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. 2020 Jul;29(4):e13248.
doi: 10.1111/ecc.13248. Epub 2020 Jun 3.

Self-perceived burden and its associations with health-related quality of life among urologic cancer patients

Chuo Yew Ting  1   2 , Guan Chou Teh  3 , Kong Leong Yu  4 , Haridah Alias  1 , Hui Meng Tan  5   6 , Li Ping Wong  1
Affiliations

Self-perceived burden and its associations with health-related quality of life among urologic cancer patients

Chuo Yew Ting et al. Eur J Cancer Care (Engl). 2020 Jul.

Abstract

Objective: This study examined the prevalence of self-perceived burden (SPB) and its association with health-related quality of life (HRQoL) among urologic cancer patients.

Methods: This was a prospective, cross-sectional study. A total of 429 respondents diagnosed with urologic cancers (prostate, bladder and renal cancer) from Sarawak General Hospital and Subang Jaya Medical Centre in Malaysia were interviewed by using a structured questionnaire. SPB and HRQoL were measured by the Self-perceived Burden Scale and the Functional Assessment of Cancer Therapy-General 7 Item Scale respectively.

Results and conclusion: Self-perceived burden was experienced by 73.2% of the respondents. Respondents who had a lower education level, a monthly household income <MYR 5,000, monthly household expenditures <MYR 3,000 or whose Eastern Cooperative Oncology Group performance status (ECOG-PS) rating was higher and who faced medium to high subjective financial toxicity (FT) were more likely to experience low HRQoL, but not SPB, after adjustment for covariates. As medium to high subjective FT is significantly associated with high SPB and low HRQoL, future interventions should be prioritised to address subjective FT, which, in turn, would reduce SPB and improve HRQoL.

Keywords: Malaysia; health-related quality of life; prostate cancer; self-perceived burden; urologic cancer.

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