Factors associated with health-related quality of life in a cohort of Spanish breast cancer patients

Breast Cancer. 2014 Jul;21(4):442-52. doi: 10.1007/s12282-012-0402-x. Epub 2012 Aug 28.

Abstract

Background: Several factors can modify health-related quality of life (HRQOL) of breast cancer survivors. The objective of the current study was to analyse the associations between HRQOL scores 1 year after breast cancer surgery and sociodemographic and clinical factors.

Methods: This was an observational, multicentre and prospective study of a cohort of patients who underwent oncological breast cancer surgery and which was followed up for 1 year. The HRQOL was assessed at 1 year after surgery using three questionnaires: EuroQol-5D, EORTC QLQ-C30 and its breast-specific module BR-23.

Results: A total of 364 patients participated in the study. Some factors were associated with better HRQOL 1 year after surgery: age between 60 and 69 years and under 50 years, being single or a housewife, stage I-II, invasive papillary carcinoma, breast-conserving surgery (BCS) or lack of axillary dissection. However, only the following were independent predictive factors: being single or a housewife, BCS, invasive papillary carcinoma, coming from an outpatient clinic or not receiving radiotherapy. Further, some factors were independent predictors of a worse HRQOL: age over 70 years, being married, separated or widowed, stage III or not receiving adjuvant chemotherapy.

Conclusions: Demographic and clinical factors can influence HRQOL, some of them independently.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Aged
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery*
  • Carcinoma, Ductal, Breast / pathology
  • Carcinoma, Ductal, Breast / surgery*
  • Carcinoma, Lobular / pathology
  • Carcinoma, Lobular / surgery*
  • Carcinoma, Papillary / pathology
  • Carcinoma, Papillary / surgery*
  • Female
  • Follow-Up Studies
  • Health Status*
  • Humans
  • Mastectomy*
  • Middle Aged
  • Neoplasm Invasiveness
  • Neoplasm Staging
  • Prognosis
  • Prospective Studies
  • Quality of Life*
  • Spain
  • Surveys and Questionnaires
  • Survivors*