Symptom clusters and quality of life in breast cancer survivors after cancer treatment in a tertiary hospital in Korea
We investigated the symptom clusters and effects of symptom clusters on the quality of life of Korean breast cancer survivors. We recruited 241 breast cancer survivors and collected cross‐sectional data on their symptoms. To determine inter‐relationships among symptoms, a principal component analysi...
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| Veröffentlicht in: | European journal of cancer care 2018-11, Vol.27 (6), p.e12919-n/a |
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| creator | Nho, Ju‐Hee Kim, Sung‐Reul Park, Min‐Ho Kweon, Sun‐Seog |
| description | We investigated the symptom clusters and effects of symptom clusters on the quality of life of Korean breast cancer survivors. We recruited 241 breast cancer survivors and collected cross‐sectional data on their symptoms. To determine inter‐relationships among symptoms, a principal component analysis with varimax rotation was performed based on the patient’s symptoms (fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, anxiety, depression, systemic therapy side effects, breast symptoms and arm symptoms). The first symptom cluster consisted of psychological (anxiety and depression) and general (appetite loss, fatigue, insomnia and dyspnoea) symptoms, whereas the second symptom cluster consisted of physical (arm symptom, breast symptom, pain and systemic therapy side effects) and gastrointestinal (nausea/vomiting and constipation) symptoms. Subgroup cluster analysis showed that breast cancer survivors with higher‐scoring symptoms had significantly poorer quality of life in both psychological–general symptom cluster and physical–gastrointestinal symptom cluster subgroups, with subgroup‐specific patterns. The symptom clusters differed depending on stage and functional status of breast cancer survivors. Breast cancer survivors may have a specific pattern of symptom clusters. Some symptom clusters may have a negative impact on the quality of life. Identifying symptom clusters of breast cancer survivors may have clinical implications by improving symptom management. |
| doi_str_mv | 10.1111/ecc.12919 |
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We recruited 241 breast cancer survivors and collected cross‐sectional data on their symptoms. To determine inter‐relationships among symptoms, a principal component analysis with varimax rotation was performed based on the patient’s symptoms (fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, anxiety, depression, systemic therapy side effects, breast symptoms and arm symptoms). The first symptom cluster consisted of psychological (anxiety and depression) and general (appetite loss, fatigue, insomnia and dyspnoea) symptoms, whereas the second symptom cluster consisted of physical (arm symptom, breast symptom, pain and systemic therapy side effects) and gastrointestinal (nausea/vomiting and constipation) symptoms. Subgroup cluster analysis showed that breast cancer survivors with higher‐scoring symptoms had significantly poorer quality of life in both psychological–general symptom cluster and physical–gastrointestinal symptom cluster subgroups, with subgroup‐specific patterns. The symptom clusters differed depending on stage and functional status of breast cancer survivors. Breast cancer survivors may have a specific pattern of symptom clusters. Some symptom clusters may have a negative impact on the quality of life. Identifying symptom clusters of breast cancer survivors may have clinical implications by improving symptom management.</description><identifier>ISSN: 0961-5423</identifier><identifier>EISSN: 1365-2354</identifier><identifier>DOI: 10.1111/ecc.12919</identifier><identifier>PMID: 30253019</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Adult ; Aged ; Anorexia - epidemiology ; Anxiety ; Anxiety - epidemiology ; Anxiety - psychology ; Appetite loss ; Breast cancer ; Breast Neoplasms - therapy ; Cancer ; Cancer Survivors - psychology ; Cancer Survivors - statistics & numerical data ; Cancer therapies ; Cluster Analysis ; Constipation ; Constipation - epidemiology ; Cross-Sectional Studies ; Depression - epidemiology ; Depression - psychology ; Dyspnea ; Dyspnea - epidemiology ; Fatigue ; Fatigue - epidemiology ; Female ; Humans ; Insomnia ; Mental depression ; Middle Aged ; Nausea ; Nausea - epidemiology ; Nursing ; Pain ; Pain - epidemiology ; Principal Component Analysis ; Principal components analysis ; Quality of Life ; Republic of Korea - epidemiology ; Respiration ; Side effects ; Sleep disorders ; Sleep Initiation and Maintenance Disorders - epidemiology ; Subgroups ; survivors ; symptom clusters ; Symptom management ; Syndrome ; Tertiary Care Centers ; Therapy ; Vomiting ; Vomiting - epidemiology</subject><ispartof>European journal of cancer care, 2018-11, Vol.27 (6), p.e12919-n/a</ispartof><rights>2018 John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons Ltd.</rights><rights>Copyright © 2018 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3889-36481fa1103e95f755ca405c4ccf614fc0c748244c342bf072642796ce98ccae3</citedby><cites>FETCH-LOGICAL-c3889-36481fa1103e95f755ca405c4ccf614fc0c748244c342bf072642796ce98ccae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecc.12919$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecc.12919$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30253019$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nho, Ju‐Hee</creatorcontrib><creatorcontrib>Kim, Sung‐Reul</creatorcontrib><creatorcontrib>Park, Min‐Ho</creatorcontrib><creatorcontrib>Kweon, Sun‐Seog</creatorcontrib><title>Symptom clusters and quality of life in breast cancer survivors after cancer treatment in a tertiary hospital in Korea</title><title>European journal of cancer care</title><addtitle>Eur J Cancer Care (Engl)</addtitle><description>We investigated the symptom clusters and effects of symptom clusters on the quality of life of Korean breast cancer survivors. We recruited 241 breast cancer survivors and collected cross‐sectional data on their symptoms. To determine inter‐relationships among symptoms, a principal component analysis with varimax rotation was performed based on the patient’s symptoms (fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, anxiety, depression, systemic therapy side effects, breast symptoms and arm symptoms). The first symptom cluster consisted of psychological (anxiety and depression) and general (appetite loss, fatigue, insomnia and dyspnoea) symptoms, whereas the second symptom cluster consisted of physical (arm symptom, breast symptom, pain and systemic therapy side effects) and gastrointestinal (nausea/vomiting and constipation) symptoms. Subgroup cluster analysis showed that breast cancer survivors with higher‐scoring symptoms had significantly poorer quality of life in both psychological–general symptom cluster and physical–gastrointestinal symptom cluster subgroups, with subgroup‐specific patterns. The symptom clusters differed depending on stage and functional status of breast cancer survivors. Breast cancer survivors may have a specific pattern of symptom clusters. Some symptom clusters may have a negative impact on the quality of life. Identifying symptom clusters of breast cancer survivors may have clinical implications by improving symptom management.</description><subject>Adult</subject><subject>Aged</subject><subject>Anorexia - epidemiology</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Appetite loss</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - therapy</subject><subject>Cancer</subject><subject>Cancer Survivors - psychology</subject><subject>Cancer Survivors - statistics & numerical data</subject><subject>Cancer therapies</subject><subject>Cluster Analysis</subject><subject>Constipation</subject><subject>Constipation - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Dyspnea</subject><subject>Dyspnea - epidemiology</subject><subject>Fatigue</subject><subject>Fatigue - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Nausea</subject><subject>Nausea - epidemiology</subject><subject>Nursing</subject><subject>Pain</subject><subject>Pain - epidemiology</subject><subject>Principal Component Analysis</subject><subject>Principal components analysis</subject><subject>Quality of Life</subject><subject>Republic of Korea - epidemiology</subject><subject>Respiration</subject><subject>Side effects</subject><subject>Sleep disorders</subject><subject>Sleep Initiation and Maintenance Disorders - epidemiology</subject><subject>Subgroups</subject><subject>survivors</subject><subject>symptom clusters</subject><subject>Symptom management</subject><subject>Syndrome</subject><subject>Tertiary Care Centers</subject><subject>Therapy</subject><subject>Vomiting</subject><subject>Vomiting - epidemiology</subject><issn>0961-5423</issn><issn>1365-2354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10ctOAyEUBmBiNFqrC1_AkLjRxSi3YYalabzFJi7U9YSeQqSZGSowNX17qVUXJrIhge_8gXMQOqHkkuZ1ZQAuKVNU7aAR5bIsGC_FLhoRJWlRCsYP0GGMC0Iop0rsowNOWMkJVSO0el53y-Q7DO0QkwkR636O3wfdurTG3uLWWYNdj2fB6Jgw6B5MwHEIK7fyG25z1c9xyih1pk-bCo3zTXI6rPGbj0uXdLs5fvQZHaE9q9tojr_3MXq9vXmZ3BfTp7uHyfW0AF7XquBS1NRqSgk3qrRVWYIWpAQBYCUVFghUomZCABdsZknFpGCVkmBUDaANH6Pzbe4y-PfBxNR0LoJpW90bP8SGUcpkblktMz37Qxd-CH1-XVa8lrmPssrqYqsg-BiDsc0yuC7_saGk2QyjycNovoaR7el34jDrzPxX_nQ_g6st-HCtWf-f1NxMJtvITwr-k1Q</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Nho, Ju‐Hee</creator><creator>Kim, Sung‐Reul</creator><creator>Park, Min‐Ho</creator><creator>Kweon, Sun‐Seog</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>ASE</scope><scope>FPQ</scope><scope>FR3</scope><scope>K6X</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201811</creationdate><title>Symptom clusters and quality of life in breast cancer survivors after cancer treatment in a tertiary hospital in Korea</title><author>Nho, Ju‐Hee ; Kim, Sung‐Reul ; Park, Min‐Ho ; Kweon, Sun‐Seog</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3889-36481fa1103e95f755ca405c4ccf614fc0c748244c342bf072642796ce98ccae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anorexia - epidemiology</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Appetite loss</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - therapy</topic><topic>Cancer</topic><topic>Cancer Survivors - psychology</topic><topic>Cancer Survivors - statistics & numerical data</topic><topic>Cancer therapies</topic><topic>Cluster Analysis</topic><topic>Constipation</topic><topic>Constipation - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Dyspnea</topic><topic>Dyspnea - epidemiology</topic><topic>Fatigue</topic><topic>Fatigue - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Nausea</topic><topic>Nausea - epidemiology</topic><topic>Nursing</topic><topic>Pain</topic><topic>Pain - epidemiology</topic><topic>Principal Component Analysis</topic><topic>Principal components analysis</topic><topic>Quality of Life</topic><topic>Republic of Korea - epidemiology</topic><topic>Respiration</topic><topic>Side effects</topic><topic>Sleep disorders</topic><topic>Sleep Initiation and Maintenance Disorders - epidemiology</topic><topic>Subgroups</topic><topic>survivors</topic><topic>symptom clusters</topic><topic>Symptom management</topic><topic>Syndrome</topic><topic>Tertiary Care Centers</topic><topic>Therapy</topic><topic>Vomiting</topic><topic>Vomiting - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nho, Ju‐Hee</creatorcontrib><creatorcontrib>Kim, Sung‐Reul</creatorcontrib><creatorcontrib>Park, Min‐Ho</creatorcontrib><creatorcontrib>Kweon, Sun‐Seog</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Engineering Research Database</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cancer care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nho, Ju‐Hee</au><au>Kim, Sung‐Reul</au><au>Park, Min‐Ho</au><au>Kweon, Sun‐Seog</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptom clusters and quality of life in breast cancer survivors after cancer treatment in a tertiary hospital in Korea</atitle><jtitle>European journal of cancer care</jtitle><addtitle>Eur J Cancer Care (Engl)</addtitle><date>2018-11</date><risdate>2018</risdate><volume>27</volume><issue>6</issue><spage>e12919</spage><epage>n/a</epage><pages>e12919-n/a</pages><issn>0961-5423</issn><eissn>1365-2354</eissn><abstract>We investigated the symptom clusters and effects of symptom clusters on the quality of life of Korean breast cancer survivors. We recruited 241 breast cancer survivors and collected cross‐sectional data on their symptoms. To determine inter‐relationships among symptoms, a principal component analysis with varimax rotation was performed based on the patient’s symptoms (fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, anxiety, depression, systemic therapy side effects, breast symptoms and arm symptoms). The first symptom cluster consisted of psychological (anxiety and depression) and general (appetite loss, fatigue, insomnia and dyspnoea) symptoms, whereas the second symptom cluster consisted of physical (arm symptom, breast symptom, pain and systemic therapy side effects) and gastrointestinal (nausea/vomiting and constipation) symptoms. Subgroup cluster analysis showed that breast cancer survivors with higher‐scoring symptoms had significantly poorer quality of life in both psychological–general symptom cluster and physical–gastrointestinal symptom cluster subgroups, with subgroup‐specific patterns. The symptom clusters differed depending on stage and functional status of breast cancer survivors. Breast cancer survivors may have a specific pattern of symptom clusters. Some symptom clusters may have a negative impact on the quality of life. Identifying symptom clusters of breast cancer survivors may have clinical implications by improving symptom management.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>30253019</pmid><doi>10.1111/ecc.12919</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of cancer care, 2018-11, Vol.27 (6), p.e12919-n/a |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Anorexia - epidemiology Anxiety Anxiety - epidemiology Anxiety - psychology Appetite loss Breast cancer Breast Neoplasms - therapy Cancer Cancer Survivors - psychology Cancer Survivors - statistics & numerical data Cancer therapies Cluster Analysis Constipation Constipation - epidemiology Cross-Sectional Studies Depression - epidemiology Depression - psychology Dyspnea Dyspnea - epidemiology Fatigue Fatigue - epidemiology Female Humans Insomnia Mental depression Middle Aged Nausea Nausea - epidemiology Nursing Pain Pain - epidemiology Principal Component Analysis Principal components analysis Quality of Life Republic of Korea - epidemiology Respiration Side effects Sleep disorders Sleep Initiation and Maintenance Disorders - epidemiology Subgroups survivors symptom clusters Symptom management Syndrome Tertiary Care Centers Therapy Vomiting Vomiting - epidemiology |
| title | Symptom clusters and quality of life in breast cancer survivors after cancer treatment in a tertiary hospital in Korea |
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