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[Cancer in addition....].

L Tjemsland1, J A Søreide

  • 1Rogaland psykiatriske sjukehus Postboks 1163 Hillevåg 4004 Stavanger. L-tjemsl@online.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 17, 2001
PubMed
Summary

Comorbid chronic diseases in cancer patients significantly increase the risk of cancer-specific death. This finding highlights the importance of considering a patient's overall health history when assessing cancer prognosis.

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Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Clinical Epidemiology

Context:

  • The prognostic significance of stress and behavioral factors in cancer patients remains debated.
  • This study investigates early-stage breast cancer patients with a six-year follow-up.
  • Known clinical prognostic factors were adjusted for in the analysis.

Purpose:

  • To evaluate the prognostic impact of behavioral variables in breast cancer patients.
  • To determine if subjective and objective stress influence cancer outcomes.
  • To assess the role of coping mechanisms and emotional control.

Summary:

  • A cohort of 106 early-stage breast cancer patients (Stage I-II, <71 years) were assessed pre- and post-surgery.
  • Interviews and validated scales (MAC, CEC) measured life events, functioning, coping, and emotional control.
  • A history of serious chronic illness (>6 months) was associated with a 2.6-fold increased risk of cancer-specific death; psychological scales showed no significant association.

Impact:

  • Comorbid chronic diseases are identified as a significant negative prognostic factor in cancer patients.
  • These findings have critical implications for clinical management and healthcare resource allocation.
  • Highlights the need for comprehensive patient health assessments beyond cancer diagnosis.

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