Quality of life among cancer patients at Queen Elizabeth and Kamuzu Central Hospitals in Malawi: a cross-sectional double-center study.


Journal

African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451

Informations de publication

Date de publication:
Sep 2022
Historique:
entrez: 13 3 2023
pubmed: 14 3 2023
medline: 15 3 2023
Statut: ppublish

Résumé

Many cancer patients experience psychosocial challenges that affect quality of life during the trajectory of their disease process. We aimed at estimating quality of life among cancer patients at two major tertiary hospitals in Malawi. The study was conducted among 398 cancer patients using semi-structured questionnaire. Quality of life was measured using EQ-5D-3L instrument. Mean age was 45 years ± 12.77. Pain (44%) was the most prevalent problem experienced by cancer patients. About 23% had worst imaginable health status on the subjective visual analogues scale. Attending cancer services at QECH (AOR= 0.29, 95% CI: 0.17-0.54, p<0.001) and having normal weight (AOR=0.25, 95% CI: 0.08-0.74, p = 0.012), were associated with improved quality of life. A history of ever taken alcohol (AOR= 2.36, 95% CI: 1.02-5.44, p = 0.045) and multiple disease comorbidities (AOR= 3.78, 95% CI: 1.08-13.12, p = 0.037) were associated with poor quality of life. Loss of earning, pain, marital strife, sexual dysfunction, were among the common psychosocial challenges experienced. History of ever taken alcohol and multiple comorbidities were associated with poor quality of life. There is need to integrate psychosocial solutions for cancer patients to improve their quality of life and outcomes.

Identifiants

pubmed: 36910374
doi: 10.4314/ahs.v22i3.24
pii: jAFHS.v22.i3.pg222
pmc: PMC9993320
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

222-232

Informations de copyright

© 2022 Banda JC et al.

Références

BMC Palliat Care. 2011 Jul 09;10:12
pubmed: 21740584
Malawi Med J. 2017 Jun;29(2):84-88
pubmed: 28955412
Int J Tuberc Lung Dis. 2020 Nov 1;24(11):1165-1171
pubmed: 33172524
PLoS One. 2019 Nov 19;14(11):e0225446
pubmed: 31743365
Health Qual Life Outcomes. 2011 Apr 08;9:21
pubmed: 21477274
Psychooncology. 2004 Dec;13(12):837-49; discussion 850-6
pubmed: 15578622
Ecancermedicalscience. 2018 Jun 13;12:843
pubmed: 30034520
Clin Colorectal Cancer. 2012 Mar;11(1):60-5
pubmed: 21803001
Mater Sociomed. 2018 Jun;30(2):127-130
pubmed: 30061803
Pan Afr Med J. 2014 Oct 31;19:234
pubmed: 25838862
BMC Womens Health. 2018 Jul 19;18(Suppl 1):111
pubmed: 30066637
Indian J Palliat Care. 2014 May;20(2):116-22
pubmed: 25125867
Indian J Palliat Care. 2017 Oct-Dec;23(4):445-450
pubmed: 29123353
Clin Epidemiol. 2013 Nov 01;5(Suppl 1):3-29
pubmed: 24227920
Int J Environ Res Public Health. 2020 Sep 23;17(19):
pubmed: 32977386
CA Cancer J Clin. 2021 May;71(3):209-249
pubmed: 33538338
Breast Care (Basel). 2015 Apr;10(2):84-6
pubmed: 26195935
Lancet Oncol. 2015 Sep;16(10):1153-86
pubmed: 26419354
F1000Res. 2017 Dec 4;6:2083
pubmed: 29259774
Health Qual Life Outcomes. 2018 Aug 13;16(1):163
pubmed: 30103759
J BUON. 2010 Jan-Mar;15(1):153-6
pubmed: 20414944
Recent Results Cancer Res. 2018;210:1-11
pubmed: 28924676
PLoS One. 2014 Oct 14;9(10):e110457
pubmed: 25313997
Psychiatry Investig. 2021 Jan;18(1):80-87
pubmed: 33460533
Semin Radiat Oncol. 2017 Apr;27(2):109-117
pubmed: 28325236
Support Care Cancer. 2013 Jun;21(6):1751-9
pubmed: 23338230
Ecancermedicalscience. 2019 Jul 25;13:942
pubmed: 31552115
Int J Med Inform. 2012 Apr;81(4):257-69
pubmed: 22296762
J Oncol. 2018 Apr 15;2018:1467595
pubmed: 29849628
Qual Life Res. 2014 May;23(4):1371-6
pubmed: 24129672
J Chin Med Assoc. 2011 Apr;74(4):169-75
pubmed: 21463847
CA Cancer J Clin. 2018 Nov;68(6):394-424
pubmed: 30207593

Auteurs

Jonathan Chiwanda Banda (JC)

Department of Public Health, Kamuzu University of Health Sciences.
Non-Communicable Disease Unit, Clinical Services Department, Ministry of Health, Malawi.

Maganizo B Chagomerana (MB)

University of North Carolina Project, Lilongwe, Malawi.
Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.

Michael Udedi (M)

Non-Communicable Disease Unit, Clinical Services Department, Ministry of Health, Malawi.
Department of Epidemiology, University of North Carolina-Chapel Hill, 135 Dauer Dr, Chapel Hill, North Carolina, 27599-7435, United States.

Adamson Sinjani Muula (AS)

Department of Public Health, Kamuzu University of Health Sciences.
The Africa Center of Excellence in Public Health and Herbal Medicine, Kamuzu University of Health Sciences.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH