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  • Distinct financial distress profiles in patients with breast cancer prior to and for 12 months following surgery

    Author(s)
    Chan, Raymond
    Cooper, Bruce
    Paul, Steven
    Conley, Yvette
    Kober, Kord
    Koczwara, Bogda
    Chan, Alexandre
    Tan, Chia Jie
    Gordon, Louisa
    Thomy, Lebogang
    Levine, Jon
    Miaskowski, Christine
    Griffith University Author(s)
    Chan, Ray
    Year published
    2020
    Metadata
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    Abstract
    BACKGROUND: Study purposes were to identify subgroups of patients with breast cancer with distinct self-reported financial distress (FD) profiles and determine which demographic, clinical and symptom characteristics, as well as quality of life (QOL) outcomes were associated with subgroup membership. METHODS: Patients (n=391) who were assessed for changes in FD a total of 10 times from prior to through 12 months after breast cancer surgery. Latent profile analysis was used to identify subgroups of patients with distinct FD profiles. RESULTS: Three distinct FD profiles (ie, None (14.6%), Low (52.7%), High (32.7%)) were identified. ...
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    BACKGROUND: Study purposes were to identify subgroups of patients with breast cancer with distinct self-reported financial distress (FD) profiles and determine which demographic, clinical and symptom characteristics, as well as quality of life (QOL) outcomes were associated with subgroup membership. METHODS: Patients (n=391) who were assessed for changes in FD a total of 10 times from prior to through 12 months after breast cancer surgery. Latent profile analysis was used to identify subgroups of patients with distinct FD profiles. RESULTS: Three distinct FD profiles (ie, None (14.6%), Low (52.7%), High (32.7%)) were identified. Compared with None and/or Low subgroups, patients in the High subgroup were more likely to report a lower annual household income and performance status; had a higher body mass index, axillary lymph node dissection and more advanced stage disease; had a longer time from cancer diagnosis to surgery; and had received neoadjuvant or adjuvant chemotherapy. In addition, patients in the High subgroup reported higher fatigue, sleep disturbance, state/trait anxiety, depressive symptom scores, and lower attentional function and QOL scores. CONCLUSION: This study provides new insights on risk factors for and evidence of a higher symptom burden associated with FD. Findings from this study provide clinicians with information on how to identify high-risk patients and to recommend appropriate interventions for both symptom management and FD. Additional research on the mechanisms that underlie the relationships among FD and common physical and psychological symptoms may inform future interventions.
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    Journal Title
    BMJ Support Palliat Care
    DOI
    https://doi.org/10.1136/bmjspcare-2020-002461
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Sociology
    Health Economics
    Nursing
    Public Health and Health Services
    breast
    symptoms and symptom management
    Publication URI
    http://hdl.handle.net/10072/397788
    Collection
    • Journal articles

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