Quality of life in Taiwanese breast cancer survivors with breast-conserving therapy

Chi Cheng Huang, Heng Hui Lien, Shih Hsin Tu, Ching Shui Huang, Jaan Yeh Jeng, Hui Lin Chao, Hsiao Lun Sun, Wei Chu Chie

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background/Purpose: Breast cancer is the most common female malignancy in Taiwan; however, quality of life (QOL) following breast cancer therapy remains rarely studied. The aim of the present study was to evaluate QOL among Taiwanese breast cancer patients with and without breast-conserving therapy. Methods: A total of 130 women with breast cancer (37 with breast-conserving therapy and 93 with modified radical mastectomy) were enrolled between August, 2004 and December, 2007 in a single center. Patients who underwent breast-conserving therapy were younger, less likely to be married, had a higher educational level, and were at an earlier clinical stage than those who underwent modified radical mastectomy. The traditional Chinese version of the European Organization for Research and Treatment of Cancer QLQ-C30 and QLQ-BR23 questionnaires were used as measuring instruments. Structural equation modeling with mean structural analysis, which evaluates configuration invariance and compares groups for latent functional/symptomatic factors, was constructed using a multi-indicators approach. Results: Patients with breast-conserving therapy reported worse global QOL status and role function scores and higher symptomatic scores for fatigue, pain, dyspnea, insomnia, appetite loss, breast and arm problem subscales than those without conserving therapy. In addition, age, marital status, hormone manipulation and postoperative adjuvant therapy were significant confounders for QOL. Measurement invariance was ascertained and the same QOL construct could be applied to Taiwanese subjects with and without breast-conserving therapy. Conclusion: Our study suggests that breast-conserving therapy might be associated with worse perceived QOL for Taiwanese breast cancer survivors.

Original languageEnglish
Pages (from-to)493-502
Number of pages10
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume109
Issue number7
DOIs
Publication statusPublished - Jul 2010
Externally publishedYes

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Survivors
Breast
Quality of Life
Breast Neoplasms
Modified Radical Mastectomy
Therapeutics
Marital Status
Sleep Initiation and Maintenance Disorders
Appetite
Taiwan
Dyspnea
Fatigue
Neoplasms
Arm
Organizations
Hormones
Pain
Research

Keywords

  • Breast-conserving therapy
  • EORTC QLQ-BR23
  • EORTC QLQ-C30
  • Quality of life
  • Structural equation modeling

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Quality of life in Taiwanese breast cancer survivors with breast-conserving therapy. / Huang, Chi Cheng; Lien, Heng Hui; Tu, Shih Hsin; Huang, Ching Shui; Jeng, Jaan Yeh; Chao, Hui Lin; Sun, Hsiao Lun; Chie, Wei Chu.

In: Journal of the Formosan Medical Association = Taiwan yi zhi, Vol. 109, No. 7, 07.2010, p. 493-502.

Research output: Contribution to journalArticle

Huang, Chi Cheng ; Lien, Heng Hui ; Tu, Shih Hsin ; Huang, Ching Shui ; Jeng, Jaan Yeh ; Chao, Hui Lin ; Sun, Hsiao Lun ; Chie, Wei Chu. / Quality of life in Taiwanese breast cancer survivors with breast-conserving therapy. In: Journal of the Formosan Medical Association = Taiwan yi zhi. 2010 ; Vol. 109, No. 7. pp. 493-502.
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