The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa)
Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and...
Ausführliche Beschreibung
Autor*in: |
Martin Eichler [verfasserIn] Leopold Hentschel [verfasserIn] Stephan Richter [verfasserIn] Peter Hohenberger [verfasserIn] Bernd Kasper [verfasserIn] Dimosthenis Andreou [verfasserIn] Daniel Pink [verfasserIn] Jens Jakob [verfasserIn] Susanne Singer [verfasserIn] Robert Grützmann [verfasserIn] Stephen Fung [verfasserIn] Eva Wardelmann [verfasserIn] Karin Arndt [verfasserIn] Vitali Heidt [verfasserIn] Christine Hofbauer [verfasserIn] Marius Fried [verfasserIn] Verena I. Gaidzik [verfasserIn] Karl Verpoort [verfasserIn] Marit Ahrens [verfasserIn] Jürgen Weitz [verfasserIn] Klaus-Dieter Schaser [verfasserIn] Martin Bornhäuser [verfasserIn] Jochen Schmitt [verfasserIn] Markus K. Schuler [verfasserIn] the PROSa Study Group [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Übergeordnetes Werk: |
In: Cancers - MDPI AG, 2010, 12(2020), 12, p 3590 |
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Übergeordnetes Werk: |
volume:12 ; year:2020 ; number:12, p 3590 |
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DOI / URN: |
10.3390/cancers12123590 |
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Katalog-ID: |
DOAJ05249196X |
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520 | |a Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. | ||
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10.3390/cancers12123590 doi (DE-627)DOAJ05249196X (DE-599)DOAJa59ce5ebf17a4c31a8d63aa67e4aa63e DE-627 ger DE-627 rakwb eng RC254-282 Martin Eichler verfasserin aut The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa) 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. sarcoma health-related quality of life rare disease observational study clinically important restrictions and symptoms Neoplasms. Tumors. Oncology. Including cancer and carcinogens Leopold Hentschel verfasserin aut Stephan Richter verfasserin aut Peter Hohenberger verfasserin aut Bernd Kasper verfasserin aut Dimosthenis Andreou verfasserin aut Daniel Pink verfasserin aut Jens Jakob verfasserin aut Susanne Singer verfasserin aut Robert Grützmann verfasserin aut Stephen Fung verfasserin aut Eva Wardelmann verfasserin aut Karin Arndt verfasserin aut Vitali Heidt verfasserin aut Christine Hofbauer verfasserin aut Marius Fried verfasserin aut Verena I. Gaidzik verfasserin aut Karl Verpoort verfasserin aut Marit Ahrens verfasserin aut Jürgen Weitz verfasserin aut Klaus-Dieter Schaser verfasserin aut Martin Bornhäuser verfasserin aut Jochen Schmitt verfasserin aut Markus K. Schuler verfasserin aut the PROSa Study Group verfasserin aut In Cancers MDPI AG, 2010 12(2020), 12, p 3590 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:12 year:2020 number:12, p 3590 https://doi.org/10.3390/cancers12123590 kostenfrei https://doaj.org/article/a59ce5ebf17a4c31a8d63aa67e4aa63e kostenfrei https://www.mdpi.com/2072-6694/12/12/3590 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2020 12, p 3590 |
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10.3390/cancers12123590 doi (DE-627)DOAJ05249196X (DE-599)DOAJa59ce5ebf17a4c31a8d63aa67e4aa63e DE-627 ger DE-627 rakwb eng RC254-282 Martin Eichler verfasserin aut The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa) 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. sarcoma health-related quality of life rare disease observational study clinically important restrictions and symptoms Neoplasms. Tumors. Oncology. Including cancer and carcinogens Leopold Hentschel verfasserin aut Stephan Richter verfasserin aut Peter Hohenberger verfasserin aut Bernd Kasper verfasserin aut Dimosthenis Andreou verfasserin aut Daniel Pink verfasserin aut Jens Jakob verfasserin aut Susanne Singer verfasserin aut Robert Grützmann verfasserin aut Stephen Fung verfasserin aut Eva Wardelmann verfasserin aut Karin Arndt verfasserin aut Vitali Heidt verfasserin aut Christine Hofbauer verfasserin aut Marius Fried verfasserin aut Verena I. Gaidzik verfasserin aut Karl Verpoort verfasserin aut Marit Ahrens verfasserin aut Jürgen Weitz verfasserin aut Klaus-Dieter Schaser verfasserin aut Martin Bornhäuser verfasserin aut Jochen Schmitt verfasserin aut Markus K. Schuler verfasserin aut the PROSa Study Group verfasserin aut In Cancers MDPI AG, 2010 12(2020), 12, p 3590 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:12 year:2020 number:12, p 3590 https://doi.org/10.3390/cancers12123590 kostenfrei https://doaj.org/article/a59ce5ebf17a4c31a8d63aa67e4aa63e kostenfrei https://www.mdpi.com/2072-6694/12/12/3590 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2020 12, p 3590 |
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10.3390/cancers12123590 doi (DE-627)DOAJ05249196X (DE-599)DOAJa59ce5ebf17a4c31a8d63aa67e4aa63e DE-627 ger DE-627 rakwb eng RC254-282 Martin Eichler verfasserin aut The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa) 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. sarcoma health-related quality of life rare disease observational study clinically important restrictions and symptoms Neoplasms. Tumors. Oncology. Including cancer and carcinogens Leopold Hentschel verfasserin aut Stephan Richter verfasserin aut Peter Hohenberger verfasserin aut Bernd Kasper verfasserin aut Dimosthenis Andreou verfasserin aut Daniel Pink verfasserin aut Jens Jakob verfasserin aut Susanne Singer verfasserin aut Robert Grützmann verfasserin aut Stephen Fung verfasserin aut Eva Wardelmann verfasserin aut Karin Arndt verfasserin aut Vitali Heidt verfasserin aut Christine Hofbauer verfasserin aut Marius Fried verfasserin aut Verena I. Gaidzik verfasserin aut Karl Verpoort verfasserin aut Marit Ahrens verfasserin aut Jürgen Weitz verfasserin aut Klaus-Dieter Schaser verfasserin aut Martin Bornhäuser verfasserin aut Jochen Schmitt verfasserin aut Markus K. Schuler verfasserin aut the PROSa Study Group verfasserin aut In Cancers MDPI AG, 2010 12(2020), 12, p 3590 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:12 year:2020 number:12, p 3590 https://doi.org/10.3390/cancers12123590 kostenfrei https://doaj.org/article/a59ce5ebf17a4c31a8d63aa67e4aa63e kostenfrei https://www.mdpi.com/2072-6694/12/12/3590 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2020 12, p 3590 |
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10.3390/cancers12123590 doi (DE-627)DOAJ05249196X (DE-599)DOAJa59ce5ebf17a4c31a8d63aa67e4aa63e DE-627 ger DE-627 rakwb eng RC254-282 Martin Eichler verfasserin aut The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa) 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. sarcoma health-related quality of life rare disease observational study clinically important restrictions and symptoms Neoplasms. Tumors. Oncology. Including cancer and carcinogens Leopold Hentschel verfasserin aut Stephan Richter verfasserin aut Peter Hohenberger verfasserin aut Bernd Kasper verfasserin aut Dimosthenis Andreou verfasserin aut Daniel Pink verfasserin aut Jens Jakob verfasserin aut Susanne Singer verfasserin aut Robert Grützmann verfasserin aut Stephen Fung verfasserin aut Eva Wardelmann verfasserin aut Karin Arndt verfasserin aut Vitali Heidt verfasserin aut Christine Hofbauer verfasserin aut Marius Fried verfasserin aut Verena I. Gaidzik verfasserin aut Karl Verpoort verfasserin aut Marit Ahrens verfasserin aut Jürgen Weitz verfasserin aut Klaus-Dieter Schaser verfasserin aut Martin Bornhäuser verfasserin aut Jochen Schmitt verfasserin aut Markus K. Schuler verfasserin aut the PROSa Study Group verfasserin aut In Cancers MDPI AG, 2010 12(2020), 12, p 3590 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:12 year:2020 number:12, p 3590 https://doi.org/10.3390/cancers12123590 kostenfrei https://doaj.org/article/a59ce5ebf17a4c31a8d63aa67e4aa63e kostenfrei https://www.mdpi.com/2072-6694/12/12/3590 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2020 12, p 3590 |
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Martin Eichler @@aut@@ Leopold Hentschel @@aut@@ Stephan Richter @@aut@@ Peter Hohenberger @@aut@@ Bernd Kasper @@aut@@ Dimosthenis Andreou @@aut@@ Daniel Pink @@aut@@ Jens Jakob @@aut@@ Susanne Singer @@aut@@ Robert Grützmann @@aut@@ Stephen Fung @@aut@@ Eva Wardelmann @@aut@@ Karin Arndt @@aut@@ Vitali Heidt @@aut@@ Christine Hofbauer @@aut@@ Marius Fried @@aut@@ Verena I. Gaidzik @@aut@@ Karl Verpoort @@aut@@ Marit Ahrens @@aut@@ Jürgen Weitz @@aut@@ Klaus-Dieter Schaser @@aut@@ Martin Bornhäuser @@aut@@ Jochen Schmitt @@aut@@ Markus K. Schuler @@aut@@ the PROSa Study Group @@aut@@ |
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RC254-282 The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa) sarcoma health-related quality of life rare disease observational study clinically important restrictions and symptoms |
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The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa) |
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Martin Eichler Leopold Hentschel Stephan Richter Peter Hohenberger Bernd Kasper Dimosthenis Andreou Daniel Pink Jens Jakob Susanne Singer Robert Grützmann Stephen Fung Eva Wardelmann Karin Arndt Vitali Heidt Christine Hofbauer Marius Fried Verena I. Gaidzik Karl Verpoort Marit Ahrens Jürgen Weitz Klaus-Dieter Schaser Martin Bornhäuser Jochen Schmitt Markus K. Schuler the PROSa Study Group |
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health-related quality of life of sarcoma patients and survivors in germany—cross-sectional results of a nationwide observational study (prosa) |
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The Health-Related Quality of Life of Sarcoma Patients and Survivors in Germany—Cross-Sectional Results of a Nationwide Observational Study (PROSa) |
abstract |
Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. |
abstractGer |
Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. |
abstract_unstemmed |
Sarcomas are rare cancers with high heterogeneity in terms of type, location, and treatment. The health-related quality of life (HRQoL) of sarcoma patients has rarely been investigated and is the subject of this analysis. Adult sarcoma patients and survivors were assessed between September 2017 and February 2019 in 39 study centers in Germany using standardized, validated questionnaires (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Associated factors were analyzed exploratively using multivariable linear regressions. Among 1113 patients, clinically important limitations and symptoms were most pronounced in emotional (63%, 95% CI 60–66%), physical (60%, 95% CI 57–62%), role functioning (51%, 95% CI 48–54%), and pain (56%, 95% CI 53–59%) and fatigue (51%, 95% CI 48–54%). HRQoL differed between tumor locations with lower extremities performing the worst and sarcoma types with bone sarcoma types being most affected. Additionally, female gender, higher age, lower socioeconomic status, recurrent disease, not being in retirement, comorbidities, and being in treatment were associated with lower HRQoL. Sarcoma patients are severely restricted in their HRQoL, especially in functioning scales. The heterogeneity of sarcomas with regard to type and location is reflected in HRQoL outcomes. During treatment and follow-up, close attention has to be paid to the reintegration of the patients into daily life as well as to their physical abilities and emotional distress. |
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