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[Quality of life in Chilean breast cancer survivors]
M Elisa Irarrázaval1, Pascale Kleinman1, Fernando Silva R2
1Departamento de Calidad de Vida, Instituto Oncológico Fundación Arturo López Pérez, Santiago, Chile.
Background:
Quality of Life (QOL) assessment may evaluate the impact of diseases and their treatment on the overall well-being of patients.
Aim:
To assess QOL in Chilean breast cancer survivors.
Patients And Methods:
Ninety one female breast cancer patients aged 60 ± 10 years, who finished their oncologic treatment at least a year prior to the assessment, who were disease free and in medical follow-up were included in the study. They completed the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 core questionnaire and the breast cancer module QLQ-BR23.
Results:
Forty eight percent of respondents were long term survivors (more than five years). Global QOL scores were high (73.6 ± 18.2), emotional scale had the lowest scores in QLQ-C30 functional scales (72.1). Symptoms with the highest scores were: Insomnia (= 21.2), pain (= 20.8), and fatigue (= 19.1). Body image, sexual function, and concern about the future were the most relevant problems. Body image was superior in patients with breast-conserving surgery (p = 0.008), and cognitive function was better in patients in early disease stage (p = 0.03) and in those with more than five years of survival (p = 0.04).
Conclusions:
Even when global QOL scores were high, some symptoms were prevalent. Awareness about these problems and symptoms should improve their diagnosis and treatment.
