Quality of life and experience of care in women with metastatic breast cancer: a cross-sectional survey

Reed, Elizabeth, Simmonds, Peter, Haviland, Joanne and Corner, Jessica (2012) Quality of life and experience of care in women with metastatic breast cancer: a cross-sectional survey. Journal of Pain and Symptom Management, 43, (4), 747-758. (doi:10.1016/j.jpainsymman.2011.05.005). (PMID:22088804).


[img] PDF - Accepted Manuscript
Restricted to Registered users only

Download (427Kb) | Request a copy
Download (221Kb) | Preview


Context: Despite developments in the medical management of metastatic breast cancer, little is known about the quality of life (QoL) and experience of care in women with it.

Objectives: To explore QoL, experience of care, and support needs of women living with metastatic breast cancer in the U.K.

Methods: Questionnaire-based, cross-sectional study, undertaken in two U.K. cancer centers and online via the Breast Cancer Care website, assessing QoL and experience of care in 235 women with metastatic breast cancer.

Results: QoL was assessed using the Functional Assessment of Cancer Therapy—Breast QoL measure. Overall, QoL was low (mean 89.0, standard deviation 21.8) for total score. Low scores were seen uniformly in physical, social, emotional, and functional well-being domains. Symptom burden was a significant problem, with over one-third of women (34%) reporting high levels of pain and other uncontrolled symptoms. In multiple regression analysis, social well-being was significantly better for older women (P < 0.001) but was lower in those with bone metastases only (P = 0.002). Functional well-being was significantly higher in women without children (P = 0.004). Satisfaction with experience of care was low and appeared to be predominantly in the hospital setting, with little evidence of involvement of general practitioners and palliative care services.

Conclusion: Despite improvements in treatment and survival of women with metastatic breast cancer, this group reports high symptom burden and dissatisfaction with elements of their care, indicating that alternative models of service delivery should be explored.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1016/j.jpainsymman.2011.05.005
ISSNs: 0885-3924 (print)
Keywords: metastatic breast cancer, quality of life, experience of care, symptom burden
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Divisions : Faculty of Health Sciences
ePrint ID: 340702
Accepted Date and Publication Date:
April 2012Published
16 November 2011Made publicly available
Date Deposited: 29 Jun 2012 12:03
Last Modified: 31 Mar 2016 14:30
URI: http://eprints.soton.ac.uk/id/eprint/340702

Actions (login required)

View Item View Item

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics