Markers of low socio-economic status and lack of social support are associated with low...
Click here to load reader
-
Upload
irish-cancer-society -
Category
Health & Medicine
-
view
519 -
download
4
description
Transcript of Markers of low socio-economic status and lack of social support are associated with low...
Markers of low socio-economic status and lack of social support are associated with
low health-related quality-of-life in colorectal cancer survivors
Linda Sharp, Alan O’Ceilleachair, Eamonn O’Leary,
Mairead Skally, Paul Hanly
email: [email protected]
Introduction & MethodsBackground:
Increasing focus on maximising quality, as well as quantity, of life after cancer diagnosis.HRQoL as a potential prognostic factor in some cancers
Aim: To investigate factors associated with HRQoL among colorectal cancer (CRC) survivors.
Methods:Cross-sectional postal survey of CRC survivors (ICD10 C18-20) 6-30 months post-DxEORTC QLQ30Socio-demographic and clinical variablesmultivariate logistic regression; predicting low HRQoL (≤50 , bottom quartile)
Characteristics of participants
% of 495 respondents
Sex Cancer site
male 63% colon 61%
female 37% rectum 39%
Age at diagnosis Time since diagnosis
<65 40% <1 year 37%
65-74 34% 1-2 years 47%
75+ 26% 2+ years 16%
Employment status at diagnosis Stage at diagnosis
working 40% I/II 47%
retired 42% III/IV 42%
other 18% unstaged 11%
Marital status Treatment received
married/cohabiting 76% surgery 86%
other 24% chemotherapy 28%
radiotherapy 16%
response rate=40%
HRQoL
1% 0.2% 1% 1%
4% 4%
15%
6%
21%
8%
20%
3%
17%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%F
req
uen
cy
HRQoL: global health scorelowestHRQoL
highest HRQoL
mean=69.8 (sd=21.6)median=66.7 (inter-quartile range 50.0-83.3)
“low” HRQoL
Results/Conclusions
• Education and family circumstances predict low HRQoL in CRC survivors, after adjusting for clinical variables.
• Education- socio-economic status Children – social support.
• These findings highlight subgroups of survivors who might benefit from additional support, advice or care.