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Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

4518 - Assessment of socio-economic, physical and mental health status of long-term cancer survivors

Date

22 Oct 2018

Session

Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

Presenters

Alejandro Gallego Martínez

Citation

Annals of Oncology (2018) 29 (suppl_8): viii603-viii640. 10.1093/annonc/mdy300

Authors

A. Gallego Martínez1, B. Martínez1, I. Ghanem2, E. Espinosa1, B. Castelo1, M.P. Zamora Aunon1, A. Pinto Marin1, L. Ruiz-Giménez1, A. Redondo1, J. Feliu Batlle1

Author affiliations

  • 1 Medical Oncology, Hospital Universitario La Paz, 28046 - Madrid/ES
  • 2 Medical Oncology, Hospital Universitario La Paz, 28041 - Madrid/ES
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Resources

Abstract 4518

Background

Long-term survival rates for many types of cancer have substantially improved in past decades. In order to improve follow-up and comprehensive care of this population a specific medical office was started up three years ago at our institution. This is the health and socio-economic analysis of the long-term cancer survivors in our area.

Methods

A 54-item questionnaire was developed based on QLACS (Quality of Life in Adult Cancer Survivors) and SF-36 Health Survey. 347 patients completed the questionnaire from January 2015 to December 2016. A medical questionnarie (63-item) was also completed for each patient by oncologists responsible for the medical office. The information was collected in a database and processed with SPSS 18.

Results

Median age at the time of diagnosis was 56.8 years and median time from cancer diagnosis to questionnarie completion was 7.1 years. 53.9% were women and 46.1% men. At the time of diagnosis 72% were married/committed relationship, 27.9% had university studies and 32.8% were retired. 35.4% had hipercolesterolemia and 3.2% anxiety/depression syndrome. Colon and breast carcinomas accounted for 49.9% of all cases and 67.1% were diagnosed in stages I and II. 91.8% underwent surgery, 59.6% received chemotherapy and 32.3% radiotherapy. After the diagnosis and treatment of cancer relationship status of patients scarcely changed, 19.9% more of the patients retired, 17.9% of those who kept their employment status decreased their income, though only 9 patients reduced their working hours. Despite 24.3% made healthy dietary modifications, 25.4% gained al least 5 kg over their recommended weight and the anual incidence rate of hipercolesterolemia was 5.8%. 34.9% patients more had anxiety/depression syndrome and 68.9% reduced their sexual activity with significant differences between colon and breast cancer (OR:3.3; p = 0.007). 78.7% were satisfied with the information received by their oncologist about their cancer.

Conclusions

Long-term cancer survivors are patiens with major health and socio-economic issues who need a multidisciplinaty follow-up. Despite their median age, more than half had cardiovascular risk factors, sexual difficulties or were retired and more than one-third had anxiety/depression syndrome.

Clinical trial identification

Legal entity responsible for the study

Medical Oncology Department, La Paz University Hospital.

Funding

Has not received any funding.

Editorial Acknowledgement

Disclosure

All authors have declared no conflicts of interest.

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