Ngôn ngữ sử dụng
Cách trích dẫn
Tải xuống
Tóm tắt
Objectives: This study aimed to evaluate QoL across clinical stages and surgical methods, and to examine changes in QoL over the treatment trajectory.
Methods: A observational study was conducted on 200 breast cancer patients undergoing radiotherapy at two oncology hospital Ho Chi Minh City, Viet Nam. Data on demographics, clinical stage, and treatment modalities were collected. QoL was assessed at three time points (baseline, during treatment, post-treatment) using the ECORTC QLQ-C30.
Results: QoL by surgical method showed no significant long-term differences: post-treatment scores were 70.1 (mastectomy), 72.0 (reconstructive), and 69.4 (breast-conserving).In QoL classification, the proportion of patients with high QoL increased from 24.5% at baseline to 45.5% post-treatment, while very low QoL decreased from 3.0% to 1.5%.
Conclusion: Vietnamese breast cancer patients are typically diagnosed at younger ages and advanced stages, with socioeconomic and geographic disparities evident. QoL declines during treatment but improves significantly post-treatment, irrespective of clinical stage or surgical type. Early detection and comprehensive survivorship support are essential for improving both clinical outcomes and QoL.
Từ khóa
Tài liệu tham khảo
Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-249. doi:10.3322/caac.21660.
Bártolo A, Santos IM, Valério E, Monteiro S. Depression and Anxiety Symptoms in Portuguese Women With Breast Cancer: Prevalence and Associated Factors. Oncol Nurs Forum. 2020;47(6):E235-E245. doi:10.1188/20.ONF.E235-E245.
Leung J, Pachana NA, McLaughlin D. Social support and health-related quality of life in women with breast cancer: a longitudinal study. Psychooncology. 2014;23(9):1014-1020. doi:10.1002/pon.3523.
Kroenke CH, Kwan ML, Neugut AI, et al. Social networks, social support mechanisms, and quality of life after breast cancer diagnosis. Breast Cancer Res Treat. 2013;139(2):515-527. doi:10.1007/s10549-013-2477-2.
Ban Y, Wu C, Chen W, et al. The effect of fear of progression on quality of life among breast cancer patients: the mediating role of social support. Health Qual Life Outcomes. 2021;19:132. doi:10.1186/s12955-021-01816-7.
Tran TH, Bui TL, Dang AK, et al. Health-related quality of life among Vietnamese breast cancer women treated at a national cancer hospital. Cancer Control. 2019;26(1):1073274819862787. doi:10.1177/1073274819862787.
Celik G-K, Çakır H, Kut E. Mediating Role of Social Support in Resilience and Quality of Life in Patients With Breast Cancer. Asia Pac J Oncol Nurs. 2021;8(1):86-93. doi:10.1016/j.apjon.2020.11.006.
Pham DX, Ho T-QH, Bui TD, Ho-Pham LT, Nguyen TV. Trends in breast cancer incidence in Ho Chi Minh City 1996–2015: A registry-based study. PLoS One. 2021;16(2):e0246800. doi:10.1371/journal.pone.0246800.
Trieu PDY, Mello-Thoms C, Brennan PC. Female breast cancer in Vietnam: A comparison across Asian specific regions. Cancer Biol Med. 2015;12(3):238-245. doi:10.7497/j.issn.2095-3941.2015.0034.
DeSantis CE, Ma J, Gaudet MM, et al. Breast cancer statistics, 2019. CA Cancer J Clin. 2019;69(6):438-451. doi:10.3322/caac.21583.
Lim YX, Lim ZL, Ho PJ, Li J. Breast Cancer in Asia: Incidence, Mortality, Early Detection, Mammography Programs, and Risk-Based Screening Initiatives. Cancers (Basel). 2022;14(17):4218. doi:10.3390/cancers14174218.
Nguyen SM, Do TD, Vo TP, et al. Delay in the diagnosis and treatment of breast cancer in Vietnam: A case–control study. Cancer Med. 2021;10(23):8462-8470. doi:10.1002/cam4.4244.
Kim JG, Nguyen SM, Nguyen TD, et al. Cultural beliefs about breast cancer in Vietnamese women. BMC Womens Health. 2019;19(1):95. doi:10.1186/s12905-019-0777-3.
Duong LT, Pham CT, Pham TTT, et al. Factors affecting mammography screening behaviour among Vietnamese women. Eur J Cancer Care (Engl). 2020;29(5):e13300. doi:10.1111/ecc.13300.
Nguyen J, Popovic M, Chow E, et al. Quality of life in breast cancer patients in Vietnam: A cross-sectional study. Support Care Cancer. 2015;23(10):3053-3060. doi:10.1007/s00520-015-2674-4.
Vo TT, Lee CF, Hoang HTX, et al. Quality of life of women with breast cancer undergoing treatment in Vietnam: A multicenter study. Health Qual Life Outcomes. 2020;18(1):138. doi:10.1186/s12955-020-01388-4.
Wan C, Zhang C, Cai L, et al. Quality of life of breast cancer patients in China: A multicenter cross- sectional study. Health Qual Life Outcomes. 2018;16(1):132. doi:10.1186/s12955-018-0952-1.
Park BW, Lee S, Lee AR, et al. Impact of breast cancer stage at diagnosis on quality of life trajectories: A prospective cohort study in Korea. Breast Cancer Res Treat. 2018;170(1):169-179. doi:10.1007/s10549-018-4727-0.
Montazeri A. Health-related quality of life in breast cancer patients: A bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res. 2008;27:32. doi:10.1186/1756-9966-27-32.
Kim MK, Kim T, Moon HG, et al. Impact of breast-conserving surgery versus mastectomy on long-term quality of life in Korean women with breast cancer. Breast Cancer Res Treat. 2015;152(3):591-600. doi:10.1007/s10549-015-3493-0.
Engel J, Kerr J, Schlesinger-Raab A, Sauer H, Hölzel D. Quality of life following breast-conserving therapy or mastectomy: Results of a 5-year prospective study. Breast J. 2004;10(3):223-231. doi:10.1111/j.1075-122X.2004.21323.x.
Howes BH, Watson DI, Xu C, Fosh B, Canepa M, Dean NR. Quality of life following breast reconstruction: A systematic review. Plast Reconstr Surg. 2016;137(1):1-13. doi:10.1097/PRS.0000000000001920.
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