Symptom Profiles, Work Productivity and Quality of Life among Chinese Female Cancer Survivors

Published on Feb 20, 2016in Gynecology & Obstetrics
· DOI :10.4172/2161-0932.1000357
Yingchun Zeng16
Estimated H-index: 16
Andy S. K. Cheng16
Estimated H-index: 16
+ 1 AuthorsMichael Feuerstein37
Estimated H-index: 37
Background: Cervical and breast cancer are very common forms of malignancy among women. With increasingly long survivorship rates, it is essential to explore the impact of cancer survivorship on the work productivity and quality of life (QOL) of cancer survivors. Objectives: This study aimed to assess the symptom prevalence, work productivity and QOL among Chinese breast cancer survivors (BCS) and cervical cancer survivors (CCS), and to explore factors related to their work productivity and QOL. Methods: A cross-sectional study design was used. Chinese women with a history of primary breast or cervical cancer were included. Results: A total of 192 subjects joined the study. Participants reported a mean reduction in work productivity of 16%, although these women reported relatively good QOL compared with EORTC reference values. Significant predictors for work productivity loss included depression symptoms and cognitive limitations. Job stress, disease stage, anxiety symptoms, cognitive limitations, and physical functioning levels were statistically significant predictors of global QOL. These variables accounted for 55.4% of variance of QOL. Conclusion: This study found that cancer survivors reported higher levels of anxiety and cognitive limitations, and lower levels of work productivity and QOL. Cognitive symptoms were significantly related to cancer survivors’ work limitation and QOL. Implications for practice: Nurses and other healthcare professionals should be aware that BCS and CCS reported higher levels of work limitations and lower levels of QOL. Future research should develop relevant interventions to maximize cancer survivors’ work productivity and QOL.
Figures & Tables
📖 Papers frequently viewed together
134 Citations
24 Citations
#1Andy S. K. Cheng (PolyU: Hong Kong Polytechnic University)H-Index: 16
#2Yingchun Zeng (Guangzhou Medical University)H-Index: 16
Last. Michael Feuerstein (USU: Uniformed Services University of the Health Sciences)H-Index: 37
view all 3 authors...
Purpose The purpose of this study was to translate the Cognitive Symptom Checklist-Work-21 (CSC-W21), into Chinese, and culturally adapt and validate the Chinese version, a measure of work-related cognitive limitations in occupationally active breast cancer survivors (BCS). Methods The translation of the English version of the CSC-W21 followed a systematic procedure. Exploratory factor analysis was used to identify factor structures. The internal consistency of the factors was assessed by calcul...
14 CitationsSource
#1Peter van Muijen (VUmc: VU University Medical Center)H-Index: 3
#2Saskia F. A. Duijts (VUmc: VU University Medical Center)H-Index: 11
Last. Johannes R. Anema (VUmc: VU University Medical Center)H-Index: 47
view all 5 authors...
Background: Identification of factors associated with work disability in cancer survivors on long term sick leave may support these survivors in choosing effective measures to facilitate vocational rehabilitation and return to work. Therefore, this study aims to disclose factors associated with work disability in cancer survivors at 24 months of sick leave. Methods: A cross sectional study was conducted. The study population consisted of employed sick-listed cancer survivors, aged between 18 and...
20 CitationsSource
#1Sietske J. Tamminga (UvA: University of Amsterdam)H-Index: 13
#2Jos Verbeek (UvA: University of Amsterdam)H-Index: 65
Last. Angela G. E. M. de Boer (UvA: University of Amsterdam)H-Index: 18
view all 4 authors...
Purpose The purpose of this study was to determine reproducibility, validity, and responsiveness of the Work Limitations Questionnaire (WLQ) among cancer survivors.
25 CitationsSource
#1Eike Adams (Oxford Brookes University)H-Index: 10
#2Mary Boulton (Oxford Brookes University)H-Index: 32
Last. Eila Watson (Oxford Brookes University)H-Index: 32
view all 9 authors...
Abstract Aims As cancer survival rates continue to increase, it is important to maximise the quality of life of cancer survivors. Pelvic radiotherapy is a common cancer treatment. Bladder, bowel and sexual dysfunction are recognised side-effects of treatment, and yet relatively little is known of the extent to which they remain problems in the longer term when patients are often managed by primary care, nor of the psychological impact of symptoms and effects on quality of life. Therefore, the ai...
46 CitationsSource
#1Alicia Ottati (USU: Uniformed Services University of the Health Sciences)H-Index: 2
#2Michael Feuerstein (USU: Uniformed Services University of the Health Sciences)H-Index: 37
Purpose The purpose of this research was to develop a brief, reliable self-report measure of work-related cognitive limitations in occupationally active breast cancer survivors.
32 CitationsSource
#1Diane Von Ah (IU: Indiana University)H-Index: 22
#2Barbara Habermann (IU: Indiana University)H-Index: 12
Last. Brandy L. Schneider (IU: Indiana University)H-Index: 1
view all 4 authors...
Abstract Purpose Cognitive impairment is commonly reported by breast cancer survivors, yet little is known regarding its impact on quality of life. The purpose of this study was to obtain a better understanding of breast cancer survivors' experiences of perceived cognitive impairment, its trajectory, and its impact on relationships, daily functioning, work and overall life satisfaction after breast cancer diagnosis and treatment. Methods The results are based on qualitative interviews with 22 br...
145 CitationsSource
#1P. van Muijen (VUmc: VU University Medical Center)H-Index: 3
#2N.L.E.C. WeeversH-Index: 1
Last. A.J. van der BeekH-Index: 39
view all 7 authors...
The objective of this study was to provide an overview of the prognostic factors for return to work and employment of cancer survivors. Cohort studies were selected if the population consisted of cancer patients between 18 and 65 years of age, with return to work, employment or equivalent concepts as main outcome measure, studying at least one prognostic factor. The methodological quality of the included studies and level of evidence for each prognostic factor were assessed. Twenty-eight cohort ...
148 CitationsSource
#1J FerlayH-Index: 2
#2I SoerjomataramH-Index: 2
Last. Colin MathersH-Index: 96
view all 6 authors...
1,096 Citations
#1Jeffrey S. Wefel (University of Texas MD Anderson Cancer Center)H-Index: 22
#2Sanne B. Schagen (NKI-AVL: Netherlands Cancer Institute)H-Index: 6
Many cancer patients develop treatment-related cognitive dysfunction that affects their quality of life and can result in diminished functional independence. There is an emerging body of transdisciplinary research demonstrating that chemotherapeutic agents can produce neurobiological changes within the brain, which are associated with a constellation of cognitive changes that can result in decreased quality of life and functional independence. The increased incidence of cancer, coupled with long...
238 CitationsSource
#2Susan E DavidsonH-Index: 50
Last. E. T. SwarbrickH-Index: 10
view all 5 authors...
Backgound The number of patients with chronic gastrointestinal (GI) symptoms after cancer therapies which have a moderate or severe impact on quality of life is similar to the number diagnosed with inflammatory bowel disease annually. However, in contrast to patients with inflammatory bowel disease, most of these patients are not referred for gastroenterological assessment. Clinicians who do see these patients are often unaware of the benefits of targeted investigation (which differ from those r...
166 CitationsSource
Cited By9
#1Shaxin Liu (Sichuan University)H-Index: 1
#2Fengyi Wang (Sichuan University)
Last. Andy S. K. Cheng (PolyU: Hong Kong Polytechnic University)H-Index: 16
view all 7 authors...
Background null Return to work is an important process for many breast cancer survivors (BCSs) that acts as a positive step towards their reintegration into society. null Objectives null This study examined whether work productivity loss due to presenteeism could predict the quality of life (QOL) of employed BCSs. null Methods null This study used a cross-sectional design. Seventy-five BCSs and seventy-five participants in the Non-Cancer Comparison (NCC) group were surveyed. The main outcome mea...
#1Bethany Chapman (Birkbeck, University of London)H-Index: 3
#2Jessica SwainstonH-Index: 3
Last. Nazanin DerakshanH-Index: 41
view all 4 authors...
The outbreak of Coronavirus disease 2019 (COVID-19) has negatively impacted global economies and employment. In the UK, it is predicted that approximately eight million jobs were furloughed as a result of the outbreak and the associated restriction of movement or shielding measures. This study aimed to investigate the impact of changes in employment status on cognitive and emotional health as well as perceptions of work. Furthermore, it examined the relationships between women's job security and...
8 CitationsSource
#1Andy S. K. Cheng (PolyU: Hong Kong Polytechnic University)H-Index: 16
#2Xiangyu LiuH-Index: 7
Last. Michael Feuerstein (CSU: Central South University)H-Index: 37
view all 6 authors...
Introduction The eHealth technologies that are being designed for chronic disease constitute a global trend towards health assessment and self-management. However, most of these approaches tend to focus on a single symptom or problem rather than on the multiple problems that are characteristic of many of these chronic illnesses. The aim of this study is to examine the effectiveness of and adherence to a self-management application (app) that identifies multiple problem areas related to surviving...
#1Andy S. K. Cheng (PolyU: Hong Kong Polytechnic University)H-Index: 16
#2Xiangyu LiuH-Index: 7
Last. Michael FeuersteinH-Index: 37
view all 6 authors...
Purpose To produce a culturally sensitive Chinese translation of the original version of the Cancer Survivor Profile for breast cancer (CSPro-BC) survivors, which identifies problems in breast cancer patients post-primary treatment for breast cancer.
2 CitationsSource
#1Andy S. K. Cheng (PolyU: Hong Kong Polytechnic University)H-Index: 16
#2Yingchun Zeng (Guangzhou Medical University)H-Index: 16
Last. Michael FeuersteinH-Index: 37
view all 9 authors...
Objective To determine whether work output was related to cognitive limitations while at work in occupationally active breast cancer survivors (BCS) employed in a rapidly developing economy.
15 CitationsSource
#1Yingchun Zeng (PolyU: Hong Kong Polytechnic University)H-Index: 16
#2Andy S. K. Cheng (PolyU: Hong Kong Polytechnic University)H-Index: 16
Last. Chetwyn C.H. Chan (PolyU: Hong Kong Polytechnic University)H-Index: 53
view all 4 authors...
Objectives This study explores Chinese cervical cancer survivors’ perceived cognitive complaints and relevant supportive care needs after primary cancer treatment. Design This study utilised a qualitative research design. A semi-structured interview was used to probe cervical cancer patients’ perceived cognitive complaints and supportive care needs. Setting This study was conducted at a secondary cancer care centre located in South China. Participants 31 women with cervical cancer after primary ...
9 CitationsSource
#1Brian D. Gonzalez (RU: Rutgers University)H-Index: 16
#2Sharon L. Manne (RU: Rutgers University)H-Index: 18
Last. Mark A. Morgan (UPenn: University of Pennsylvania)H-Index: 39
view all 8 authors...
Purpose The course of quality of life after diagnosis of gynecologic cancer is not well understood. We aimed to identify subgroups of gynecologic cancer patients with distinct trajectories of quality of life outcomes in the 18-month period after diagnosis. We also aimed to determine whether these subgroups could be distinguished by predictors derived from Social-Cognitive Processing Theory.
12 CitationsSource
ABSTRACT Pregnancy is a stage which almost all the women’s have in their lifetime, it is probably considered as a peculiar or tough stage so women must be very conscious about her health and the changes which are all going to take place further. So to overcome the changes which are taking place in our body we need to be strong enough to face them by having good physical fitness.
The review is all about the recent researches going all around the world related to the cancer in the field of gynecology. The different types of cancer with which a woman at any stage of her life span may suffer. Cancer in this field too never sees the age of the human being. Different cases have been seen and reported during this study and found that the cancer is a disease which is incurable after certain stage. “Prevention is better than cure”: a statement which we usually prescribe to all t...