Health-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group

Thoracic and breast sarcomas constitute a rare subgroup within the sarcoma population. There is limited knowledge about their health-related quality of life (HRQoL) and a valid disease-specific HRQoL instrument is lacking. This qualitative study aimed to investigate the HRQoL issues experienced by a...

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Autores principales: Ilse van Eck, Dide den Hollander, Emma Lidington, Leopold Hentschel, Martin Eichler, Samer Salah, Susanne Singer, Monica Pinto, Lena Fauske, Marco Fiore, Ioanna Nixon, Anastasia Constantinidou, Ingrid M. E. Desar, Johannes J. Bonenkamp, Winan J. van Houdt, Milou J. P. Reuvers, Rick L. M. Haas, Øyvind S. Bruland, Bernd Kasper, Winette T. A. van der Graaf, Olga Husson
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/c6df0fe883c7470f833b13f8b8254c34
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spelling oai:doaj.org-article:c6df0fe883c7470f833b13f8b8254c342021-11-25T18:01:50ZHealth-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group10.3390/jcm102253342077-0383https://doaj.org/article/c6df0fe883c7470f833b13f8b8254c342021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5334https://doaj.org/toc/2077-0383Thoracic and breast sarcomas constitute a rare subgroup within the sarcoma population. There is limited knowledge about their health-related quality of life (HRQoL) and a valid disease-specific HRQoL instrument is lacking. This qualitative study aimed to investigate the HRQoL issues experienced by a small group of thoracic and breast sarcoma patients. Semi-structured interviews with 19 thoracic and four breast sarcoma patients were conducted and thematically analysed. Physical issues mentioned by both groups were fatigue, sleep disturbances, pain, wound infections, and symptoms related to chemotherapy and radiotherapy. Tightness in the back and restrictions in performing tasks above arm height were specific physical issues for breast sarcoma patients, whereas respiratory problems were only mentioned by thoracic sarcoma patients. Body image issues, changes in mood, fear of recurrence, and living with uncertainty were important mental health issues for both subgroups. Social issues in both groups included challenges in work and relationships, financial difficulties, loss of independence, and limitations in social activities. The identified physical, mental, and social health challenges can significantly impact thoracic and breast sarcoma patients’ HRQoL. Results of this qualitative study will guide personalised supportive care for breast and thoracic sarcoma patients and help in determining the best possible HRQoL measurement strategy for sarcoma patients with different primary sarcoma locations.Ilse van EckDide den HollanderEmma LidingtonLeopold HentschelMartin EichlerSamer SalahSusanne SingerMonica PintoLena FauskeMarco FioreIoanna NixonAnastasia ConstantinidouIngrid M. E. DesarJohannes J. BonenkampWinan J. van HoudtMilou J. P. ReuversRick L. M. HaasØyvind S. BrulandBernd KasperWinette T. A. van der GraafOlga HussonMDPI AGarticlebreast sarcomathoracic sarcomachest sarcomahealth-related quality of lifepatient-reported outcomesMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5334, p 5334 (2021)
institution DOAJ
collection DOAJ
language EN
topic breast sarcoma
thoracic sarcoma
chest sarcoma
health-related quality of life
patient-reported outcomes
Medicine
R
spellingShingle breast sarcoma
thoracic sarcoma
chest sarcoma
health-related quality of life
patient-reported outcomes
Medicine
R
Ilse van Eck
Dide den Hollander
Emma Lidington
Leopold Hentschel
Martin Eichler
Samer Salah
Susanne Singer
Monica Pinto
Lena Fauske
Marco Fiore
Ioanna Nixon
Anastasia Constantinidou
Ingrid M. E. Desar
Johannes J. Bonenkamp
Winan J. van Houdt
Milou J. P. Reuvers
Rick L. M. Haas
Øyvind S. Bruland
Bernd Kasper
Winette T. A. van der Graaf
Olga Husson
Health-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group
description Thoracic and breast sarcomas constitute a rare subgroup within the sarcoma population. There is limited knowledge about their health-related quality of life (HRQoL) and a valid disease-specific HRQoL instrument is lacking. This qualitative study aimed to investigate the HRQoL issues experienced by a small group of thoracic and breast sarcoma patients. Semi-structured interviews with 19 thoracic and four breast sarcoma patients were conducted and thematically analysed. Physical issues mentioned by both groups were fatigue, sleep disturbances, pain, wound infections, and symptoms related to chemotherapy and radiotherapy. Tightness in the back and restrictions in performing tasks above arm height were specific physical issues for breast sarcoma patients, whereas respiratory problems were only mentioned by thoracic sarcoma patients. Body image issues, changes in mood, fear of recurrence, and living with uncertainty were important mental health issues for both subgroups. Social issues in both groups included challenges in work and relationships, financial difficulties, loss of independence, and limitations in social activities. The identified physical, mental, and social health challenges can significantly impact thoracic and breast sarcoma patients’ HRQoL. Results of this qualitative study will guide personalised supportive care for breast and thoracic sarcoma patients and help in determining the best possible HRQoL measurement strategy for sarcoma patients with different primary sarcoma locations.
format article
author Ilse van Eck
Dide den Hollander
Emma Lidington
Leopold Hentschel
Martin Eichler
Samer Salah
Susanne Singer
Monica Pinto
Lena Fauske
Marco Fiore
Ioanna Nixon
Anastasia Constantinidou
Ingrid M. E. Desar
Johannes J. Bonenkamp
Winan J. van Houdt
Milou J. P. Reuvers
Rick L. M. Haas
Øyvind S. Bruland
Bernd Kasper
Winette T. A. van der Graaf
Olga Husson
author_facet Ilse van Eck
Dide den Hollander
Emma Lidington
Leopold Hentschel
Martin Eichler
Samer Salah
Susanne Singer
Monica Pinto
Lena Fauske
Marco Fiore
Ioanna Nixon
Anastasia Constantinidou
Ingrid M. E. Desar
Johannes J. Bonenkamp
Winan J. van Houdt
Milou J. P. Reuvers
Rick L. M. Haas
Øyvind S. Bruland
Bernd Kasper
Winette T. A. van der Graaf
Olga Husson
author_sort Ilse van Eck
title Health-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group
title_short Health-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group
title_full Health-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group
title_fullStr Health-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group
title_full_unstemmed Health-Related Quality of Life Issues Experienced by Thoracic and Breast Sarcoma Patients: A Rare and Understudied Group
title_sort health-related quality of life issues experienced by thoracic and breast sarcoma patients: a rare and understudied group
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/c6df0fe883c7470f833b13f8b8254c34
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