Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 7/2017

28-02-2017

Examining health-related quality of life patterns in women with breast cancer

Auteurs: Laura C. Pinheiro, Xianming Tan, Andrew F. Olshan, Stephanie B. Wheeler, Katherine E. Reeder-Hayes, Cleo A. Samuel, Bryce B. Reeve

Gepubliceerd in: Quality of Life Research | Uitgave 7/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

We aimed to identify subgroups of women with breast cancer who experience different health-related quality of life (HRQOL) patterns during active treatment and survivorship and determine characteristics associated with subgroup membership.

Methods

We used data from the third phase of the population-based Carolina Breast Cancer Study and included 2142 women diagnosed with breast cancer from 2008 to 2013. HRQOL was measured, on average, 5 and 25 months post diagnosis. Latent profile analysis was used to identify HRQOL latent profiles (LPs) at each time point. Latent transition analysis was used to determine probabilities of women transitioning profiles from 5 to 25 months. Multinomial logit models estimated adjusted odds ratios (aORs) and 95% confidence intervals for associations between patient characteristics and LP membership at each time point.

Results

We identified four HRQOL LPs at 5 and 25 months. LP1 had the poorest HRQOL and LP4 the best. Membership in the poorest profile at 5 months was associated with younger age aOR 0.95; 0.93–0.96, White race aOR 1.48; 1.25–1.65, being unmarried aOR 1.50; 1.28–1.65 and having public aOR 3.09; 1.96–4.83 or no insurance aOR 6.51; 2.12–20.10. At 25 months, Black race aOR 1.75; 1.18–1.82 was associated with the poorest profile membership. Black race and smoking were predictors of deteriorating to a worse profile from 5 to 25 months.

Conclusions

Our results suggest patient-level characteristics including age at diagnosis and race may identify women at risk for experiencing poor HRQOL patterns. If women are identified and offered targeted HRQOL support, we may see improvements in long-term HRQOL and better breast cancer outcomes.
Literatuur
1.
2.
go back to reference Hennessy, C. H., Moriarty, D.G., Zack, M.M., Scherr, P.A., & Brackbill, R. (1994). Measuring health-related quality of life for public health surveillance. Public Health Reports (Washington, DC 1974), 109(5), 665–672. Hennessy, C. H., Moriarty, D.G., Zack, M.M., Scherr, P.A., & Brackbill, R. (1994). Measuring health-related quality of life for public health surveillance. Public Health Reports (Washington, DC 1974), 109(5), 665–672.
5.
go back to reference Smith, A. W., Alfano, C. M., Reeve, B. B., Irwin, M. L., Bernstein, L., Baumgartner, K., Bowen, D., McTiernan, A., & Ballard-Barbash, R. (2009). Race/ethnicity, physical activity, and quality of life in breast cancer survivors. Cancer epidemiology, biomarkers and prevention: A publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive. Oncology, 18(2), 656–663. doi: 10.​1158/​1055-9965.​epi-08-0352. Smith, A. W., Alfano, C. M., Reeve, B. B., Irwin, M. L., Bernstein, L., Baumgartner, K., Bowen, D., McTiernan, A., & Ballard-Barbash, R. (2009). Race/ethnicity, physical activity, and quality of life in breast cancer survivors. Cancer epidemiology, biomarkers and prevention: A publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive. Oncology, 18(2), 656–663. doi: 10.​1158/​1055-9965.​epi-08-0352.
7.
go back to reference Tomich, P. L., & Helgeson, V. S. (2002). Five years later: A cross-sectional comparison of breast cancer survivors with healthy women. Psycho-Oncology, 11(2), 154–169. PubMedCrossRef Tomich, P. L., & Helgeson, V. S. (2002). Five years later: A cross-sectional comparison of breast cancer survivors with healthy women. Psycho-Oncology, 11(2), 154–169. PubMedCrossRef
8.
go back to reference Ganz, P. A., Lee, J. J., & Siau, J. (1991). Quality of life assessment. An independent prognostic variable for survival in lung cancer. Cancer, 67(12), 3131–3135. PubMedCrossRef Ganz, P. A., Lee, J. J., & Siau, J. (1991). Quality of life assessment. An independent prognostic variable for survival in lung cancer. Cancer, 67(12), 3131–3135. PubMedCrossRef
9.
go back to reference Basch, E., Deal, A. M., Kris, M. G., Scher, H. I., Hudis, C. A., Sabbatini, P., Rogak, L., Bennett, A. V., Dueck, A. C., Atkinson, T. M., Chou, J. F., Dulko, D., Sit, L., Barz, A., Novotny, P., Fruscione, M., Sloan, J. A., & Schrag, D. (2016). Symptom monitoring with patient-reported outcomes during routine cancer treatment: A randomized controlled trial. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 34(6), 557–565. doi: 10.​1200/​jco.​2015.​63.​0830. CrossRef Basch, E., Deal, A. M., Kris, M. G., Scher, H. I., Hudis, C. A., Sabbatini, P., Rogak, L., Bennett, A. V., Dueck, A. C., Atkinson, T. M., Chou, J. F., Dulko, D., Sit, L., Barz, A., Novotny, P., Fruscione, M., Sloan, J. A., & Schrag, D. (2016). Symptom monitoring with patient-reported outcomes during routine cancer treatment: A randomized controlled trial. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 34(6), 557–565. doi: 10.​1200/​jco.​2015.​63.​0830. CrossRef
12.
go back to reference Hack, T. F., & Degner, L. F. (1999). Coping with breast cancer: A cluster analytic approach. Breast Cancer Research and Treatment, 54(3), 185–194. PubMedCrossRef Hack, T. F., & Degner, L. F. (1999). Coping with breast cancer: A cluster analytic approach. Breast Cancer Research and Treatment, 54(3), 185–194. PubMedCrossRef
13.
go back to reference Nagel, G. C., Schmidt, S., Strauss, B. M., & Katenkamp, D. (2001). Quality of life in breast cancer patients: a cluster analytic approach. Empirically derived subgroups of the EORTC-QLQ BR 23–a clinically oriented assessment. Breast Cancer Research and Treatment, 68(1), 75–87. PubMedCrossRef Nagel, G. C., Schmidt, S., Strauss, B. M., & Katenkamp, D. (2001). Quality of life in breast cancer patients: a cluster analytic approach. Empirically derived subgroups of the EORTC-QLQ BR 23–a clinically oriented assessment. Breast Cancer Research and Treatment, 68(1), 75–87. PubMedCrossRef
14.
go back to reference Shapiro, D. E., Boggs, S. R., Rodrigue, J. R., Urry, H. L., Algina, J. J., Hellman, R., & Ewen, F. (1997). Stage II breast cancer: Differences between four coping patterns in side effects during adjuvant chemotherapy. Journal of Psychosomatic Research, 43(2), 143–157. PubMedCrossRef Shapiro, D. E., Boggs, S. R., Rodrigue, J. R., Urry, H. L., Algina, J. J., Hellman, R., & Ewen, F. (1997). Stage II breast cancer: Differences between four coping patterns in side effects during adjuvant chemotherapy. Journal of Psychosomatic Research, 43(2), 143–157. PubMedCrossRef
15.
go back to reference Shapiro, D. E., Rodrigue, J. R., Boggs, S. R., & Robinson, M. E. (1994). Cluster analysis of the medical coping modes questionnaire: Evidence for coping with cancer styles? Journal of Psychosomatic Research, 38(2), 151–159. PubMedCrossRef Shapiro, D. E., Rodrigue, J. R., Boggs, S. R., & Robinson, M. E. (1994). Cluster analysis of the medical coping modes questionnaire: Evidence for coping with cancer styles? Journal of Psychosomatic Research, 38(2), 151–159. PubMedCrossRef
16.
go back to reference Buckner, T. W., Wang, J., DeWalt, D. A., Jacobs, S., Reeve, B. B., Hinds, P. S. (2014). Patterns of symptoms and functional impairments in children with cancer. Pediatric Blood & Cancer, 61(7), 1282–1288. doi: 10.​1002/​pbc.​25029. CrossRef Buckner, T. W., Wang, J., DeWalt, D. A., Jacobs, S., Reeve, B. B., Hinds, P. S. (2014). Patterns of symptoms and functional impairments in children with cancer. Pediatric Blood & Cancer, 61(7), 1282–1288. doi: 10.​1002/​pbc.​25029. CrossRef
18.
go back to reference Dodd, M. J., Cho, M. H., Cooper, B. A., & Miaskowski, C. (2010). The effect of symptom clusters on functional status and quality of life in women with breast cancer. European Journal of Cancer. Dodd, M. J., Cho, M. H., Cooper, B. A., & Miaskowski, C. (2010). The effect of symptom clusters on functional status and quality of life in women with breast cancer. European Journal of Cancer.
19.
go back to reference Ridner, S. H. (2005). Quality of life and a symptom cluster associated with breast cancer treatment-related lymphedema. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 13(11), 904–911. doi: 10.​1007/​s00520-005-0810-y. CrossRef Ridner, S. H. (2005). Quality of life and a symptom cluster associated with breast cancer treatment-related lymphedema. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 13(11), 904–911. doi: 10.​1007/​s00520-005-0810-y. CrossRef
20.
go back to reference Miaskowski, C., Aouizerat, B. E., Dodd, M., & Cooper, B. (2007). Conceptual issues in symptom clusters research and their implications for quality-of-life assessment in patients with cancer. Journal of the National Cancer Institute Monographs, 37, 39–46. doi: 10.​1093/​jncimonographs/​lgm003. CrossRef Miaskowski, C., Aouizerat, B. E., Dodd, M., & Cooper, B. (2007). Conceptual issues in symptom clusters research and their implications for quality-of-life assessment in patients with cancer. Journal of the National Cancer Institute Monographs, 37, 39–46. doi: 10.​1093/​jncimonographs/​lgm003. CrossRef
21.
go back to reference Trudel-Fitzgerald, C., Savard, J., & Ivers, H. (2014). Longitudinal changes in clusters of cancer patients over an 18-month period. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 33(9), 1012–1022. doi: 10.​1037/​a0033497. CrossRef Trudel-Fitzgerald, C., Savard, J., & Ivers, H. (2014). Longitudinal changes in clusters of cancer patients over an 18-month period. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 33(9), 1012–1022. doi: 10.​1037/​a0033497. CrossRef
22.
go back to reference McGee, S. A., Durham, D. D., Tse, C. K., & Millikan, R. C. (2013). Determinants of breast cancer treatment delay differ for African American and White women. Cancer epidemiology, biomarkers and prevention: A publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive. Oncology, 22(7), 1227–1238. doi: 10.​1158/​1055-9965.​epi-12-1432. McGee, S. A., Durham, D. D., Tse, C. K., & Millikan, R. C. (2013). Determinants of breast cancer treatment delay differ for African American and White women. Cancer epidemiology, biomarkers and prevention: A publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive. Oncology, 22(7), 1227–1238. doi: 10.​1158/​1055-9965.​epi-12-1432.
23.
go back to reference Newman, B., Moorman, P. G., Millikan, R., Qaqish, B. F., Geradts, J., Aldrich, T. E., & Liu, E. T. (1995). The Carolina Breast Cancer Study: Integrating population-based epidemiology and molecular biology. Breast Cancer Research and Treatment, 35(1), 51–60. PubMedCrossRef Newman, B., Moorman, P. G., Millikan, R., Qaqish, B. F., Geradts, J., Aldrich, T. E., & Liu, E. T. (1995). The Carolina Breast Cancer Study: Integrating population-based epidemiology and molecular biology. Breast Cancer Research and Treatment, 35(1), 51–60. PubMedCrossRef
26.
go back to reference Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., Deasy, S., Cobleigh, M., & Shiomoto, G. (1997). Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 15(3), 974–986. CrossRef Brady, M. J., Cella, D. F., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., Deasy, S., Cobleigh, M., & Shiomoto, G. (1997). Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 15(3), 974–986. CrossRef
28.
go back to reference Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy–Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 24(1), 49–58. CrossRef Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy–Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 24(1), 49–58. CrossRef
30.
go back to reference Cella, D., Hahn, E. A., & Dineen, K. (2002). Meaningful change in cancer-specific quality of life scores: Differences between improvement and worsening. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 11(3), 207–221. CrossRef Cella, D., Hahn, E. A., & Dineen, K. (2002). Meaningful change in cancer-specific quality of life scores: Differences between improvement and worsening. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 11(3), 207–221. CrossRef
31.
go back to reference Pinheiro, L. C., Samuel, C. A., Reeder-Hayes, K. E., Wheeler, S. B., Olshan, A. F., & Reeve, B. B. (2016). Understanding racial differences in health-related quality of life in a population-based cohort of breast cancer survivors. Breast Cancer Research and Treatment, 159(3), 535–543. doi: 10.​1007/​s10549-016-3965-y. PubMedCrossRef Pinheiro, L. C., Samuel, C. A., Reeder-Hayes, K. E., Wheeler, S. B., Olshan, A. F., & Reeve, B. B. (2016). Understanding racial differences in health-related quality of life in a population-based cohort of breast cancer survivors. Breast Cancer Research and Treatment, 159(3), 535–543. doi: 10.​1007/​s10549-016-3965-y. PubMedCrossRef
32.
go back to reference Fraley, C., & Raftery, A. (2007). Model-based methods of classification: Using the mclust Software in chemometrics. Journal of Statistical Software, 18(6), 1–13 CrossRef Fraley, C., & Raftery, A. (2007). Model-based methods of classification: Using the mclust Software in chemometrics. Journal of Statistical Software, 18(6), 1–13 CrossRef
34.
go back to reference McCutcheon, A. L. (1987). Latent class analysis. Beverly Hills, CA: Sage Publications. CrossRef McCutcheon, A. L. (1987). Latent class analysis. Beverly Hills, CA: Sage Publications. CrossRef
35.
go back to reference Collins, L. M. L., Lanza, S. T. (2010). Latent class and latent transition analysis with applications in the social, behavioral and health sciences. Hoboken, NJ: Wiley Collins, L. M. L., Lanza, S. T. (2010). Latent class and latent transition analysis with applications in the social, behavioral and health sciences. Hoboken, NJ: Wiley
36.
go back to reference Tein, J. Y., Coxe, S., & Cham, H. (2013). Statistical power to detect the correct number of classes in latent profile analysis. Structural Equation Modeling: A Multidisciplinary Journal, 20(4), 640–657. CrossRef Tein, J. Y., Coxe, S., & Cham, H. (2013). Statistical power to detect the correct number of classes in latent profile analysis. Structural Equation Modeling: A Multidisciplinary Journal, 20(4), 640–657. CrossRef
37.
go back to reference Gibson, W. (1959). Three multivariate models: Factor analysis, latent structure analysis, and latent profile analysis. Psychometrika, 24(3), 229–252. CrossRef Gibson, W. (1959). Three multivariate models: Factor analysis, latent structure analysis, and latent profile analysis. Psychometrika, 24(3), 229–252. CrossRef
38.
go back to reference Harper, D. (1972). Local dependence latent structure models. Psychometrika, 37, 53–59. CrossRef Harper, D. (1972). Local dependence latent structure models. Psychometrika, 37, 53–59. CrossRef
39.
go back to reference Hagenaars, J. (1988). Latent structure models with direct effects between indicators: Local dependence models. Sociological Methods & Research, 16, 379–405. CrossRef Hagenaars, J. (1988). Latent structure models with direct effects between indicators: Local dependence models. Sociological Methods & Research, 16, 379–405. CrossRef
40.
go back to reference Lanza, S. T., Patrick, M. E., & Maggs, J. L. (2010). Latent transition analysis: Benefits of a latent variable approach to modeling transitions in substance use. Journal of Drug Issues (National Council of State Boards of Nursing (U. S.)), 40(1), 93–120. Lanza, S. T., Patrick, M. E., & Maggs, J. L. (2010). Latent transition analysis: Benefits of a latent variable approach to modeling transitions in substance use. Journal of Drug Issues (National Council of State Boards of Nursing (U. S.)), 40(1), 93–120.
41.
go back to reference Vermunt, J. (2010). Latent class modeling with covariates: Two improved three-step approaches. Political Analysis, 18, 450–469. CrossRef Vermunt, J. (2010). Latent class modeling with covariates: Two improved three-step approaches. Political Analysis, 18, 450–469. CrossRef
42.
go back to reference Yamaguchi, K. (2000). Multinomial logit latent-class regression models: An analysis of the predictors of gender-role attitudes among Japanese women. American Journal of Sociology, 105, 1702–1740. CrossRef Yamaguchi, K. (2000). Multinomial logit latent-class regression models: An analysis of the predictors of gender-role attitudes among Japanese women. American Journal of Sociology, 105, 1702–1740. CrossRef
43.
go back to reference Ferrell, B. R., Grant, M., Funk, B., Garcia, N., Otis-Green, S., & Schaffner, M. L. (1996). Quality of life in breast cancer. Cancer Practice, 4(6), 331–340. PubMed Ferrell, B. R., Grant, M., Funk, B., Garcia, N., Otis-Green, S., & Schaffner, M. L. (1996). Quality of life in breast cancer. Cancer Practice, 4(6), 331–340. PubMed
45.
go back to reference Brucker, P. S., Yost, K., Cashy, J., Webster, K., & Cella, D. (2005). General population and cancer patient norms for the Functional Assessment of Cancer Therapy-General (FACT-G). Evaluation & the Health Professions, 28(2), 192–211. doi: 10.​1177/​0163278705275341​. CrossRef Brucker, P. S., Yost, K., Cashy, J., Webster, K., & Cella, D. (2005). General population and cancer patient norms for the Functional Assessment of Cancer Therapy-General (FACT-G). Evaluation & the Health Professions, 28(2), 192–211. doi: 10.​1177/​0163278705275341​. CrossRef
46.
go back to reference Gotay, C. C., Kawamoto, C. T., Bottomley, A., & Efficace, F. (2008). The prognostic significance of patient-reported outcomes in cancer clinical trials. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 26(8), 1355–1363. doi: 10.​1200/​jco.​2007.​13.​3439. CrossRef Gotay, C. C., Kawamoto, C. T., Bottomley, A., & Efficace, F. (2008). The prognostic significance of patient-reported outcomes in cancer clinical trials. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 26(8), 1355–1363. doi: 10.​1200/​jco.​2007.​13.​3439. CrossRef
47.
go back to reference Hershman, D. L., Kushi, L. H., Hillyer, G. C., Coromilas, E., Buono, D., Lamerato, L., Bovbjerg, D. H., Mandelblatt, J. S., Tsai, W. Y., Zhong, X., Jacobson, J. S., Wright, J. D., & Neugut, A. I. (2016). Psychosocial factors related to non-persistence with adjuvant endocrine therapy among women with breast cancer: The Breast Cancer Quality of Care Study (BQUAL). Breast Cancer Research and Treatment. doi: 10.​1007/​s10549-016-3788-x. Hershman, D. L., Kushi, L. H., Hillyer, G. C., Coromilas, E., Buono, D., Lamerato, L., Bovbjerg, D. H., Mandelblatt, J. S., Tsai, W. Y., Zhong, X., Jacobson, J. S., Wright, J. D., & Neugut, A. I. (2016). Psychosocial factors related to non-persistence with adjuvant endocrine therapy among women with breast cancer: The Breast Cancer Quality of Care Study (BQUAL). Breast Cancer Research and Treatment. doi: 10.​1007/​s10549-016-3788-x.
48.
go back to reference Higginson, I. J., & Carr, A. J. (2001). Measuring quality of life: Using quality of life measures in the clinical setting. BMJ (Clinical Research Ed.), 322(7297), 1297–1300. CrossRef Higginson, I. J., & Carr, A. J. (2001). Measuring quality of life: Using quality of life measures in the clinical setting. BMJ (Clinical Research Ed.), 322(7297), 1297–1300. CrossRef
49.
go back to reference Velikova, G., Booth, L., Smith, A. B., Brown, P. M., Lynch, P., Brown, J. M., & Selby, P. J. (2004). Measuring quality of life in routine oncology practice improves communication and patient well-being: A randomized controlled trial. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 22(4), 714–724. doi: 10.​1200/​jco.​2004.​06.​078. CrossRef Velikova, G., Booth, L., Smith, A. B., Brown, P. M., Lynch, P., Brown, J. M., & Selby, P. J. (2004). Measuring quality of life in routine oncology practice improves communication and patient well-being: A randomized controlled trial. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 22(4), 714–724. doi: 10.​1200/​jco.​2004.​06.​078. CrossRef
51.
go back to reference Detmar, S. B., Muller, M. J., Schornagel, J. H., Wever, L. D., & Aaronson, N. K. (2002). Health-related quality-of-life assessments and patient-physician communication: A randomized controlled trial. JAMA: The Journal of the American Medical Association, 288(23), 3027–3034. PubMedCrossRef Detmar, S. B., Muller, M. J., Schornagel, J. H., Wever, L. D., & Aaronson, N. K. (2002). Health-related quality-of-life assessments and patient-physician communication: A randomized controlled trial. JAMA: The Journal of the American Medical Association, 288(23), 3027–3034. PubMedCrossRef
52.
go back to reference Jensen, R. E., Snyder, C. F., Abernethy, A. P., Basch, E., Potosky, A. L., Roberts, A. C., Loeffler, D. R., & Reeve, B. B. (2013). Review of electronic patient-reported outcomes systems used in cancer clinical care. Journal of Oncology Practice/American Society of Clinical Oncology. doi: 10.​1200/​jop.​2013.​001067. Jensen, R. E., Snyder, C. F., Abernethy, A. P., Basch, E., Potosky, A. L., Roberts, A. C., Loeffler, D. R., & Reeve, B. B. (2013). Review of electronic patient-reported outcomes systems used in cancer clinical care. Journal of Oncology Practice/American Society of Clinical Oncology. doi: 10.​1200/​jop.​2013.​001067.
53.
go back to reference Glasgow, R. E., Kaplan, R. M., Ockene, J. K., Fisher, E. B., & Emmons, K. M. (2012). Patient-reported measures of psychosocial issues and health behavior should be added to electronic health records. Health Affairs (Project Hope), 31(3), 497–504. doi: 10.​1377/​hlthaff.​2010.​1295. CrossRef Glasgow, R. E., Kaplan, R. M., Ockene, J. K., Fisher, E. B., & Emmons, K. M. (2012). Patient-reported measures of psychosocial issues and health behavior should be added to electronic health records. Health Affairs (Project Hope), 31(3), 497–504. doi: 10.​1377/​hlthaff.​2010.​1295. CrossRef
Metagegevens
Titel
Examining health-related quality of life patterns in women with breast cancer
Auteurs
Laura C. Pinheiro
Xianming Tan
Andrew F. Olshan
Stephanie B. Wheeler
Katherine E. Reeder-Hayes
Cleo A. Samuel
Bryce B. Reeve
Publicatiedatum
28-02-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1533-5