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The relationship between performance status, socio-cultural factors and health-related quality of life in breast cancer patients.

Wan GJ, Counte MA, Cella DF.

AHSR FHSR Annu Meet Abstr Book. 1996; 13: 197-8.

School of Public Health, Saint Louis University, MO 63108-3342, USA.

RESEARCH OBJECTIVES: The purpose of this study was to examine the influence of performance status and socio-cultural characteristics on breast cancer patients' reports of HRQL. STUDY POPULATION: A total of 483 women diagnosed with breast cancer were selected from four Eastern Cooperative Oncology Group (ECOG) institutions during May 1994 to November 1995. STUDY DESIGN: This study was cross-sectional in design. Multivariate regression analyses were performed. Independent variables were classified into two groups: clinical and socio-cultural factors. The ECOG Performance Status Rating (PSR) was used as a measure for current clinical status. Socio-cultural variables include: age, socio-economic status (SES), living arrangement, race/ethnicity and religion. The outcome measures included the five dimensions of HRQL and an overall index of HRQL that were measured by the Functional Assessment of Cancer Therapy (FACT) scale. PRINCIPAL FINDINGS: The results indicated that women with better performance status ratings reported higher HRQL. Hispanic and Black non-Hispanic women reported lower HRQL scores. After adjusting for age and other socio-cultural factors, PSR was the most significant predictor of HRQL. CONCLUSIONS: The findings revealed ethnic differences in the reporting of HRQL among patients diagnosed with breast cancer. RELEVANCE TO CLINICAL PRACTICE AND POLICY: Differences detected in this study do not necessarily indicate disparities in the need for rehabilitative services but, instead, may be related to reporting style. These differences may not necessarily reflect a problem of measurement but, rather, an unexpected difference among some patient strata which require further study.

Publication Types:
  • Meeting Abstracts
Keywords:
  • African Americans
  • African Continental Ancestry Group
  • Breast Neoplasms
  • Continental Population Groups
  • Demography
  • Female
  • Health
  • Health Status Indicators
  • Health Surveys
  • Hispanic Americans
  • Humans
  • Life
  • Quality of Life
  • Women's Health
  • ethics
  • hsrmtgs
Other ID:
  • HTX/97604523
UI: 102222424

From Meeting Abstracts




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