Clinical, psychosocial, and demographic factors associated with health-related quality of life profiles of women with breast cancer in early phases of survivorship

Supplemental Digital Content is Available in the Text. AbstractBackground:We aimed to identify health-related quality of life (HRQOL) profiles among breast cancer survivors and factors associated with each profile.Methods:Breast cancer survivors diagnosed 6-13 months earlier completed surveys assess...

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Published in:Journal of psychosocial oncology research and practice Vol. 7; no. 3
Main Authors: Graves, Kristi D., Fall-Dickson, Jane M., Reeve, Bryce B., Lin, Li, Ahn, Jaeil, Pan, Wei, Potosky, Arnold L.
Format: Journal Article
Language:English
Published: Maryland, MD Wolters Kluwer 01.07.2025
Subjects:
symptom assessment
breast cancer
functional assessment
health-related quality of life
cancer survivors
ISSN:2637-5974, 2637-5974
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Abstract Supplemental Digital Content is Available in the Text. AbstractBackground:We aimed to identify health-related quality of life (HRQOL) profiles among breast cancer survivors and factors associated with each profile.Methods:Breast cancer survivors diagnosed 6-13 months earlier completed surveys assessing sociodemographic, clinical, and HRQOL variables (NIH PROMIS short forms). Using latent profile analysis (LPA), we grouped survivors into HRQOL profiles of PROMIS scores based on model fit and clinical interpretability. We used multinomial logistic regression models to determine clinical, psychosocial, and demographic factors associated with each HRQOL profile.Results:Among 1,638 breast cancer survivors, we identified four HRQOL profiles: high (20.3% of survivors), average (34.5%), low (33.1%), and very low (12.1%). Membership in the low or very low versus high HRQOL profile was associated with: <high school versus college/graduate [low OR = 2.98 (1.29, 6.85); very low OR = 4.51 (1.53, 13.33)]; not working [low OR = 2.20 (1.41, 3.43); very low OR = 4.32 (2.33, 8.00)]; lack of consistent companionship [low OR = 3.67 (1.85, 7.25); very low OR = 6.22 (2.78, 13.92)]; and history of: lung condition [low OR = 2.42 (1.34, 4.36); very low OR = 4.28 (2.09, 8.77)]; anxiety/depression [low OR = 2.76 (1.71, 4.46); very low OR = 8.86 (4.74, 16.56)]; sleep disturbance [low OR = 2.97 (1.25, 7.06); very low OR = 6.21 (2.40, 16.08)]; and chemotherapy [low OR = 3.29 (2.13, 5.08); very low OR = 7.34 (3.75, 14.37)]. Protective factors associated with reduced likelihood of low/very low HRQOL profile membership included higher: financial well-being [low OR = 0.82 (0.74, 0.90); very low OR = 0.78 (0.68, 0.89)] and spirituality [low OR = 0.63 (0.56, 0.71); very low OR = 0.53 (0.45, 0.62)].Conclusion:About 45% of early-phase breast cancer survivors in the present sample experienced low or very low HRQOL; early identification and targeted interventions can be used to improve HRQOL over time.
AbstractList Supplemental Digital Content is Available in the Text. AbstractBackground:We aimed to identify health-related quality of life (HRQOL) profiles among breast cancer survivors and factors associated with each profile.Methods:Breast cancer survivors diagnosed 6-13 months earlier completed surveys assessing sociodemographic, clinical, and HRQOL variables (NIH PROMIS short forms). Using latent profile analysis (LPA), we grouped survivors into HRQOL profiles of PROMIS scores based on model fit and clinical interpretability. We used multinomial logistic regression models to determine clinical, psychosocial, and demographic factors associated with each HRQOL profile.Results:Among 1,638 breast cancer survivors, we identified four HRQOL profiles: high (20.3% of survivors), average (34.5%), low (33.1%), and very low (12.1%). Membership in the low or very low versus high HRQOL profile was associated with: <high school versus college/graduate [low OR = 2.98 (1.29, 6.85); very low OR = 4.51 (1.53, 13.33)]; not working [low OR = 2.20 (1.41, 3.43); very low OR = 4.32 (2.33, 8.00)]; lack of consistent companionship [low OR = 3.67 (1.85, 7.25); very low OR = 6.22 (2.78, 13.92)]; and history of: lung condition [low OR = 2.42 (1.34, 4.36); very low OR = 4.28 (2.09, 8.77)]; anxiety/depression [low OR = 2.76 (1.71, 4.46); very low OR = 8.86 (4.74, 16.56)]; sleep disturbance [low OR = 2.97 (1.25, 7.06); very low OR = 6.21 (2.40, 16.08)]; and chemotherapy [low OR = 3.29 (2.13, 5.08); very low OR = 7.34 (3.75, 14.37)]. Protective factors associated with reduced likelihood of low/very low HRQOL profile membership included higher: financial well-being [low OR = 0.82 (0.74, 0.90); very low OR = 0.78 (0.68, 0.89)] and spirituality [low OR = 0.63 (0.56, 0.71); very low OR = 0.53 (0.45, 0.62)].Conclusion:About 45% of early-phase breast cancer survivors in the present sample experienced low or very low HRQOL; early identification and targeted interventions can be used to improve HRQOL over time.
ArticleNumber e183
Author Pan, Wei
Reeve, Bryce B.
Ahn, Jaeil
Lin, Li
Potosky, Arnold L.
Graves, Kristi D.
Fall-Dickson, Jane M.
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  organization: Cancer Prevention and Control Program, Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC
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Keywords symptom assessment
breast cancer
functional assessment
health-related quality of life
cancer survivors
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Notes Corresponding author. Address: Cancer Prevention and Control Program, Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20007. E-mail address: Kristi.Graves@georgetown.edu (K. D. Graves).This work was supported by the following grants from the National Institutes of Health (NIH): R01 NR018841 and U01 AR057971 (to A.P.). This research was also supported by the Survivorship Research Initiative of the Georgetown Lombardi Comprehensive Cancer Center (P30-CA051008).The authors have no relevant financial or nonfinancial interests to disclose.Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.ipos-journal.org).K. D. Graves and J. M. Fall-Dickson are co-first authors.J.F.D., K.D.G., A.L.P., and B.B.R. were responsible for the original draft. A.L.P. was responsible for funding acquisition, supervision, project administration, data curation; B.B.R. and L.L. were responsible for formal analysis; B.B.R., L.L., J.A., and W.P. were responsible for methodology; all authors contributed to study conceptualization, and review and editing. All authors approved the final version of the manuscript.
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Title Clinical, psychosocial, and demographic factors associated with health-related quality of life profiles of women with breast cancer in early phases of survivorship
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