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Prospective assessment of the quality of life before, during and after image guided intensity modulated radiotherapy for prostate cancer

Sveistrup, Joen ; Mortensen, Ole Steen ; Bjørner, Jakob B. ; Engelholm, Svend Aage ; Munck af Rosenschöld, Per LU orcid and Petersen, Peter Meidahl (2016) In Radiation Oncology 11(1).
Abstract

Background: Radiotherapy (RT) in combination with androgen deprivation therapy (ADT) for prostate cancer (PCa) carries a risk of gastrointestinal (GI) and genitourinary toxicity, which might affect the quality of life (QoL). The purpose of this study was to assess the QoL in patients with PCa before, during and after radiotherapy (RT) and to compare the QoL 1 year after RT to a normal population. Methods: The QoL was evaluated prospectively by the self-administered questionnaire SF-36 in 87 patients with PCa. The SF-36 was completed before RT (baseline), at start of RT, at end of RT and 1 year after RT. A mixed model analysis was used to determine the changes in QoL at each time point compared to baseline. The patients' QoL 1 year after... (More)

Background: Radiotherapy (RT) in combination with androgen deprivation therapy (ADT) for prostate cancer (PCa) carries a risk of gastrointestinal (GI) and genitourinary toxicity, which might affect the quality of life (QoL). The purpose of this study was to assess the QoL in patients with PCa before, during and after radiotherapy (RT) and to compare the QoL 1 year after RT to a normal population. Methods: The QoL was evaluated prospectively by the self-administered questionnaire SF-36 in 87 patients with PCa. The SF-36 was completed before RT (baseline), at start of RT, at end of RT and 1 year after RT. A mixed model analysis was used to determine the changes in QoL at each time point compared to baseline. The patients' QoL 1 year after RT was compared to a normal population consisting of 462 reference subjects matched on age and education. Results: One year after RT, patients reported significantly less pain and significantly fewer limitations due to their physical health compared to baseline. Compared to the normal population, patients reported significantly less pain 1 year after RT. However, patients also reported significantly less vitality, worse mental health as well as significantly more limitations due to physical and mental health 1 year after RT compared to the normal population. Conclusions: In this study, patients with PCa did not experience significant impairment in the QoL 1 year after RT compared to baseline. However, patients reported significantly worse mental health before, during and 1 year after RT compared to the normal population.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Prostate cancer, Quality of life, Questionnaire, Radiotherapy
in
Radiation Oncology
volume
11
issue
1
article number
117
publisher
BioMed Central (BMC)
external identifiers
  • scopus:84992047523
  • pmid:27604898
ISSN
1748-717X
DOI
10.1186/s13014-016-0689-4
language
English
LU publication?
no
id
84951541-51a4-430a-a4f3-d1b25fd54a62
date added to LUP
2020-07-28 09:03:19
date last changed
2024-04-17 14:23:50
@article{84951541-51a4-430a-a4f3-d1b25fd54a62,
  abstract     = {{<p>Background: Radiotherapy (RT) in combination with androgen deprivation therapy (ADT) for prostate cancer (PCa) carries a risk of gastrointestinal (GI) and genitourinary toxicity, which might affect the quality of life (QoL). The purpose of this study was to assess the QoL in patients with PCa before, during and after radiotherapy (RT) and to compare the QoL 1 year after RT to a normal population. Methods: The QoL was evaluated prospectively by the self-administered questionnaire SF-36 in 87 patients with PCa. The SF-36 was completed before RT (baseline), at start of RT, at end of RT and 1 year after RT. A mixed model analysis was used to determine the changes in QoL at each time point compared to baseline. The patients' QoL 1 year after RT was compared to a normal population consisting of 462 reference subjects matched on age and education. Results: One year after RT, patients reported significantly less pain and significantly fewer limitations due to their physical health compared to baseline. Compared to the normal population, patients reported significantly less pain 1 year after RT. However, patients also reported significantly less vitality, worse mental health as well as significantly more limitations due to physical and mental health 1 year after RT compared to the normal population. Conclusions: In this study, patients with PCa did not experience significant impairment in the QoL 1 year after RT compared to baseline. However, patients reported significantly worse mental health before, during and 1 year after RT compared to the normal population.</p>}},
  author       = {{Sveistrup, Joen and Mortensen, Ole Steen and Bjørner, Jakob B. and Engelholm, Svend Aage and Munck af Rosenschöld, Per and Petersen, Peter Meidahl}},
  issn         = {{1748-717X}},
  keywords     = {{Prostate cancer; Quality of life; Questionnaire; Radiotherapy}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Radiation Oncology}},
  title        = {{Prospective assessment of the quality of life before, during and after image guided intensity modulated radiotherapy for prostate cancer}},
  url          = {{http://dx.doi.org/10.1186/s13014-016-0689-4}},
  doi          = {{10.1186/s13014-016-0689-4}},
  volume       = {{11}},
  year         = {{2016}},
}