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Mapping the quality of life and unmet needs of urban women with metastatic breast cancer
Open accessAbstract
Enhancing quality of life and reducing the unmet needs of women are central to the successful management of advanced breast cancer. The objective of this study was to investigate the quality of life and support and information needs of urban women with advanced breast cancer. This study was conducted at four large urban hospitals in Melbourne, Australia. A consecutive sample of 105 women with advanced breast cancer completed a questionnaire that contained the European Organization of Research and Treatment of Cancer Quality of Life Q-C30 and the Supportive Care Needs Survey. Between one quarter and a third of the women reported difficulties with their physical, role and social functioning, and a little over a quarter of the women reported poor global health status. Fatigue was a problem for most women. The highest unmet needs were in the psychological and health information domains. Almost no differences in unmet needs were detected when comparing different demographic and disease characteristics of women. Health care providers should routinely monitor the quality of life and needs of women with advanced breast cancer to ensure that appropriate treatment, information or supportive services are made available.
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“The most prevalent, persistent, and disabling symptoms in MBC patients include pain, fatigue, sleep disturbance, depression, and anxiety [2,9–12].”
From Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: a pilot randomized trial (2018) · cites this paper as [2]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Despite commonly used pharmacologic approaches to symptom management, MBC patients have high symptom burden that is a major source of suffering, impairment, and disability [2–4, 6].”
From Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility (2017) · cites this paper as [6]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Common symptoms in this population include depression, anxiety, sleep disturbance, pain, and fatigue [6–10].”
From Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility (2017) · cites this paper as [6]
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“Other common symptoms among cancer patients (e.g., nausea, neuropathy, swelling of arms and legs, hot flashes, cognitive problems) have received less attention in the MBC literature [6, 12–14].”
From Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility (2017) · cites this paper as [6]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Fatigue interference with activities, mood, and cognition is one of the most prevalent and distressing concerns of metastatic breast cancer patients.”
From Protocol of a randomized trial of acceptance and commitment therapy for fatigue interference in metastatic breast cancer (2020) · cites this paper as [2]
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“with many experiencing symptoms which impair their quality of life and functional capacity [2–6].”
From Symptom experiences in metastatic breast cancer patients: relationships to activity engagement, value-based living, and psychological inflexibility (2017) · cites this paper as [6]
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“While there are medical advances to increase the longevity of metastatic breast cancer (MBC) patients, important symptoms persist that are a major source of suffering, impairment, and disability [2–8].”
From Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: a pilot randomized trial (2018) · cites this paper as [2]
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“Moderate-to-severe fatigue is reported by over 50% of MBC patients [1, 2].”
From Protocol of a randomized trial of acceptance and commitment therapy for fatigue interference in metastatic breast cancer (2020) · cites this paper as [2]
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Metadata
- Authors
- ARANDA, S., SCHOFIELD, P., WEIH, L., YATES, P., MILNE, D., FAULKNER, R., & VOUDOURIS, N.
- Affiliations
- Peter MacCallum Cancer Centre (AU)
- Queensland University of Technology (AU)
- The University of Melbourne (AU)
- La Trobe University (AU)
- Corresponding author
- ARANDA, S.
- Venue
- European Journal of Cancer Care
- Publisher
- Wiley
- Published
- 2005-07
- Volume
- 14
- Issue
- 3
- Pages
- 211-222
- ISSN
- 0961-5423 (ISSN-L)
- 1365-2354
- OpenAlex
- W1536833105
- Cited by
- 215
- References
- 40
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 8 · 2023: 5 · 2022: 9 · 2021: 12 · 2020: 9 · 2019: 11 · 2018: 13 · 2017: 13 · 2016: 8 · 2015: 8 · 2014: 16 · 2013: 14 · 2012: 11
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Cancer Care (publishedVersion)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Faculty of Health; Institute of Health and Biomedical Innovation
- Funders
- Medical Research Council
- National Health and Medical Research Council
- 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 › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- metastatic breast cancer, quality of life, unmet needs, urban women, supportive care needs, health information needs, psychological needs, fatigue, physical function, social functioning, role functioning, global health status, EORTC QLQ-C30, Supportive Care Needs Survey
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Breast Neoplasms, Female, Health Services Needs and Demand, Health Status, Humans, Middle Aged, Neoplasm Metastasis, Patient Education as Topic, Pilot Projects, Quality of Life, Surveys and Questionnaires, Social Support, Urban Health, Carcinoma, Ductal, Breast, Needs Assessment
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