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A population‐based study comparing HRQoL among breast, prostate, and colorectal cancer survivors to propensity score matched controls, by cancer type, and gender
Author(s) -
LeMasters Traci,
Madhavan Suresh,
Sambamoorthi Usha,
Kurian Sobha
Publication year - 2013
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.3288
Subject(s) - medicine , breast cancer , prostate cancer , quality of life (healthcare) , cancer , logistic regression , population , colorectal cancer , mental health , behavioral risk factor surveillance system , demography , gerontology , psychiatry , environmental health , nursing , sociology
Background Objectives were to compare health‐related quality of life (HRQoL) between breast cancer survivors, prostate cancer survivors (PCS), and colorectal cancer survivors (CCS) to matched controls, stratified by short and long‐term survivors, by cancer type, and gender. Methods By using the 2009 Behavioral Risk Factor Surveillance System, propensity scores matched three controls to adult survivors >1 year past diagnosis ( N = 11,964) on age, gender, race/ethnicity, income, insurance status, and region of the USA Chi‐square tests and logistic regression models compared HRQoL outcomes (life satisfaction, activity limitations, sleep quality, emotional support, general, physical, and mental health). Results Although all cancer survivors reported worse general health ( p < 0.000) and more activity limitations ( p < 0.004) than controls, these disparities decreased among long‐term survivors. Short‐term PCS and male CCS were more likely to report worse outcomes across additional domains of HRQoL than controls, but PCS were 0.61, 0.63, and 0.70 times less likely to report activity limitations, fair/poor general health, and 1–15 bad physical health days in the past month than male CCS. Breast cancer survivors and female CCS were 2.12 and 3.17, 1.58 and 1.86, and 1.49 and 153, respectively, times more likely to report rarely/never receiving needed emotional support, 1–15 bad mental health days in the past month, and not receiving enough sleep 1–15 days in the past month than PCS and male CCS. Conclusions Cancer survivors experience worse HRQoL than similar individuals without a history of cancer and the severity of affected HRQoL domains differ by time since diagnosis, cancer type, and gender. Copyright © 2013 John Wiley & Sons, Ltd.