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Impact of diagnosis and treatment of clinically localized prostate cancer on health-related quality of life for older Americans: a population-based study.

Publication ,  Journal Article
Reeve, BB; Stover, AM; Jensen, RE; Chen, RC; Taylor, KL; Clauser, SB; Collins, SP; Potosky, AL
Published in: Cancer
November 15, 2012

BACKGROUND: Few studies have measured longitudinal changes in health-related quality of life (HRQOL) among patients with prostate cancer starting before their cancer diagnosis or have provided simultaneous comparisons with a matched noncancer cohort. In the current study, the authors addressed these gaps by providing unique estimates of the effects of a cancer diagnosis on HRQOL accounting for the confounding effects of ageing and comorbidity. METHODS: Data from the Surveillance, Epidemiology, and End Results registry were linked with Medicare Health Outcomes Survey (MHOS) data. Eligible patients (n = 445) were Medicare beneficiaries aged ≥65 years from 1998 to 2003 whose first prostate cancer diagnosis occurred between their baseline and follow-up MHOS. By using propensity score matching, 2225 participants without cancer were identified from the MHOS data. Analysis of covariance models were used to estimate changes in HRQOL as assessed with the Medical Outcomes Study Short Form-36 survey and the activities of daily living scale. RESULTS: Before diagnosis, patients with prostate cancer reported HRQOL similar to that of men without cancer. After diagnosis, men with prostate cancer experienced significant decrements in physical, mental, and social aspects of their lives relative to controls, especially within the first 6 months after diagnosis. For men who were surveyed beyond 1 year after diagnosis, HRQOL was similar to that for controls. However, an increased risk for major depressive disorder was observed among men who received either conservative management or external beam radiation. CONCLUSIONS: The current findings illustrated the time-sensitive nature of decline in HRQOL after a cancer diagnosis and enhanced understanding of the impact of prostate cancer diagnosis and treatment on physical, mental, and social well being among older men.

Duke Scholars

Published In

Cancer

DOI

EISSN

1097-0142

Publication Date

November 15, 2012

Volume

118

Issue

22

Start / End Page

5679 / 5687

Location

United States

Related Subject Headings

  • SEER Program
  • Quality of Life
  • Prostatic Neoplasms
  • Prostatectomy
  • Oncology & Carcinogenesis
  • Male
  • Humans
  • Health Status
  • Depressive Disorder, Major
  • Aged, 80 and over
 

Citation

APA
Chicago
ICMJE
MLA
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Reeve, B. B., Stover, A. M., Jensen, R. E., Chen, R. C., Taylor, K. L., Clauser, S. B., … Potosky, A. L. (2012). Impact of diagnosis and treatment of clinically localized prostate cancer on health-related quality of life for older Americans: a population-based study. Cancer, 118(22), 5679–5687. https://doi.org/10.1002/cncr.27578
Reeve, Bryce B., Angela M. Stover, Roxanne E. Jensen, Ronald C. Chen, Kathryn L. Taylor, Steven B. Clauser, Sean P. Collins, and Arnold L. Potosky. “Impact of diagnosis and treatment of clinically localized prostate cancer on health-related quality of life for older Americans: a population-based study.Cancer 118, no. 22 (November 15, 2012): 5679–87. https://doi.org/10.1002/cncr.27578.
Reeve BB, Stover AM, Jensen RE, Chen RC, Taylor KL, Clauser SB, et al. Impact of diagnosis and treatment of clinically localized prostate cancer on health-related quality of life for older Americans: a population-based study. Cancer. 2012 Nov 15;118(22):5679–87.
Reeve, Bryce B., et al. “Impact of diagnosis and treatment of clinically localized prostate cancer on health-related quality of life for older Americans: a population-based study.Cancer, vol. 118, no. 22, Nov. 2012, pp. 5679–87. Pubmed, doi:10.1002/cncr.27578.
Reeve BB, Stover AM, Jensen RE, Chen RC, Taylor KL, Clauser SB, Collins SP, Potosky AL. Impact of diagnosis and treatment of clinically localized prostate cancer on health-related quality of life for older Americans: a population-based study. Cancer. 2012 Nov 15;118(22):5679–5687.
Journal cover image

Published In

Cancer

DOI

EISSN

1097-0142

Publication Date

November 15, 2012

Volume

118

Issue

22

Start / End Page

5679 / 5687

Location

United States

Related Subject Headings

  • SEER Program
  • Quality of Life
  • Prostatic Neoplasms
  • Prostatectomy
  • Oncology & Carcinogenesis
  • Male
  • Humans
  • Health Status
  • Depressive Disorder, Major
  • Aged, 80 and over