An evaluation of the factors that affect the health-related quality of life of children following myelosuppressive chemotherapy

Purpose The purposes of this study, in children who were assessed 1 week after the administration of myelosuppressive chemotherapy were: to compare the total and subscale scores on a generic measure of health-related quality of life (HRQOL) to normative data from healthy children and describe the re...

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Veröffentlicht in:Supportive care in cancer 2011-03, Vol.19 (3), p.353-361
Hauptverfasser: Baggott, Christina R., Dodd, Marylin, Kennedy, Christine, Marina, Neyssa, Matthay, Katherine K., Cooper, Bruce, Miaskowski, Christine
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container_end_page 361
container_issue 3
container_start_page 353
container_title Supportive care in cancer
container_volume 19
creator Baggott, Christina R.
Dodd, Marylin
Kennedy, Christine
Marina, Neyssa
Matthay, Katherine K.
Cooper, Bruce
Miaskowski, Christine
description Purpose The purposes of this study, in children who were assessed 1 week after the administration of myelosuppressive chemotherapy were: to compare the total and subscale scores on a generic measure of health-related quality of life (HRQOL) to normative data from healthy children and describe the relationships between demographic, clinical, and symptom characteristics of children with cancer and generic and disease-specific dimensions of HRQOL. Methods Patients ( n  = 61) were predominantly male (52.5%), minority (63.9%), and 14.7 years of age. Children completed the Memorial Symptom Assessment Scale for 10- to 18-year olds, the PedsQL™ Generic and Cancer Modules, and the Karnofsky Performance Status (KPS) scale 1 week after the start of a chemotherapy cycle. Results The mean number of symptoms per patient was 10.6. Compared with the normative sample, children with cancer reported significantly lower scores for the total scale and all of the subscales except emotional and social functioning. No significant differences were found between any demographic characteristics and total or subscale scores on the generic or disease-specific measures of HRQOL. Lower KPS scores were associated with poorer generic and disease-specific HRQOL scores. In addition, a higher number of symptoms was associated with poorer generic and disease-specific HRQOL scores. Finally, higher symptom distress scores were associated with poorer generic and disease-specific HRQOL scores. Conclusion Among the demographic, clinical, and symptom characteristics studied, poorer functional status and higher symptom burden were associated with significant decreases in HRQOL in children who received myelosuppressive chemotherapy.
doi_str_mv 10.1007/s00520-010-0824-y
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Methods Patients ( n  = 61) were predominantly male (52.5%), minority (63.9%), and 14.7 years of age. Children completed the Memorial Symptom Assessment Scale for 10- to 18-year olds, the PedsQL™ Generic and Cancer Modules, and the Karnofsky Performance Status (KPS) scale 1 week after the start of a chemotherapy cycle. Results The mean number of symptoms per patient was 10.6. Compared with the normative sample, children with cancer reported significantly lower scores for the total scale and all of the subscales except emotional and social functioning. No significant differences were found between any demographic characteristics and total or subscale scores on the generic or disease-specific measures of HRQOL. Lower KPS scores were associated with poorer generic and disease-specific HRQOL scores. In addition, a higher number of symptoms was associated with poorer generic and disease-specific HRQOL scores. Finally, higher symptom distress scores were associated with poorer generic and disease-specific HRQOL scores. Conclusion Among the demographic, clinical, and symptom characteristics studied, poorer functional status and higher symptom burden were associated with significant decreases in HRQOL in children who received myelosuppressive chemotherapy.</description><identifier>ISSN: 0941-4355</identifier><identifier>ISSN: 1433-7339</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-010-0824-y</identifier><identifier>PMID: 20157746</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Analysis ; Antineoplastic Agents - adverse effects ; Antineoplastic Agents - therapeutic use ; Cancer ; Chemotherapy ; Child ; Children ; Female ; Health ; Humans ; Karnofsky Performance Status ; Male ; Medicine ; Medicine &amp; Public Health ; Neoplasms - drug therapy ; Neoplasms - physiopathology ; Nursing ; Nursing Research ; Oncology ; Original ; Original Article ; Pain Medicine ; Pediatrics ; Quality of Life ; Rehabilitation Medicine ; Severity of Illness Index ; Social psychology ; Surveys and Questionnaires</subject><ispartof>Supportive care in cancer, 2011-03, Vol.19 (3), p.353-361</ispartof><rights>The Author(s) 2010</rights><rights>COPYRIGHT 2011 Springer</rights><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-88b9b1788d28ce82a05e3cdabf2afe2dd6ac1e5b9d333cb24f77bc507e8c50253</citedby><cites>FETCH-LOGICAL-c535t-88b9b1788d28ce82a05e3cdabf2afe2dd6ac1e5b9d333cb24f77bc507e8c50253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-010-0824-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-010-0824-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20157746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baggott, Christina R.</creatorcontrib><creatorcontrib>Dodd, Marylin</creatorcontrib><creatorcontrib>Kennedy, Christine</creatorcontrib><creatorcontrib>Marina, Neyssa</creatorcontrib><creatorcontrib>Matthay, Katherine K.</creatorcontrib><creatorcontrib>Cooper, Bruce</creatorcontrib><creatorcontrib>Miaskowski, Christine</creatorcontrib><title>An evaluation of the factors that affect the health-related quality of life of children following myelosuppressive chemotherapy</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose The purposes of this study, in children who were assessed 1 week after the administration of myelosuppressive chemotherapy were: to compare the total and subscale scores on a generic measure of health-related quality of life (HRQOL) to normative data from healthy children and describe the relationships between demographic, clinical, and symptom characteristics of children with cancer and generic and disease-specific dimensions of HRQOL. Methods Patients ( n  = 61) were predominantly male (52.5%), minority (63.9%), and 14.7 years of age. Children completed the Memorial Symptom Assessment Scale for 10- to 18-year olds, the PedsQL™ Generic and Cancer Modules, and the Karnofsky Performance Status (KPS) scale 1 week after the start of a chemotherapy cycle. Results The mean number of symptoms per patient was 10.6. Compared with the normative sample, children with cancer reported significantly lower scores for the total scale and all of the subscales except emotional and social functioning. No significant differences were found between any demographic characteristics and total or subscale scores on the generic or disease-specific measures of HRQOL. Lower KPS scores were associated with poorer generic and disease-specific HRQOL scores. In addition, a higher number of symptoms was associated with poorer generic and disease-specific HRQOL scores. Finally, higher symptom distress scores were associated with poorer generic and disease-specific HRQOL scores. 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Methods Patients ( n  = 61) were predominantly male (52.5%), minority (63.9%), and 14.7 years of age. Children completed the Memorial Symptom Assessment Scale for 10- to 18-year olds, the PedsQL™ Generic and Cancer Modules, and the Karnofsky Performance Status (KPS) scale 1 week after the start of a chemotherapy cycle. Results The mean number of symptoms per patient was 10.6. Compared with the normative sample, children with cancer reported significantly lower scores for the total scale and all of the subscales except emotional and social functioning. No significant differences were found between any demographic characteristics and total or subscale scores on the generic or disease-specific measures of HRQOL. Lower KPS scores were associated with poorer generic and disease-specific HRQOL scores. In addition, a higher number of symptoms was associated with poorer generic and disease-specific HRQOL scores. Finally, higher symptom distress scores were associated with poorer generic and disease-specific HRQOL scores. Conclusion Among the demographic, clinical, and symptom characteristics studied, poorer functional status and higher symptom burden were associated with significant decreases in HRQOL in children who received myelosuppressive chemotherapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20157746</pmid><doi>10.1007/s00520-010-0824-y</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Analysis
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Cancer
Chemotherapy
Child
Children
Female
Health
Humans
Karnofsky Performance Status
Male
Medicine
Medicine & Public Health
Neoplasms - drug therapy
Neoplasms - physiopathology
Nursing
Nursing Research
Oncology
Original
Original Article
Pain Medicine
Pediatrics
Quality of Life
Rehabilitation Medicine
Severity of Illness Index
Social psychology
Surveys and Questionnaires
title An evaluation of the factors that affect the health-related quality of life of children following myelosuppressive chemotherapy
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