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19.05.2022

Utility values and its time to deterioration in breast cancer patients after diagnosis and during treatments

verfasst von: Rana El Haidari, Amelie Anota, Tienhan S. Dabakuyo-Yonli, Francis Guillemin, Thierry Conroy, Michel Velten, Damien Jolly, Sylvain Causeret, Jean Cuisenier, Olivier Graesslin, Linda Abou Abbas, Virginie Nerich

Erschienen in: Quality of Life Research | Ausgabe 10/2022

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Abstract

Background

The potential effects of breast cancer (BC) on health-related quality of life (HRQoL) should be considered in clinical and policy decision-making, as the economic burden of BC management is currently assessed. In the last decades, time-to-HRQoL score deterioration (TTD) has been proposed as an approach to the analysis of longitudinal HRQoL in oncology. The main objectives of the current study were to investigate the evolution of the utility values in BC patients after diagnosis and during follow-ups and to evaluate the TTD in utility values among women in all stages of BC.

Methods

Health-state utility values (HSUV) were assessed using the EuroQol 5-Dimension 3-Level at diagnosis, at the end of the first hospitalization and 3 and 6 months after the first hospitalization. For a given baseline score, HSUV was considered to have deteriorated if this score decreased by ≥ 0.08 points of the EQ-5D utility index score and ≥ 7 points of the EQ visual analogue scale. TTD curves were calculated using the Kaplan–Meier estimation method.

Results

Overall 381 patients were enrolled between February 2006 and February 2008. The highest proportions of respondents at the baseline and all follow-ups reporting some and extreme problems were in pain discomfort and anxiety/depression dimensions; more than 80% of patients experienced a deterioration in EQ-5D utility index score and EQ VAS score with a median TTD of 3.15 months and 6.24 Months, respectively.

Conclusions

BC patients undergoing therapy need psychological support to cope with their discomfort, pain, depression, anxiety, and fear during the process of diagnosis and treatment to improve their QoL.

Vorheriger Artikel The prototype of a preference-based index of weight-related quality of life: demonstrating the possibilities

Nächster Artikel Correction to: Time trade‑off with someone to live for: impact of having significant others on time trade‑off valuations of hypothetical health states

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Titel: Utility values and its time to deterioration in breast cancer patients after diagnosis and during treatments
verfasst von: Rana El Haidari
Amelie Anota
Tienhan S. Dabakuyo-Yonli
Francis Guillemin
Thierry Conroy
Michel Velten
Damien Jolly
Sylvain Causeret
Jean Cuisenier
Olivier Graesslin
Linda Abou Abbas
Virginie Nerich
Publikationsdatum: 19.05.2022
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 10/2022
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03157-4

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Abstract

Background

Methods

Results

Conclusions

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