubMed (publishedVersion)
Funders: National Cancer Institute (R01CA063028)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: breast cancer, quality of life, breast cancer survivorship, psychosocial functioning, physical function, emotional functioning, sexual function, chemotherapy side effects, mastectomy, breast-conserving surgery
MeSH terms: Adult, Affect, Aged, Breast Neoplasms, Depression, Female, Health Status, Humans, Mastectomy, Middle Aged, Patient Education as Topic, Quality of Life, Surveys and Questionnaires, Regression Analysis, Research Design, Sexual Behavior, Treatment Outcome, Chemotherapy, Adjuvant, Patient Selection, Radiotherapy, Adjuvant

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Quality of Life at the End of Primary Treatment of Breast Cancer: First Results From the Moving Beyond Cancer Randomized Trial

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