Skip to main content

Advertisement

Log in

The OVIS study: health related quality of life measured by the EORTC QLQ-C30 and -BR23 in German female patients with breast cancer from Schleswig-Holstein

  • Original Paper
  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

The OVIS study is a population-based study that aims at evaluating medical care in Schleswig-Holstein (Germany). In this paper, the health related quality of life (QoL, EORTC QLQ-C30 and -BR23) of 1,927 women with breast cancer is reported. The global health status/QoL score was comparable to reference data of the age-adjusted German general population, but clinical meaningful differences (≥ 10 points) were found for all functioning scales (with the exception of physical functioning) and for three of the symptom scales/items (fatigue, dyspnoe, insomnia) with OVIS patients showing more deficits. Furthermore, OVIS patients scored higher on the item financial difficulties. Logistic regression analyses revealed that coming from an urban surrounding, having a higher social status and attendance to a regular aftercare predicted a good overall QoL, while factors that were related to perceived complications in the course of the therapy raised the risk for a low QoL rating. It is of interest, that attendance to a rehabilitation and interest in self-help groups independently predicted an increased risk for a low quality of life. Overall, we assume the global QoL is rating slightly too optimistic since major deficits were reported on the specific physical and functional scales/items.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Aranda, S., Schofield, P., Weih, L., Yates, P., Milne, D., Faulkner, R., & Voudouris, N. (2005). Mapping the quality of life and unmet needs of urban women with metastatic breast cancer. European Journal of Cancer Care (England), 14, 211–222.

    Article  CAS  Google Scholar 

  2. Arndt, C., Merx, H., Stürmer, T., Stegmaier, C., Ziegler, H., & Brenner, H. (2004). Age-specific detriments to quality of life among breast cancer patients one year after diagnosis. European Journal of Cancer, 40, 673–680.

    Article  PubMed  CAS  Google Scholar 

  3. Bernhard, J., Huerny, C., Maybach, R., Herrmann, R., & Laffer, U. (1999). Quality of life as a subjective experience: Reframing of perception in patients with colon cancer undergoing radical resection with or without adjuvant chemotherapy. Swiss Group for Clinical cancer Research (SAKK). Annals of Oncol, 10, 775–782.

    Article  PubMed  CAS  Google Scholar 

  4. Bernhard, J., Lowy, A., Maibach, R., & Huerny, C. (2001). Response shift in the perception of health for utility evaluation. An explorative investigation. European Journal of Cancer, 37, 1729–1735.

    Article  PubMed  CAS  Google Scholar 

  5. Bottomley, A., Therasse, P., Piccart, M., Efficace, F., Coens, C., Gotay, C., Welnicka-Jaskiewicz, M., Mauriac, L., Dyczka, J., Cufer, T., Lichinitser, M. R., Schornagel, J. H., Bonnefoi, H., & Shepherd, L. (2005). European Organisation for Research and Treatment of Cancer Breast Cancer Group; National Cancer Institute of Canada; Swiss Group for Clinical Cancer Research. Health-related quality of life in survivors of locally advanced breast cancer: An international randomised controlled phase III trial. Lancet Oncology, 6, 287–294.

    Article  PubMed  Google Scholar 

  6. Cocquyt, V. F., Blondeel, P. N., Depypere, H. T., Van De Sijpe, K. A., Daems, K. K., Monstrey, S. J., & Van Belle, S. J. (2003). Better cosmetic results and comparable quality of life after skin-sparing mastectomy and immediate autologous breast reconstruction compared to breast conservative treatment. British Journal of Plastic Surgery, 56, 462–470.

    Article  PubMed  Google Scholar 

  7. Deck, R., Roeckelein, E. (1999). Zur Erhebung soziodemographischer und sozialmedizinischer Indikatoren in den rehabilitationswissenschaftlichen Forschungsverbünden. In Verband Deutscher Rentenversicherungsträger (Eds.), DRV-Schriften Band 16: Foerderschwerpunkt “Rehabilitationswissenschaften” Empfehlungen der Arbeitsgruppen “Generische Methoden”, “Routinedaten und Reha-OEkonomie”. Heusenstamm: Central-Druck Trost GmbH & Co., 84–96.

  8. Engel, J., Kerr, J., Schlesinger-Raab, A., Eckel, R., Sauer, H., & Hoelzel, D. (2003). Predictors of quality of life of breast cancer patients. Acta Oncologica, 42, 710–718.

    Article  PubMed  Google Scholar 

  9. Engel, J., Kerr, J., Schlesinger-Raab, A., Sauer, H., & Hoelzel, D. (2004). Quality of life following breast-conserving therapy or mastectomy: Results of a 5-year prospective study. The Breast Journal, 10, 223–231.

    Article  PubMed  Google Scholar 

  10. Fayers, P. M., Aaronson, N. K., Bjordal, K., Groenvold, M., Curran, D., & Bottomley, A. (2001). On behalf of the EORTC quality of life group. The EORTC QLQ-C30 scoring manual (3rd edn.). Brussels: European Organization for Research and Treatment of Cancer.

    Google Scholar 

  11. Ganz, P. A., Schag, A. C., Lee, J. J., Polinsky, M. L., & Tan, S. J. (1992). Breast conservation versus mastectomy. Is there a difference in psychological adjustment or quality of life in the year after surgery? Cancer, 69, 1729–1738.

    Article  PubMed  CAS  Google Scholar 

  12. Giersiepen, K., Heitmann, C., Janhsen K., & Lange, C. (2005). Gesundheitsberichterstattung des Bundes, Heft 25: Brustkrebs, Robert-Koch-Institut (Hrsg.); Berlin: Oktoberdruck.

  13. Gulbrandsen, N., Hjermstad, M. J., & Wisloff, F. (2004). For the Nordic Myeloma study Group: Interpretation of quality of life scores in multiple myeloma by comparison with a reference population and assessment of the clinical importance of score differences. European Journal of Haematology, 72, 172–180.

    Google Scholar 

  14. Hakamies-Blomquist, L., Louma, M. L., Sjoestroem, J., Pluzanska, A., Sjoedin, M., Mouridsen, H., Ostenstad, B., Mjaaland, I., Ottosson, S., Bergh, J., Malmstroem, P. O., & Blomquist, C. (2001). Timing of quality of life (QoL) assessments as a source of error in oncological trails. Journal of Advanced Nursing, 35, 709–716.

    Article  Google Scholar 

  15. Helgeson, V. S., & Tomich, P. L. (2005). Surviving cancer: A comparison of 5-year disease-free breast cancer survivors with healthy women. Psychooncology, 14, 307–317.

    Article  PubMed  Google Scholar 

  16. Hjermstad, M. J., Fayers, P. M., Bjordal, K., & Kaasa, S. (1998). Using reference data on quality of life—the importance of adjusting for age and gender, exemplified by the EORTC QLQ-C30 (+3). European Journal of Cancer, 34, 1381–1389.

    Article  PubMed  CAS  Google Scholar 

  17. Institut für Krebsepidemiologie e.V. Krebs in Schleswig-Holstein. Band 5: Inzidenz und Mortalität im Jahr 2003 [Institute for Cancer Epidemiology e.V. Cancer in Schleswig-Holstein. Volume 5: Incidence and mortality in the year 2003.] Lübeck: Schmidt-Roemhild 2005.

  18. Irvine, D., Brown, B., Crooks, D., Roberts, J., & Browne, G. (1991). Psychosocial adjustment in women with breast cancer. Cancer, 67, 1097–1117.

    Article  PubMed  CAS  Google Scholar 

  19. Janni, W., Rjosk, D., Dimpfl, T. H., Haertl, K., Strobl, B., Hepp, F., Hanke, A., Bergauer, F., & Sommer, H. (2001). Quality of life influenced by primary surgical treatment for stage I–III breast cancer-long-term follow-up of a matched-pair analysis. Annals of surgical oncology, 8, 542–548.

    PubMed  CAS  Google Scholar 

  20. Joly, F., Espie, M., Marty, M., Heron, J. F., & Henry-Amar, M. (2000). Long-term quality of life in premenopausal women with node-negative localized breast cancer treated with or without adjuvant chemotherapy. British Journal of Cancer, 83, 577–582.

    Article  PubMed  CAS  Google Scholar 

  21. King, M. T., Kenny, P., Shiell, A., Hall, J., & Boyages, J. (2000). Quality of life three months and one year after first treatment for early stage breast cancer: Influence of treatment and patient characteristics. Quality of Life Research, 9, 789–800.

    Article  PubMed  CAS  Google Scholar 

  22. Landesraumordnungsplan Schleswig-Holstein, (1998). Herausgegeben von der Ministerpräsidentin des Landes Schleswig-Holstein.

  23. Osoba, D., Rodrigues, G., Myles, J., Myles, J., Zee, B., & Pater, J. (1998). Interpreting the significance of changes in health-related quality of life scores. Journal of Clinical Oncology, 16, 139–144.

    CAS  Google Scholar 

  24. Pozo, C., Carver, C. S., Noriega, V., Harris, S. D., Robinson, D. S., Ketcham, A. S., Legaspi, A., Moffat, F. L. Jr., & Clark, K. C. (1992). Effects of mastectomy versus lumpectomy on emotional adjustment to breast cancer: A prospective study of the first year postsurgery. Journal of Clinical Oncology, 10, 1292–1298.

    PubMed  CAS  Google Scholar 

  25. Sauer, H., & Hoelzel, D. (1995). Mammakarzinom—Revision der Nachsorgeempfehlungen. Teil 2: Spezielle Aussagen zu Skelettszintigraphie, Roentgen-Thorax, Lebersonographie, Mammographie und Laboruntersuchungen. [Breast carcinoma—revision of follow-up recommendations. 2: Special diagnostic value of bone scintigraphy, thoracic radiography, liver ultrasonic, mammography and laboratory tests] Fortschr Med 113, 210–214.

  26. Schou, I., Ekeberg, O., Sandvik, L., Hjermstad, M. J., & Ruland, C. M. (2005). Multiple predictors of health-related quality of life in early stage breast cancer. Data from a year follow-up study compared with the general population. Quality Life Research, 14, 1813–1823.

    Article  PubMed  Google Scholar 

  27. Schwarz, R., & Hinz, A. (2001). Reference data for the quality of life questionnaire EORTC QLQ-C30 in the general German population. European Journal of Cancer, 37, 1345–1351.

    Article  PubMed  CAS  Google Scholar 

  28. Stead, M. L. (2003). Sexual dysfunction after treatment for gynaecologic and breast malignancies. Current Opinion in Obstetrics & Gynecology, 15, 57–61.

    Article  Google Scholar 

  29. Zieren, H. U., Jacobi, A., Zieren, J., & Müller, J. M. (1996). Lebensqualitäterfassung nach Resektion colorectaler Carcinome. Der Chirurg, 67, 703–709.

    CAS  Google Scholar 

Download references

Acknowledgements

We would like to thank the participating patients for their engagement and for sharing their cancer stories with us. And we would like to thank Carmen Bartel, Tatjana Burkhardt-Hammer and Betty Schmidtkunz for their collaboration. Furthermore we thank Birgit Templin for organisation of the study and thank Sebastian Bellin, Stefanie Bielenberg, Joerdis Dreckschmidt, Veronika Kleps, Thomas Naumann, Nina Ritterhoff and Carolin Roessler for data entry. Funding for the OVIS study was provided by the Deutsche Krebshilfe e.V.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. Waldmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Waldmann, A., Pritzkuleit, R., Raspe, H. et al. The OVIS study: health related quality of life measured by the EORTC QLQ-C30 and -BR23 in German female patients with breast cancer from Schleswig-Holstein. Qual Life Res 16, 767–776 (2007). https://doi.org/10.1007/s11136-006-9161-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-006-9161-5

Keywords

Navigation