Predictors of persistence of post-chemotherapy symptoms among survivors of solid tumor cancers.
Chemotherapy
Post-treatment symptom management
Quality of life
Risk factors
Symptom burden
Journal
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
ISSN: 1573-2649
Titre abrégé: Qual Life Res
Pays: Netherlands
ID NLM: 9210257
Informations de publication
Date de publication:
30 Jan 2024
30 Jan 2024
Historique:
accepted:
21
12
2023
medline:
31
1
2024
pubmed:
31
1
2024
entrez:
30
1
2024
Statut:
aheadofprint
Résumé
Late or residual symptoms diminish quality of life for many cancer survivors after completion of treatment. Examine risk factors associated with persisting symptom burden after chemotherapy and the lack of symptom improvement over time. Survivors who completed curative-intent chemotherapy within two years for solid tumors were enrolled into a symptom management trial. There were 375 survivors with two or more comorbid conditions or one comorbid condition and elevated depressive symptoms (pre-defined risk factors in the trial design) who received interventions and 71 survivors without these risk factors who did not receive interventions. For all survivors, symptoms were assessed at intake, 4, and 13 weeks and categorized as mild, moderate, or severe based on the interference with daily life. The probabilities of moderate or severe symptoms and symptom improvement were analyzed using generalized mixed-effects models in relation to comorbidity, depressive symptoms, age, sex, race/ethnicity, employment, time since chemotherapy completion, and physical function. Multiple symptoms were treated as nested within the survivor. Moderate or severe symptoms at baseline and the lack of improvement over time were associated with younger age and lower physical function over and above a greater number of comorbidities and elevated severity of depressive symptoms. Risk factors identified in this research (younger age, lower physical function, greater comorbidity, and higher depressive symptoms) can be used to allocate resources for post-treatment symptom management for cancer survivors in order to relieve symptoms that do not necessarily resolve with time.
Identifiants
pubmed: 38291312
doi: 10.1007/s11136-023-03595-8
pii: 10.1007/s11136-023-03595-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NCI NIH HHS
ID : R01 CA225615-01
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA023074
Pays : United States
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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