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. 2012 Mar;124(3):437-43.
doi: 10.1016/j.ygyno.2011.11.038. Epub 2011 Nov 29.

Does economic burden influence quality of life in breast cancer survivors?

Karen Meneses  1 , Andres Azuero, Lauren Hassey, Patrick McNees, Maria Pisu
Affiliations

Does economic burden influence quality of life in breast cancer survivors?

Karen Meneses et al. Gynecol Oncol. 2012 Mar.

Abstract

Goals: Economic burden is emerging as a crucial dimension in our understanding of adjustment to cancer during treatment. Yet, economic burden is rarely examined in cancer survivorship. The goal of this paper is to describe the effect of economic hardship and burden among women with breast cancer.

Methods: We examined baseline and follow-up (3 and 6 month) data reported by 132 stage I and II breast cancer survivors assigned to the Wait Control arm of the Breast Cancer Education Intervention (BCEI), a clinical trial of education and support interventions. Repeated measures models fitted with linear mixed models were used to examine relationships between aspects of economic burden and overall quality of life (QOL) scores. Structural equation models (SEM) were used to examine the relationship between overall economic burden and QOL.

Results: Nineteen economic events were reported. The proportion of survivors who reported increase in insurance premiums increased in the 6-month study period (p=.022). The proportion of survivors reporting change in motivation (p=.016), productivity (p=.002), quality of work (p=.01), days missed from work (p<.001) and sacrificing other things (p=.001) declined. An increase in economic events was significantly associated with poorer quality of life at each of the study time points.

Conclusion: Economic burden of breast cancer extends into post-treatment survivorship. Better understanding of economic impact and managing economic burden may help maintain QOL.

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Conflict of interest statement

Conflict of Interest Statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Final Structural Equation Model for the relationship between QOL, baseline characteristics, and the reported number of economic burden-related events. Standardized path coefficients are shown. Coefficient values estimated with asymptotically distribution-free methods. All path coefficients shown are statistically significant. The number of economic burden events reported (Num. Events) serves as proxy for overall economic burden. Higher scores in QOL indicate lower perceived quality of life. The model provides good fit to the data, according to the χ2 goodness-of-fit test, and three common fit indices (RMSEA, GFI, and CFI).
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References

    1. Office_of_Cancer_Survivorship. [Accessed August 18, 2011];Estimated U.S. cancer prevalence counts. 2011
    1. American_Cancer_Society. Breast cancer: Facts & Figures 2009–2010. Atlanta, GA: 2010.
    1. Institute_of_Medicine. From cancer patient to cancer survivor: Lost in transition. Washington, DC: The National Academies Press; 2005.
    1. Ganz PA, Hahn EE. Implementing a survivorship care plan for patients with breast cancer. J Clin Oncol. 2008 Feb 10;26(5):759–767. - PubMed
    1. Mandelblatt JS, Cullen J, Lawrence WF, et al. Economic evaluation alongside a clinical trial of psycho-educational interventions to improve adjustment to survivorship among patients with breast cancer. J Clin Oncol. 2008 Apr 1;26(10):1684–1690. - PubMed

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