scholarly journals Post-diagnosis quality of life and mortality in non-Hispanic White and Hispanic women diagnosed with invasive breast cancer.

2018 ◽  
Author(s):  
Delvon Mattingly
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Invasive Breast Cancer ◽  
Hispanic Women ◽  
Hispanic White

Is a diagnosis of invasive breast cancer an effective motivational factor for lifestyle change?

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 9602-9602
Author(s):  
R. Ellsworth ◽  
N. J. Sann ◽  
L. Kvecher ◽  
D. L. Ellsworth ◽  
C. D. Shriver
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Invasive Breast Cancer ◽  
Breast Cancer Survivors ◽  
Survival Rates ◽  
Breast Disease ◽  
Behavioral Risk ◽  
Caffeine Consumption ◽  
Exercise Frequency

9602 Background: While survival rates for patients diagnosed with invasive breast cancer have increased dramatically, survivors often face a host of adverse health effects. Factors such as obesity, physical activity and tobacco may contribute to decreased survival and quality of life. Here, we evaluated behavioral risk factors in patients with and without breast cancer to determine whether a diagnosis of invasive disease was sufficient motivation to modify lifestyle choices. Methods: The dataset included patients undergoing surgical procedures between 2001 and 2006 and diagnosed with malignant (n=299) or benign (n=130) breast disease and who had baseline and 1-year follow-up information available. Changes in BMI, fat intake, exercise frequency, alcohol and tobacco use, caffeine consumption and frequency of breast self exam (BSE) were assessed. Results: At baseline (diagnosis), significantly more (P<0.005) invasive patients (70%) were menopausal compared to benign patients (48%), no other patient characteristics were significantly different between malignant and benign groups at baseline; a majority in both groups were overweight, non (current) smokers, and consumed high fat diets, ∼40% reported exercising >3 times/week, >60% had high (>500 mg/day) levels of caffeine and consumed low (<1 drink/month) levels of alcohol. The only modifiable behavior that showed a significant change (P<0.05) between baseline and 1-year from diagnosis was compliance with recommended BSE frequency in invasive patients, improving from 61% of patients at baseline to 72% one year later; a concomitant change was not seen in benign patients. No other behaviors changed either from baseline to 1-year or between invasive and benign patients. Conclusions: The paucity of behavioral changes after a diagnosis of breast cancer suggests that a diagnosis of breast cancer is not sufficient motivation to promote healthier lifestyles. Our data suggest a need for increased health-related behavioral counseling and support systems to successfully modify personal behaviors. Development and implementation of lifestyle recommendations have the potential to improve the health and quality of life of breast cancer survivors. No significant financial relationships to disclose.

scholarly journals Why do Older Women with Invasive Breast Cancer Avoid Surgery? A Qualitative Analysis of Factors Influencing the Decision of Patients and Physicians

2021 ◽  
Author(s):  
Fernando A. Angarita ◽  
Ethan Hoppe ◽  
Gary Ko ◽  
Justin Lee ◽  
Danny Vesprini ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Decision Making ◽  
Older Women ◽  
Invasive Breast Cancer ◽  
Treatment Decision ◽  
Patient Centered ◽  
Treatment Decision Making ◽  
Cancer Specialists

Abstract Purpose: Limited data exists about why older women (≥70 years old) with breast cancer avoid surgery. This study aimed to identify physician- and patient-perceived attitudes that influence the decision to avoid surgery among older women with invasive breast cancer.Methods: Semi-structured in-depth interviews were conducted with multidisciplinary breast cancer specialists and with older women with breast cancer who declined surgery. Transcripts were iteratively coded using a theoretical framework to guide identification of common themes. Thematic comparison was performed between patients and physicians. Results: Ten breast cancer specialists and eleven patients participated. Physicians believed older women declined surgery because they did not perceive their breast cancer as a life-threatening ailment compared to other medical comorbidities. Physicians did not discuss breast reconstruction, as it was perceived to be unimportant. Treatment side effects, length of treatment, impact on quality of life, and minimal survival benefit strongly influenced a patient’s decision to decline surgery. Patients valued independence and quality of life over quantity of life. Patients felt empowered to participate in the decision-making process but appreciated having support. Both groups had congruent beliefs with respect to age impacting treatment decision, cosmesis playing a minor factor in treatment decisions, and importance of quality of life; however, they were discordant in their perceptions about the amount of support that patients have from their families.Conclusion: The decision to avoid surgery in older women stems from a variety of individual beliefs. Acknowledging patient values early in treatment planning may facilitate a patient-centered approach to treatment decision making.

scholarly journals Predictors of health-related quality of life among Hispanic and non-Hispanic White breast cancer survivors in New Jersey

2020 ◽  
pp. 1-18
Author(s):  
Gulaiim Almatkyzy ◽  
Cynthia M. Mojica ◽  
Antoinette M. Stroup ◽  
Adana A.M. Llanos ◽  
Denalee O’Malley ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
New Jersey ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Hispanic White

scholarly journals Elucidating mechanisms of quality‐of‐life disparities in Hispanic women with breast cancer: An examination of disease stage, coping, and affect

2020 ◽  
Author(s):  
Molly E. Ream ◽  
Mollie S. Pester ◽  
Zachary T. Goodman ◽  
Sierra A. Bainter ◽  
Michael H. Antoni
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Hispanic Women ◽  
Disease Stage
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