Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care Poster Display session

268P - Psychological distress and health-related quality of life in women recently diagnosed with breast cancer in the Epi-GEICAM study.

Presentation Number
268P
Lecture Time
12:45 - 12:45
Speakers
  • Nerea , Fernández-De-Larrea (Madrid, Alcalá de Henares., ES)
Location
Hall A3 - Poster Area Networking Hub, ICM München, Munich, Germany
Date
22.10.2018
Time
12:45 - 13:45

Abstract

Background

Breast cancer (BC) diagnosis may have a high emotional impact in patients. Health-related quality of life (HRQL) can be impaired by the psychological impact of the diagnosis, by choices having to be made about treatment and by treatments themselves.

Methods

Cross-sectional analysis of HRQL in BC women from the Epi-GEICAM case-control study carried out in 23 Spanish hospitals. Women fulfilled a questionnaire about sociodemographic and lifestyle factors, HRQL (SF-36), mental health (GHQ-28) and social support (Duke-UNC). Spanish population norm-based scores were calculated for the SF-36 scales. Physical (PSS) and mental (MSS) summary scores ≥5 points under the norm were considered suboptimal. Psychological distress (PD) was defined as GHQ-28 >5. Factors associated with PD and suboptimal PSS were identified by multivariable mixed logistic regression models.

Results

Among 1017 cases, 896 had complete SF-36 and GHQ-28. Median time since diagnosis was 77 days, 82% had been operated on, and 41% were on radiation/chemotherapy. Prevalence of PD was 54.4% (95% CI: 51.1-57.6). PD increased with TNM stage (p = 0.03). Other factors associated with PD were chemotherapy (OR = 1.7; 95% CI: 1.2-2.6), low social support (OR = 2.0; 95%CI: 1.2-3.5) and low education (OR = 2.1; 95% CI: 1.2-3.8). SF-36 scores are described in the table. Factors related to suboptimal PSS were surgery (OR = 3.2, 95% CI: 2.0-5.1), low education (OR = 1.9, 95% CI: 1.1-3.6) and number of comorbidities (OR = 1.3, 95% CI: 1.0-1.5). No differences in PD or PSS were observed according to BC subtype.

Conclusions

PD is very frequent during the initial stages of BC diagnosis and treatment. Advanced disease stage, lack of social support and low education are strong determinants of PD. The highest impact in HRQL was observed in the role-physical domain. PD and low PSS are interrelated and both are more frequent in patients with low education.

Mean*95% CI
Physical function41.240.342.1
Role physical36.836.037.5
Bodily pain45.044.445.7
General health46.946.247.5
Vitality46.846.147.5
Social function41.340.442.1
Role emotional44.643.845.5
Mental health46.746.147.4

<50: under the norm

Legal entity responsible for the study

GEICAM Spanish Breast Cancer Group.

Funding

GEICAM Spanish Breast Cancer Group.

Disclosure

All authors have declared no conflicts of interest.

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