Table 3.
Comparison of patient reported outcomes between breast cancer survivors and controls, by chemotherapy and stage at diagnosis
Women with no history of cancer | Women with a history of breast cancer | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
All | Treated with chemotherapy | Stage of disease at diagnosis | |||||||||
No chemotherapy | Chemotherapy | Localised | Advanced | ||||||||
β* | 95%CI | β* | 95%CI | β* | 95%CI | β* | 95%CI | β* | 95%CI | ||
QLACS: | |||||||||||
Generic domains | |||||||||||
Negative feelings | Ref. | 0.7 | − 0.1–1.4 | 0.1 | − 0.7–1.0 | 1.4 | 0.2–2.6 | 0.2 | − 0.6–1.0 | 1.4 | 0.2–2.5 |
Positive feelings | Ref. | − 0.3 | − 1.2–0.6 | − 0.2 | − 1.2–0.8 | − 0.6 | − 1.9–0.7 | − 0.2 | − 1.2–0.7 | − 0.5 | − 1.8–0.8 |
Cognitive problems | Ref. | 1.4 | 0.4–2.3 | 0.6 | − 0.3–1.5 | 2.6 | 1.3–3.8 | 0.9 | − 0.1–1.9 | 2.0 | 0.9–3.2 |
Pain | Ref. | 0.2 | − 1.1–1.6 | − 0.2 | − 1.6–1.2 | 0.9 | − 0.8–2.6 | − 0.6 | − 2.0–0.8 | 1.2 | − 0.4–2.8 |
Sexual function | Ref. | 1.7 | 0.4–3.0 | 1.2 | 0.0–2.4 | 2.5 | 0.6–4.3 | 0.8 | − 0.5–2.1 | 2.9 | 1.3–4.6 |
Energy/Fatigue | Ref. | 1.3 | 0.4–2.2 | 1.2 | 0.2–2.1 | 1.5 | 0.4–2.7 | 1.0 | 0.0–2.0 | 1.7 | 0.6–2.9 |
Avoidance | Ref. | 0.1 | − 1.0–1.2 | − 0.3 | − 1.5–0.9 | 0.8 | − 0.6–2.2 | − 0.2 | − 1.2–0.8 | 0.6 | − 0.9–2.2 |
Summary | Ref. | 5.9 | − 0.2–11.8 | 2.3 | − 3.6–8.2 | 11.0 | 3.6–18.3 | 1.8 | − 4.1–7.7 | 11.1 | 3.8–18.3 |
HADS | |||||||||||
Anxiety | Ref. | 0.5 | − 0.1–1.0 | 0.1 | − 0.6–0.8 | 1.1 | 0.2–2.0 | 0.4 | − 0.3–1.0 | 0.8 | − 0.2–1.7 |
Depression | Ref. | 0.1 | − 0.5–0.7 | 0.1 | − 0.6–0.7 | 0.2 | − 0.7–1.0 | 0.0 | − 0.7–0.7 | 0.3 | − 0.5–1.0 |
*Beta scores represent the difference between the scores of breast cancer survivors and the scores of the women in the comparison group. These were adjusted for adjusted for age, education, and IMD quintile. Positive beta scores indicate more problems (poorer QoL) in breast cancer survivors
HADS Hospital Anxiety and Depression Scale, QLACS Quality of Life in Adult Cancer Survivors, 95%CI 95% confidence interval