| Title |
Functional status and quality of life among breast cancer survivors with heart failure: results of the Medicare Health Outcomes Survey
|
|---|---|
| Published in |
Supportive Care in Cancer, March 2017
|
| DOI | 10.1007/s00520-017-3653-4 |
| Pubmed ID | |
| Authors |
Jordan M. Harrison, Matthew A. Davis, Debra L. Barton, Nancy K. Janz, Susan J. Pressler, Christopher R. Friese |
| Abstract |
The purpose of this population-based study was to examine health-related quality of life (HRQOL) and functional status among breast cancer survivors with heart failure. We examined Medicare Health Outcomes Survey data from women aged 65 and older diagnosed with breast cancer in the past 5 years. Surveys were linked to Surveillance, Epidemiology, and End Results cancer registries. Each woman identified with self-reported heart failure (n = 239) was matched to controls without heart failure (n = 685) using propensity scores. The Short Form-36/Veterans Rand-12 measured eight domains of HRQOL. Functional status impairment was measured by limitations in six activities of daily living (ADLs). Linear models estimated associations between heart failure status and HRQOL. Logistic regression models estimated odds ratios for associations between heart failure and ADL impairment. We examined associations for the total study population and subgroups stratified by cancer stage. Among all study participants, heart failure was associated with significant deficits in every HRQOL domain and impairment in all ADLs (p < 0.01, ORs ranged from 1.74 to 2.47). After stratification by cancer stage, heart failure was associated with physical HRQOL deficits across all cancer stages (physical function, vitality, general health) and mental HRQOL deficits only in women with stage I/II cancer (role-emotional, social function). Women with early stage cancer experienced the greatest HRQOL deficits associated with heart failure. Heart failure in breast cancer survivors is associated with substantial HRQOL deficits and functional status impairment, particularly in early stage cancer. Tailored interventions are needed to improve physical function and mental wellbeing in this high-risk population. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 2 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 89 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| France | 1 | 1% |
| Unknown | 88 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 16 | 18% |
| Student > Master | 13 | 15% |
| Student > Ph. D. Student | 12 | 13% |
| Other | 8 | 9% |
| Student > Doctoral Student | 6 | 7% |
| Other | 15 | 17% |
| Unknown | 19 | 21% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 20 | 22% |
| Nursing and Health Professions | 17 | 19% |
| Social Sciences | 7 | 8% |
| Agricultural and Biological Sciences | 4 | 4% |
| Computer Science | 3 | 3% |
| Other | 16 | 18% |
| Unknown | 22 | 25% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 June 2017.
All research outputs
#17,158,136
of 25,205,864 outputs
Outputs from Supportive Care in Cancer
#3,443
of 5,019 outputs
Outputs of similar age
#202,362
of 313,969 outputs
Outputs of similar age from Supportive Care in Cancer
#59
of 84 outputs
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