Journal Article
. 2011 Feb;29(9).
doi: 10.1200/JCO.2010.28.8043.

Physical and psychosocial recovery in the year after primary treatment of breast cancer

Patricia A Ganz 1 Lorna Kwan  Annette L Stanton  Julienne E Bower  Thomas R Belin  
Affiliations
  • PMID: 21300931
  •     45 References
  •     80 citations

Abstract

Purpose: The 2000 National Institutes of Health Consensus Conference on Adjuvant Therapy of Breast Cancer recommended chemotherapy for all women with invasive cancer greater than 1 centimeter. Studies of long-term breast cancer survivors have found poorer quality of life (QOL) in women who received adjuvant chemotherapy. The aim of this article is to characterize physical and psychosocial recovery as a function of chemotherapy receipt in the year after medical treatment completion.

Patients And Methods: Prospective longitudinal survey data (RAND SF-36 and Breast Cancer Prevention Trial [BCPT] Symptom Scales) collected from 558 women with breast cancer enrolled on the Moving Beyond Cancer (MBC) psychoeducational intervention trial were compared according to receipt of chemotherapy. MBC study enrollment occurred within 4 weeks after the end of primary treatment (eg, surgery, chemotherapy, radiation). Self-report questionnaire data collected at enrollment and at 2, 6, and 12 months thereafter were examined, controlling for intervention and with propensity score adjustment for imbalance of covariates. Outcome analyses were carried out by fitting linear mixed models by using SAS PROC MIXED.

Results: Longitudinal SF-36 scale scores did not differ by chemotherapy treatment exposure, and both groups improved significantly (P < .01) in the year after primary treatment ended. However, adjuvant chemotherapy treatment was associated with significantly more severe physical symptoms, including musculoskeletal pain (P = .01), vaginal problems (P < .01), weight problems (P = .01), and nausea (P = .03).

Conclusion: Physical and psychosocial functioning improved significantly after breast cancer treatment, independent of receipt of adjuvant chemotherapy. Women who received chemotherapy experienced more severe and persistent physical symptoms that should be more effectively managed as part of survivorship care.

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Patient-reported and objectively measured physical function in older breast cancer survivors and cancer-free controls.
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J Geriatr Oncol, 2018 Oct 23; 10(2). PMID: 30344000    Free PMC article.
Rationale and design of extended cancer education for longer term survivors (EXCELS): a randomized control trial of 'high touch' vs. 'high tech' cancer survivorship self-management tools in primary care.
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BMC Cancer, 2019 Apr 12; 19(1). PMID: 30971205    Free PMC article.
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Cancer Med, 2019 Jun 07; 8(8). PMID: 31172693    Free PMC article.
Feasibility of a Smartphone-based pilot intervention for Hispanic breast cancer survivors: a brief report.
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Transl Behav Med, 2018 Jul 10; 9(4). PMID: 29986120    Free PMC article.
The Relationship Between Insomnia and Cognitive Impairment in Breast Cancer Survivors.
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Cancer-Relevant Self-Efficacy Is Related to Better Health-Related Quality of Life and Lower Cancer-Specific Distress and Symptom Burden Among Latina Breast Cancer Survivors.
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NPJ Breast Cancer, 2019 Aug 21; 5. PMID: 31428678    Free PMC article.
A longitudinal mixed methods study on changes in body weight, body composition, and lifestyle in breast cancer patients during chemotherapy and in a comparison group of women without cancer: study protocol.
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BMC Cancer, 2019 Jan 07; 19(1). PMID: 30611243    Free PMC article.
Coverage of cancer services in Australia and providers' views on service gaps: findings from a national cross-sectional survey.
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BMC Cancer, 2019 Jun 13; 19(1). PMID: 31185937    Free PMC article.
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Sharon H Baik, Laura B Oswald, +6 authors, Betina Yanez.
JMIR Cancer, 2020 Dec 09; 6(2). PMID: 33289669    Free PMC article.
Longitudinal change of quality of life in the first five years of survival among disease-free Chinese breast cancer survivors.
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Characterizing patient-oncologist communication in genomic tumor testing: The 21-gene recurrence score as an exemplar.
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