Abstract
Purpose
Since long-term survivorship is now a reality for an increasingly number of people with a history of cancer, understanding their quality of life (QoL) can inform health care policy as well as help supporting individual patients. This study was aimed to quantify QoL of this specific population in comparison with data provided for both the general population and cancer patients and to assess QoL association with several sociodemographic, clinical, and psychological variables.
Methods
Three hundred fourteen Italian long-term cancer survivors (people who have been free from cancer and cancer treatments for at least 5 years) completed a battery of questionnaires including the SF12 for QoL assessment.
Results
Both physical and mental functioning were higher than those among Italian cancer patients but lower than those of the Italian general population (p < .001). Poorer QoL (physical and mental functioning) was associated more often with psychological conditions (as anxiety and depression) than with sociodemographic and cancer-related variables.
Conclusions
These data support an ongoing specific interest in the QoL of long-term cancer survivors and suggest the need for further study of multidimensional functioning in this population.
Similar content being viewed by others
References
AIRTUM Working Group (2010) I tumori in Italia - Rapporto 2010 La prevalenza dei tumori in Italia. Persone che convivono con un tumore, lungosopravviventi e guariti. Italian cancer figures, report 2010: Cancer prevalence in Italy. Patients living with cancer, long-term survivors and cured patients. Epidemiol Prev 34:1–188
AIRTUM Working Group (2011). I tumori in Italia - Rapporto AIRTUM 2011. La sopravvivenza dei pazienti oncologici in Italia. Italian cancer figures, report (2011) Survival of cancer patients in Italy. Epidemiol Prev 35:1–200
Bloom JR, Petersen DM, Kang SH (2007) Multi-dimensional quality of life among long-term (5+ years) adult cancer survivors. Psyc-Oncol 16:691–706
Stein KD, Syrjala KL, Andrykowski MA (2008) Physical and psychological long-term and late effects of cancer. Cancer 112(11 suppl):2577–2592
Foster C, Wright D, Hill H, Hopkinson J, Roffe L (2009) Psychosocial implications of living 5 years or more following a cancer diagnosis: a systematic review of the research evidence. Eur J Cancer Care (Engl) 18:223–247
Annunziata MA, Muzzatti B, Bianchet K et al (2009) Sopravvivere al cancro: una rassegna sulla qualità di vita nella cancer survivorship. Psicologia della Salute 10:55–71
Harrington CB, Hansen JA, Moskowitz M, Todd BL, Feuerstein M (2010) It’s not over when it’s over: long-term symptoms in cancer survivors—a systematic review. Int J Psychiatry Med 40:163–181
Romito F, Cormio C, Giotta F, Colucci G, Mattioli V (2012) Quality of life, fatigue and depression in Italian long-term breast cancer survivors. Support Care Cancer 20:2941–2948
Santin O, Mills M, Treanor C, Donnelly M (2012) A comparative analysis of the health and well-being of cancer survivors to the general population. Support Care Cancer 20:2545–2552
Mosconi P, Apolone G, Barni S, Secondino S, Sbanotto S, Filiberti A (2001) Quality of life in breast and colon cancer long-term survivors: an assessment with the EORTC QLQ-C30 and SF-36 questionnaires. Tumori 88:110–116
Helgeson VS, Tomich PL (2005) Surviving cancer: a comparison of 5-year disease-free BCS with healthy women. Psycho-Oncol 14:307–317
Feuerstein M (2007) Defining cancer survivorship. J Cancer Surviv 1:5–7
Annunziata MA, Muzzatti B, Giovannini L et al (2010) Defining cancer survivorship: clinical and research implications. Psycho-Oncol 19(s2):226–227
Muzzatti B, Annunziata MA (2014) La lungosopravvivenza oncologica: una riflessione sui termini e sui significati. In: Annunziata MA, Muzzatti B (eds) La qualità di vita dopo il cancro. Aggiornamenti teorici e strumenti di intervento nella lungosopravvivenza oncologica. Il Pensiero Scientifico, Roma, pp 3–11
Ware J Jr, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233
Spielberger CD (1983) State-trait anxiety inventory (form Y). Mind Garden, Palo Alto
Zung WWK (1965) Self-reporting depression scale. Arch Gen Psychiatr 12:63–70
Zimet GD, Powell SS, Farley GK (1990) Psychometric characteristics of the multidimensional scale of perceived social support. J Pers Assess 55:610–617
Apolone G, Mosconi P, Quattrociocchi L, Gianicolo E, Groth N, Ware J (2001) Questionario sullo stato di salute SF-12 versione italiana. Istituto di ricerche farmacologiche Mario Negri, Milano
WareJE KM, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233
Spielberger CD (1989). S.T.A.I. (State-Trait-Anxiety Inventory). Inventario per l'ansia di stato e di tratto. Forma Y. Firenze: Organizzazioni Speciali
Innamorati M, Lelli M, Aiello S, Lorenzo D, del Casale FL, Russo S, Ferrari V (2006) Validazione convergente e discriminante della versione italiana della Zung Self-Rating Depression Scale. Psicoterapia Cognitiva e Comportamentale 12:343–353
Prezza M, Principato MC (2002) La rete sociale e il sostegno sociale. In: Prezza M, Santinello M (eds) Conoscere la comunità; l’analisi degli ambienti di vita quotidiana. Il Mulino, Bologna
Le Borgne G, Mercier M, Woronoff AS et al (2013) Quality of life in long-term cervical cancer survivors: a population-based study. Gynecol Oncol 129:222–228
Cohen S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357
Arora NK, Finney Rutten LJ, Gustafson DH, Moser R, Hawkins RP (2007) Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncol 16:474–486
Irwin MR (2013) Depression and insomnia in cancer: prevalence, risk factors, and effects on cancer outcomes. Cur Psychiat Rep 15:404
Annunziata MA, Muzzatti B, Bidoli E, Veronesi A (2012) Emotional distress and needs in Italian cancer patients: prevalence and associations with socio-demographic and clinical factors. Tumori 98:132–138
Boyes AW, Girgis A, Zucca AC, Lecathelinais C (2009) Anxiety and depression among long-term survivors of cancer in Australia: results of a population-based survey. MJA 190:S94–S98
Acknowledgments
This work was supported by Italian Ministry of Health: RF Ordinary 2006 “Medical and Psycho-Social Rehabilitation Program for Long-Term Cancer Survivors” and RF Ordinary 2009 “Cancer Survivorship: a new paradigm of care. The authors wish to thank Ms Anna Vallerugo, MA, for her writing assistance.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Annunziata, M.A., Muzzatti, B., Giovannini, L. et al. Is long-term cancer survivors’ quality of life comparable to that of the general population? An italian study. Support Care Cancer 23, 2663–2668 (2015). https://doi.org/10.1007/s00520-015-2628-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00520-015-2628-6