Quality of life in women with early-stage and metastatic hormone receptor-positive, HER2-negative breast cancer receiving endocrine therapy.
Oncologist
; 29(10): 842-849, 2024 Oct 03.
Article
en En
| MEDLINE
| ID: mdl-38906704
ABSTRACT
INTRODUCTION:
Early discontinuation of endocrine therapy (ET) is higher among patients with early breast cancer (EBC) compared to patients with metastatic hormone receptor-positive (HR+) breast cancer (MBC). In our clinical experience the reasons for this may include a significant burden of ET side effects impacting quality of life (QOL) in patients with EBC. We hypothesized that QOL is lower in patients with HRâ +â EBC compared to patients with HRâ +â MBC on ET.METHODS:
We conducted a cross-sectional observational study to assess QOL utilizing FACT-ES & EORTC QLQ C30 tools among patients with EBC and MBC receiving ET across 5 Irish hospitals.RESULTS:
A total of 417 patients were enrolled-EBC (79% nâ =â 331) and MBC 21% (nâ =â 86). Using the FACT-ES, we found no difference in overall QOL by stage (139.2 vs 141, P â =â .33). Patients with HRâ +â MBC had a lower symptom burden from ET compared to HRâ +â EBC (61.4 vs 54, Pâ <â .01). In adjusted multivariate linear regression models, there was no difference in QOL for patients with EBC and MBC receiving ET.CONCLUSIONS:
There was no significant difference in overall QOL for patients with EBC and MBC. However, patients with EBC experienced more endocrine symptoms. In adjusted multivariate linear regression models, the stage did not predict QOL. Our results suggest that endocrine symptoms are significant contributors to impaired QOL for patients with EBC but the role of other determinants of QOL (eg, stage) is less clear. Future work could include the development of stage-specific QOL tools and utilization of electronic patient-reported outcomes (ePROs) to identify and manage emergent toxicities.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Calidad de Vida
/
Neoplasias de la Mama
/
Receptor ErbB-2
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Oncologist
Asunto de la revista:
NEOPLASIAS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Irlanda