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Health-related quality of life and health care utilisation among older long-term cancer survivors: a population-based study.
Eur J Cancer. 2007 Oct; 43(15):2211-21.EJ

Abstract

BACKGROUND

The consequences of cancer and its treatment on health-related quality of life (HRQL) and health care utilisation among elderly long-term cancer survivors have rarely been studied. However, the impact can be different for older compared to younger patients due to the higher prevalence of comorbid diseases, a higher risk of treatment-related complications and because they often receive different therapies compared to younger patients. Therefore, this study addressed the following questions; do HRQL and health care utilisation differ between younger and elderly cancer survivors, and are those differences age or disease related.

METHODS

A population-based, cross-sectional survey among 1893 long-term survivors of endometrial cancer, prostate cancer and non-Hodgkin's lymphoma was conducted using a cancer registry. HRQL was measured by the SF-36 and health care utilisation was measured with a self-reported questionnaire. Results were compared to a normative population. Patients with disease progression were excluded resulting in a total number of 1112 patients to be analysed.

RESULTS

Young non-Hodgkin lymphoma survivors (<70 years) reported lower vitality, bodily pain and general health compared to the normative population while older (70 years) survivors did not differ from the norm. Young lymphoma survivors experienced better physical functioning compared to older survivors. Young endometrial cancer survivors experienced less bodily pain compared to the normative population while older survivors did not differ from the norm. Young endometrial cancer survivors experienced better physical and role functioning compared to older survivors. Young prostate cancer survivors reported less bodily pain compared to the norm while older survivors did not. Young prostate cancer survivors reported higher scores on physical functioning compared to older survivors. Age, comorbid diseases, educational level and current occupation influenced HRQL significantly. Both younger and older cancer survivors visited their medical specialist, but not their GP, significantly more often compared to the age-matched general Dutch population. Both younger and older cancer survivors only sporadically used additional care services after cancer treatment.

DISCUSSION

HRQL of older and younger survivors is comparable, with the exception of physical functioning which is lower in older survivors. This difference in physical functioning was probably not caused by cancer because physical functioning among cancer survivors did not differ much compared to an age-matched normative population. Both younger and older long-term cancer survivors visited their medical specialist often but only sporadically used additional care services after cancer treatment.

Authors+Show Affiliations

Center of Research on Psychology in Somatic Diseases, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands. F.Mols@uvt.nl <F.Mols@uvt.nl>No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17689955

Citation

Mols, Floortje, et al. "Health-related Quality of Life and Health Care Utilisation Among Older Long-term Cancer Survivors: a Population-based Study." European Journal of Cancer (Oxford, England : 1990), vol. 43, no. 15, 2007, pp. 2211-21.
Mols F, Coebergh JW, van de Poll-Franse LV. Health-related quality of life and health care utilisation among older long-term cancer survivors: a population-based study. Eur J Cancer. 2007;43(15):2211-21.
Mols, F., Coebergh, J. W., & van de Poll-Franse, L. V. (2007). Health-related quality of life and health care utilisation among older long-term cancer survivors: a population-based study. European Journal of Cancer (Oxford, England : 1990), 43(15), 2211-21.
Mols F, Coebergh JW, van de Poll-Franse LV. Health-related Quality of Life and Health Care Utilisation Among Older Long-term Cancer Survivors: a Population-based Study. Eur J Cancer. 2007;43(15):2211-21. PubMed PMID: 17689955.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-related quality of life and health care utilisation among older long-term cancer survivors: a population-based study. AU - Mols,Floortje, AU - Coebergh,Jan Willem W, AU - van de Poll-Franse,Lonneke V, Y1 - 2007/08/08/ PY - 2007/05/08/received PY - 2007/06/28/revised PY - 2007/06/29/accepted PY - 2007/8/11/pubmed PY - 2008/1/1/medline PY - 2007/8/11/entrez SP - 2211 EP - 21 JF - European journal of cancer (Oxford, England : 1990) JO - Eur. J. Cancer VL - 43 IS - 15 N2 - BACKGROUND: The consequences of cancer and its treatment on health-related quality of life (HRQL) and health care utilisation among elderly long-term cancer survivors have rarely been studied. However, the impact can be different for older compared to younger patients due to the higher prevalence of comorbid diseases, a higher risk of treatment-related complications and because they often receive different therapies compared to younger patients. Therefore, this study addressed the following questions; do HRQL and health care utilisation differ between younger and elderly cancer survivors, and are those differences age or disease related. METHODS: A population-based, cross-sectional survey among 1893 long-term survivors of endometrial cancer, prostate cancer and non-Hodgkin's lymphoma was conducted using a cancer registry. HRQL was measured by the SF-36 and health care utilisation was measured with a self-reported questionnaire. Results were compared to a normative population. Patients with disease progression were excluded resulting in a total number of 1112 patients to be analysed. RESULTS: Young non-Hodgkin lymphoma survivors (<70 years) reported lower vitality, bodily pain and general health compared to the normative population while older (70 years) survivors did not differ from the norm. Young lymphoma survivors experienced better physical functioning compared to older survivors. Young endometrial cancer survivors experienced less bodily pain compared to the normative population while older survivors did not differ from the norm. Young endometrial cancer survivors experienced better physical and role functioning compared to older survivors. Young prostate cancer survivors reported less bodily pain compared to the norm while older survivors did not. Young prostate cancer survivors reported higher scores on physical functioning compared to older survivors. Age, comorbid diseases, educational level and current occupation influenced HRQL significantly. Both younger and older cancer survivors visited their medical specialist, but not their GP, significantly more often compared to the age-matched general Dutch population. Both younger and older cancer survivors only sporadically used additional care services after cancer treatment. DISCUSSION: HRQL of older and younger survivors is comparable, with the exception of physical functioning which is lower in older survivors. This difference in physical functioning was probably not caused by cancer because physical functioning among cancer survivors did not differ much compared to an age-matched normative population. Both younger and older long-term cancer survivors visited their medical specialist often but only sporadically used additional care services after cancer treatment. SN - 0959-8049 UR - https://www.unboundmedicine.com/medline/citation/17689955/Health_related_quality_of_life_and_health_care_utilisation_among_older_long_term_cancer_survivors:_a_population_based_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0959-8049(07)00521-7 DB - PRIME DP - Unbound Medicine ER -