Lindberg, Patricia and Koller, Michael and Steinger, Brunhilde and Lorenz, Wilfried and Wyatt, Jeremy C. and Inwald, Elisabeth C. and Klinkhammer-Schalke, Monika (2015) Breast cancer survivors' recollection of their illness and therapy seven years after enrolment into a randomised controlled clinical trial. BMC CANCER, 15: 554. ISSN 1471-2407,
Full text not available from this repository. (Request a copy)Abstract
Background: Little is known about the subjective experience of breast cancer survivors after primary treatment. However, these experiences are important because they shape their communication about their illness in everyday life, usage and acceptance of healthcare, and expectations of new generations of patients. The present study investigated this topic by combining qualitative and quantitative methods. Methods: Breast cancer survivors in Bavaria, Germany were mailed a questionnaire up to seven years after enrolment into a randomised controlled clinical trial and start of their therapy. This enquired about their worst experiences during the breast cancer episode, positive aspects of the illness and any advice they would give to newly diagnosed patients. A category system for themes was systematically created and answers were categorised by two independent raters. Frequencies of key categories were then quantitatively analysed using descriptive statistics. In addition, local treating physicians gave their opinion on the response categories chosen by their patients. Results: 133 (80 %) of 166 eligible patients who survived up to seven years returned the questionnaire. The most prominent worst experience reported by survivors was psychological distress (i.e. anxiety, uncertainty; prevalence 38 %) followed by chemotherapy (25 %), and cancer diagnosis (18 %). Positive aspects of the illness were reported by 48 % with the most frequent including change in life priorities (50 %) and social support (22 %). The most frequent advice survivors gave was fighting spirit (i.e. think positive, never give up; prevalence 42 %). Overall, physicians' estimates of the frequency of these responses corresponded well with survivors' answers. Conclusions: Although physicians' understanding of breast cancer patients was good, psychological distress and chemotherapy-related side effects were remembered as particularly burdensome by a substantial part of survivors. On the one hand, patients' quality of life needs to be assessed repeatedly during medical follow-up to identify such specific complaints also including specific recommendations to the physician for targeted psychosocial and medical support. On the other hand the advices and positive aspects of the disease, reported by the survivors, can be used to promote positive ways of coping with the illness.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY-OF-LIFE; DISEASE-FREE SURVIVORS; LONG-TERM SURVIVORS; PHYSICIAN COMMUNICATION; POSTTRAUMATIC GROWTH; PATIENT SATISFACTION; GENERAL-POPULATION; INFORMATION NEEDS; RESPONSE-SHIFT; HEALTH-CARE; Breast cancer; Survivorship; Qualitative analysis; Quality of life; Patient-physician agreement; Complex intervention |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien Medicine > Zentren des Universitätsklinikums Regensburg > Tumorzentrum e.V. |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 05 Jul 2019 12:23 |
| Last Modified: | 05 Jul 2019 12:23 |
| URI: | https://pred.uni-regensburg.de/id/eprint/5181 |
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