Quality of life of testicular cancer survivors and the relationship with sociodemographics, cancer-related variables, and life events
- 17 September 2005
- journal article
- research article
- Published by Springer Science and Business Media LLC in Supportive Care in Cancer
- Vol. 14 (3), 251-259
- https://doi.org/10.1007/s00520-005-0879-3
Abstract
The aim of this study was to (1) assess the quality of life (QoL) of testicular cancer survivors (TCSs) by comparing them to a reference group; (2) investigate the relationship between the QoL of TCSs and sociodemographics, cancer-related variables, and life events; and (3) identify TCSs at risk for an impaired QoL. Of the TCSs approached, 50% (n=354) participated and completed a generic QoL questionnaire (RAND-36) once. Time since completion of treatment varied from 3 months to 24 years. (1) TCSs had significantly higher mean scores on the subscales physical functioning (p=0.02) and pain (p=0.001), but lower mean scores on mental health (p=0.04) and vitality (p<0.001) than a reference group of men. The effect sizes of these differences were small to insignificant. (2) Employment status and chronic disease were the main correlates of the QoL of TCSs. Age, negative life events, type of treatment, and the experience of a second cancer event were moderately associated with some subscales as well. (3) The joint burden of unemployment and a chronic disease was the strongest predictor for an impaired functioning. On a group level, TCSs experience a good QoL, but a small group appeared to be at risk for an impaired functioning, namely, those who were unemployed and had a chronic disease. The variance explained by the variables studied was low, indicating that more important predictors remain to be identified.Keywords
This publication has 33 references indexed in Scilit:
- Quality of life of survivors of testicular germ cell cancer: a review of the literatureSupportive Care in Cancer, 2004
- Health‐related quality of life in women previously treated for early‐stage breast cancerPsycho‐Oncology, 2003
- Psychosocial and demographic predictors of quality of life in a large sample of cancer patientsPsycho‐Oncology, 2002
- Regular review: Managing testicular cancerBMJ, 2001
- Integrating response shift into health-related quality of life research: a theoretical modelSocial Science & Medicine, 1999
- Psychosocial Aspects in Long-Term Survivors of Testicular CancerJournal of Urology, 1996
- The rand 36‐item health survey 1.0Health Economics, 1993
- Validating the SF-36 health survey questionnaire: new outcome measure for primary care.BMJ, 1992
- Problems at social re-integration of long-term cancer survivorsEuropean Journal of Cancer and Clinical Oncology, 1991
- A Theory of Cognitive DissonancePublished by University of Illinois Press ,1959