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Gepubliceerd in: Quality of Life Research 3/2019

29-10-2018

Health-related quality of life among cancer survivors in rural China

Auteurs: Mingzhu Su, Xingxing Hua, Jialin Wang, Nengliang Yao, Deli Zhao, Weidong Liu, Yuewei Zou, Roger Anderson, Xiaojie Sun

Gepubliceerd in: Quality of Life Research | Uitgave 3/2019

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Abstract

Purpose

The purpose of the study was to examine health-related quality of life (HRQoL) about the most common cancers survivors (lung, stomach, colorectal, breast, and esophageal cancer) in rural China.

Methods

We administrated a cross-sectional study in three counties in Shandong province from August to September 2017. The five-level EuroQol-5-dimension (EQ-5D-5L) questionnaire was used to measure the HRQoL among cancer patients at least 8 months post-diagnosis. The Chinese population-based preference trade-off time (TTO) model and discrete choice experiment (DCE) were used to convert the EQ-5D-5L utility score. Tobit regression model was used to identify independent associations between socio-demographic, clinical variables with the HRQoL.

Results

In total, 452 cancer survivors were included. The mean EQ-5D-5L utility scores and Visual Analog Scale (EQ-VAS) scores were 0.841 (SD = 0.233) and 70.35 (SD = 18.80) for cancer survivors, respectively. Among the five dimensions, 58.6% of survivors had at least slight levels of pain/discomfort, and 39.2% showed at least slight levels of anxiety/depression. The influencing factors of HRQoL included cancer stage at diagnosis, tumor site, comorbidities, annual household income, and migrant worker status (rural-to-urban migration). Compared to other cancer patients, lung cancer patients had the lowest HRQoL. Higher household income and being a migrant worker were associated with a higher HRQoL for cancer survivors.

Conclusions

Cancer survivors in rural China have deteriorated HRQoL, and a substantial number of survivors have pain/discomfort problems. Our study provides detailed data on HRQoL of rural cancer survivors for future supportive and survivorship care in China.
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Metagegevens
Titel
Health-related quality of life among cancer survivors in rural China
Auteurs
Mingzhu Su
Xingxing Hua
Jialin Wang
Nengliang Yao
Deli Zhao
Weidong Liu
Yuewei Zou
Roger Anderson
Xiaojie Sun
Publicatiedatum
29-10-2018
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-2038-6

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