Health care utilisation and characteristics of long-term breast cancer survivors: nationwide survey in Denmark

V Peuckmann; O Ekholm; P Sjøgren; N K Rasmussen; P Christiansen; S Møller; M Groenvold

doi:10.1016/j.ejca.2008.09.027

Health care utilisation and characteristics of long-term breast cancer survivors: nationwide survey in Denmark

V Peuckmann, O Ekholm, P Sjøgren, N K Rasmussen, P Christiansen, S Møller, M Groenvold

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

48 Citationer (Scopus)

Abstract

Udgivelsesdato: 2009-Mar

Originalsprog	Engelsk
Tidsskrift	European Journal of Cancer
Vol/bind	45
Udgave nummer	4
Sider (fra-til)	625-33
Antal sider	8
ISSN	0959-8049
DOI	https://doi.org/10.1016/j.ejca.2008.09.027
Status	Udgivet - 2008

Bibliografisk note

Keywords: Activities of Daily Living; Adult; Aged; Attitude to Health; Breast Neoplasms; Denmark; Employment; Female; Health Services; Health Status; Health Surveys; Humans; Mastectomy; Middle Aged; Motor Activity; Quality of Life; Radiotherapy, Adjuvant; Sick Leave; Survivors

Adgang til dokumentet

10.1016/j.ejca.2008.09.027

Citationsformater

@article{031c52c067df11df928f000ea68e967b,

title = "Health care utilisation and characteristics of long-term breast cancer survivors: nationwide survey in Denmark",

abstract = "AIM: To investigate long-term female breast cancer survivors' (BCS') health care utilisation, health, and employment. METHODS: An age-stratified random sample of 2000 female breast cancer survivors (BCS) 5-15 years after primary surgery without recurrence was drawn from the Danish Breast Cancer Cooperative Group register. A self-administered questionnaire assessed sociodemography, health care utilisation, employment, and health-related quality of life (HRQOL). Associations with breast cancer treatment were investigated. RESULTS: Response rate was 79%. Significantly more BCS than the general women population reported health care utilisation (61% versus. 56%; age-standardised risk ratio (SRR): 1.10; 95% confidence interval (CI) 1.05-1.15), but significantly fewer BCS were disability pensioners (15% versus 19%; SRR: 0.77; 95% CI 0.64-0.93). 'Daily activities limited due to sequelae' were reported by 20%, and 'stopped working/changed job due to sequelae' by 11% of BCS. In multiple logistic regression analysis, radiotherapy (odds ratio (OR) 2.54; 95% CI 1.34-4.80) and endocrine therapy (OR 2.48; 95% CI 1.13-5.45, postmenopausal women only) were significantly related to 'stopped working/changed job due to sequelae'. Time since surgery 5-10 years (versus >10 years) was significantly associated with 'daily activities limited due to sequelae' (OR 2.02; CI 1.43-2.84), which, in turn, was significantly related to poorer HRQOL (all p<0.05). Chemotherapy, receptor status, and protocol allocation did not show significant associations in any analyses. CONCLUSION: Significantly more BCS reported health care utilisation. Radiotherapy, shorter time since surgery, and endocrine therapy predicted daily activity and work limitations due to sequelae.",

author = "V Peuckmann and O Ekholm and P Sj{\o}gren and Rasmussen, {N K} and P Christiansen and S M{\o}ller and M Groenvold",

note = "Keywords: Activities of Daily Living; Adult; Aged; Attitude to Health; Breast Neoplasms; Denmark; Employment; Female; Health Services; Health Status; Health Surveys; Humans; Mastectomy; Middle Aged; Motor Activity; Quality of Life; Radiotherapy, Adjuvant; Sick Leave; Survivors",

year = "2008",

doi = "10.1016/j.ejca.2008.09.027",

language = "English",

volume = "45",

pages = "625--33",

journal = "European Journal of Cancer, Supplement",

issn = "0959-8049",

publisher = "Pergamon",

number = "4",

}

TY - JOUR

T1 - Health care utilisation and characteristics of long-term breast cancer survivors: nationwide survey in Denmark

AU - Peuckmann, V

AU - Ekholm, O

AU - Sjøgren, P

AU - Rasmussen, N K

AU - Christiansen, P

AU - Møller, S

AU - Groenvold, M

N1 - Keywords: Activities of Daily Living; Adult; Aged; Attitude to Health; Breast Neoplasms; Denmark; Employment; Female; Health Services; Health Status; Health Surveys; Humans; Mastectomy; Middle Aged; Motor Activity; Quality of Life; Radiotherapy, Adjuvant; Sick Leave; Survivors

PY - 2008

Y1 - 2008

N2 - AIM: To investigate long-term female breast cancer survivors' (BCS') health care utilisation, health, and employment. METHODS: An age-stratified random sample of 2000 female breast cancer survivors (BCS) 5-15 years after primary surgery without recurrence was drawn from the Danish Breast Cancer Cooperative Group register. A self-administered questionnaire assessed sociodemography, health care utilisation, employment, and health-related quality of life (HRQOL). Associations with breast cancer treatment were investigated. RESULTS: Response rate was 79%. Significantly more BCS than the general women population reported health care utilisation (61% versus. 56%; age-standardised risk ratio (SRR): 1.10; 95% confidence interval (CI) 1.05-1.15), but significantly fewer BCS were disability pensioners (15% versus 19%; SRR: 0.77; 95% CI 0.64-0.93). 'Daily activities limited due to sequelae' were reported by 20%, and 'stopped working/changed job due to sequelae' by 11% of BCS. In multiple logistic regression analysis, radiotherapy (odds ratio (OR) 2.54; 95% CI 1.34-4.80) and endocrine therapy (OR 2.48; 95% CI 1.13-5.45, postmenopausal women only) were significantly related to 'stopped working/changed job due to sequelae'. Time since surgery 5-10 years (versus >10 years) was significantly associated with 'daily activities limited due to sequelae' (OR 2.02; CI 1.43-2.84), which, in turn, was significantly related to poorer HRQOL (all p<0.05). Chemotherapy, receptor status, and protocol allocation did not show significant associations in any analyses. CONCLUSION: Significantly more BCS reported health care utilisation. Radiotherapy, shorter time since surgery, and endocrine therapy predicted daily activity and work limitations due to sequelae.

AB - AIM: To investigate long-term female breast cancer survivors' (BCS') health care utilisation, health, and employment. METHODS: An age-stratified random sample of 2000 female breast cancer survivors (BCS) 5-15 years after primary surgery without recurrence was drawn from the Danish Breast Cancer Cooperative Group register. A self-administered questionnaire assessed sociodemography, health care utilisation, employment, and health-related quality of life (HRQOL). Associations with breast cancer treatment were investigated. RESULTS: Response rate was 79%. Significantly more BCS than the general women population reported health care utilisation (61% versus. 56%; age-standardised risk ratio (SRR): 1.10; 95% confidence interval (CI) 1.05-1.15), but significantly fewer BCS were disability pensioners (15% versus 19%; SRR: 0.77; 95% CI 0.64-0.93). 'Daily activities limited due to sequelae' were reported by 20%, and 'stopped working/changed job due to sequelae' by 11% of BCS. In multiple logistic regression analysis, radiotherapy (odds ratio (OR) 2.54; 95% CI 1.34-4.80) and endocrine therapy (OR 2.48; 95% CI 1.13-5.45, postmenopausal women only) were significantly related to 'stopped working/changed job due to sequelae'. Time since surgery 5-10 years (versus >10 years) was significantly associated with 'daily activities limited due to sequelae' (OR 2.02; CI 1.43-2.84), which, in turn, was significantly related to poorer HRQOL (all p<0.05). Chemotherapy, receptor status, and protocol allocation did not show significant associations in any analyses. CONCLUSION: Significantly more BCS reported health care utilisation. Radiotherapy, shorter time since surgery, and endocrine therapy predicted daily activity and work limitations due to sequelae.

U2 - 10.1016/j.ejca.2008.09.027

DO - 10.1016/j.ejca.2008.09.027

M3 - Journal article

C2 - 19036577

VL - 45

SP - 625

EP - 633

JO - European Journal of Cancer, Supplement

JF - European Journal of Cancer, Supplement

SN - 0959-8049

IS - 4

ER -