Abstract
The aim of this study was to compare the differences between the level of whole quality of life and its subscales after receiving two common treatment of breast cancer in women with early stage of breast cancer. A double-blinded cohort study was done in 100 breast cancer patients with node positive that used fluorouracil, doxorubicin, cyclophosphamide (FAC) and docetaxel, doxorubicin and cyclophosphamide (TAC) regimen as adjuvant therapy. Patients were followed for 4 months since the end of chemotherapy. Health-related quality of life was assessed using questionnaire (QLQ-C30) from European Organization for Research and Treatment of Cancer (EORTC). Independent t-test analysis was used at the significant level of 0.05 for analyzing the results. The mean of age was 48.49 ± 10.63 in these patients. QoL scores were 64 and 68 in TAC and FAC groups, respectively (P < 0.001). After 4 months, patients in TAC and FAC groups experienced 11.45 and 7.14 units of improvement in QoL scores, respectively (P = 0.02). Although, TAC had a more negative impact on QoL during chemotherapy, it created a higher improvement than FAC during 4 months since the end of treatment. These effects on quality of life should be considered in making decision for providing and financing cancer treatments in Iran.
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Gordon L, Battistutta D, Scuffham P, Tweeddale M, Newman B. The impact of rehabilitation support services on health related quality of life for women with breast cancer. Breast Cancer Res Treat. 2005;93(3):217–26.
Cella D, Tulsky DS. Measuring quality of life today: methodological aspects. Oncology. 1990;5:29–38.
Apolone G, Filibert A, Cifani S, Ruggiate R, Mosconi P. Evaluation of the EORTCQLQ-C30 questionnaire : a comparison with SF-36 health survey in a cohort of Italian long survival cancer patients. Ann Oncol. 1998;9:549–57.
Montazeri M, Vahdaninia A, Harirchi I, Ebrahimi M, Khaleghi F, Jarvandi S. Quality of life in patients with breast cancer before and after diagnosis: an 18 months follow up study. BMC Cancer. 2008;8:330–6.
Abachi Zade K, Tabatabai SM, Khayam Zade M, Akbari MS. Comparing different types of cancers in Iran with EMRO and the world. Drug Treat. 2008;66:40–3. (in Persian).
Stewart BW, Paul Kleihues P World cancer report. Lyon, France, International agency research on cancer. 2003.
Disipio T, Hayes S, Newman B, Janda M. Health related quality of life 18 months after breast cancer: comparison with the general population of Queensland, Australia. Support Care Cancer. 2008;16(10):1141–50.
Hatam N, Ahmadloo N, Ahmad Kiadaliri A, Bastani P, Askarian M Quality of life and toxicity in breast cancer patients using adjuvant TAC (docetaxel, doxorubicin, cyclophosphamide) in comparison with FAC (doxorubicin, cyclophosphamide, 5 fluorouracil). Arch Gynecol Obstet. doi: 10.1007/s00404-010-1609-8.
SangGyu L, Young Geon J, Hyun chul Ch, Sung Bae K. Cost-effectiveness analysis of adjuvant therapy for node-positive breast cancer in Korea. Breast Cancer Res Treat. 2009;114(3):589–96.
Martin M, Pienkowski T, Mackey J, Pawlicki M, Guastalla JP, Weaver C, et al. Adjuvant docetaxel for node-positive breast cancer. N Engl J Med. 2005;352:2302–13.
Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The European organization for research & treatment of cancer quality of life questionnaire (EORTC QLQ-C30) : translation & validation study of the Iranian version. Support Care Cancer. 1999;7:400–6.
Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The EORTC breast cancer-specific quality of life questionnaire (EORTC- BR23): translation & validation study of the Iranian version. Qual Life Res. 2000;9(2):177–84.
http://www.eortc.be/home/qol/downloads/f/scmanualQLQ-C30.pdf.
StataCorp. Stata statistical software 10. StataCorp, College Station, TX (Computer program).
Larsson J, Sandelin K, Forsberg C. Health related quality of life and healthcare experiences in breast cancer patients in a study of Swedish women. Cancer Nurs. 2010;33(2):164–70.
Elder EE, Brandberg Y, Bjorklund T, Rylander R, Lagergren J, Jurell G. Quality of life and patient satisfaction in breast cancer patients after immediate breast reconstruction: a prospective study. Breast. 2005;14(3):201–8.
Fairclough DL, Fetting JH, Cella D, Wonson W, Moinpour CM. Quality of life and Quality adjusted survival for breast cancer patients receiving adjuvant therapy. Eastern Cooperative Oncology Group (ECOG). Qual Life Res. 1999;8(8):723–31.
Martin M, Lluch A, Segui M, Anton A, Fernandez-Chacon C, et al. Toxicity and health-related quality of life in node-negative breast cancer patients receiving adjuvant treatment with TAC or FAC: impact of adding prophylactic growth factors to TAC. J Clin Oncol. 2005;23(16s):604.
Schnipper HH. Life after breast cancer. J Clin Oncol. 2001;19(15):3581–4.
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Authors would like to thank all the patients who participated in our study and all the staff of Radiotherapy center in Namazi hospital, Shiraz, Iran. Some part of this study was funded by Shiraz University of Medical Sciences.
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Bastani, P., Ahmad Kiadaliri, A. Health-related quality of life after chemotherapy cycle in breast cancer in Iran. Med Oncol 28 (Suppl 1), 70–74 (2011). https://doi.org/10.1007/s12032-010-9714-x
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DOI: https://doi.org/10.1007/s12032-010-9714-x