Abstract
Purpose: To better understand the impact of cancer and treatment on outcomes and guide program development, we evaluated breast cancer survivors at risk for long-term medical and psychosocial issues who participated in survivorship care visits (SVs) at Johns Hopkins Hospital. Methods: We conducted a prospective survey study of women with stage I-III breast cancer who participated in SVs from 2010–2016. The same 56-item questionnaire administered at SV and follow-up included an assessment of symptoms, social factors, demographics, anxiety, depression, and comorbidities. We added the Godin Exercise questionnaire to the follow-up. Results: In 2018, 74 participants were identified as disease-free and mailed a follow-up survey; 52 (70.3%) completed the survey. At a median follow-up time of 3.1 years after diagnosis, participants were less likely to be employed (54% vs. 67%) than at the SV. About two-thirds were sedentary, and this was associated with high body mass index (p = 0.02). Sufficiently active participants (≥ 150 min per week of moderate-intensity activity) were less likely to report pain (p = 0.02) or fatigue (p = 0.001). Although 19% had moderate/severe anxiety or depression at follow-up, participants who reported employment satisfaction were less likely to be depressed (p = 0.02). Conclusions: Awareness of issues faced by survivors is critical for enhancing care and developing models to identify patients who might benefit most from targeted long-term interventions. Implications for cancer survivors: Interventions to address physical activity, persistent symptoms, and mental health are critical for breast cancer survivors.
Original language | English (US) |
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Pages (from-to) | 1749-1757 |
Number of pages | 9 |
Journal | Supportive Care in Cancer |
Volume | 30 |
Issue number | 2 |
DOIs | |
State | Published - Feb 2022 |
Keywords
- Breast cancer
- Mental health
- Obesity
- Patient-reported outcomes
- Physical activity
ASJC Scopus subject areas
- Oncology