Korean J Health Promot.  2018 Mar;18(1):7-14. 10.15384/kjhp.2018.18.1.7.

Quality of Life and Associated Factor among Cancer Survivors in Korea

• Park L
• Jun S
• Lee JA

• KMID: 2409067
• DOI: http://doi.org/10.15384/kjhp.2018.18.1.7

Abstract

BACKGROUND
New and more effective treatments for cancer have resulted in individuals living longer with a better quality of life. Thus, the Quality of life (QoL) is now a major concern of cancer survivors. This study tried to identify the factors affecting the quality of life among cancer survivors.
METHODS
Data was collected from the sixth (2013-2015) National Health and Nutrition Survey. Among total 16,522 participants aged 19 years old or more, 721 cancer survivors who had any previous history of cancer were included in the analysis. QoL was measured using EuroQoL-5D which evaluated 5 domains including the problem of mobility, self-care, usual activity, pain, and anxiety.
RESULTS
Cancer survivors had lower QoL than the general population and participants with other chronic disease. Among cancer survivors, age had the strongest association with mobility. The problem of self-care was affected by age, female, income state, and comorbidity. More income had an impact on better self-care. The problem of usual activity was affected by job state, stress and comorbidity. There was a positive association between job status and the problem of usual activity. The problem of pain was related with female, education state, and stress. Higher education was associated with lower problem of pain. The problem of anxiety was in relation with age, female, and stress.
CONCLUSIONS
To improve the QoL of cancer survivors, the appropriate intervention is needed for effective management considering the different factors which affect the QoL of the cancer survivors.

Keyword

Cancer survivors; Quality of life; Income; Educational status; Comorbidity

MeSH Terms

Anxiety
Chronic Disease
Comorbidity
Education
Educational Status
Female
Humans
Korea*
Nutrition Surveys
Quality of Life*
Self Care
Survivors*

Reference

1. National Cancer Center (NCC). Annual report of cancer statistics in Korea in 2014 [Internet]. Goyang: NCC;2016. Accessed Jan 9, 2018. Available from: http://ncc.re.kr/cancerStatsView.ncc?bbsnum=417&searchKey=total&searchValue=&pageNum=1.

2. Ligibel JA, Denlinger CS. New NCCN guidelines for survivorship care. J Natl Compr Canc Netw. 2013; 11:5 Suppl. 640–644.

3. Han SS, Shin IS, Kim YJ. Factors that influence quality of life in cancer patients. Korean J Health Promot Dis Prev. 2009; 9(1):33–40.

4. Mohile SG, Hurria A, Cohen HJ, Rowland JH, Leach CR, Arora NK, et al. Improving the quality of survivorship for older adults with cancer. Cancer. 2016; 122(16):2459–2568.

5. Annunziata MA, Muzzatti B, Flaiban C, Gipponi K, Carnaghi C, Tralongo P, et al. Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population. Support Care Cancer. 2018; 26(2):651–656.

6. Kim KI, Soh HS, Min SK. A study on quality of life of cancer patients. J Korean Assoc Soc Psychiatry. 2002; 7:116–122.

7. Downey L, Engelberg RA. Quality-of-life trajectories at the end of life: assessments over time by patients with and without cancer. J Am Geriatr Soc. 2010; 58:472–479.

8. Kang IO, Yun YH. Preliminary investigation of the quality of life in the elderly with cancer. J Korean Acad Fam Med. 2004; 25(9):678–686.

9. Park JA, Hong JY. Factors influencing quality of life in adult cancer patients: the sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-2), 2014. J Korea Acad Ind Coop Soc. 2017; 18(5):382–390.

10. Lee SI. Validity and reliability evaluation for EQ-5D in Korea. Osong: Centers for disease control and prevention;2011.

11. Miller KD, Triano LR. Medical issues in cancer survivors--a review. Cancer J. 2008; 14(6):375–387.

12. Gegechkori N, Haines L, Lin JJ. Long-term and latent side effects of specific cancer types. Med Clin North Am. 2017; 101(6):1053–1073.

13. Yi JC, Syrjala KL. Anxiety and depression in cancer survivors. Med Clin North Am. 2017; 101(6):1099–1113.

14. Grotmol KS, Lie HC, Hjermstad MJ, Aass N, Currow D, Kaasa S, et al. Depression-a major contributor to poor quality of life in patients with advanced cancer. J Pain Symptom Manage. 2017; 54(6):889–897.

15. Elwood TW. Old age and the quality of life. Health Serv Rep. 1972; 87(10):919–931.

16. Lavdaniti M, Zyga S, Vlachou E, Sapountzi-Krepia D. Quality of life in elderly cancer patients undergoing chemotherapy. Adv Exp Med Biol. 2017; 989:291–295.

17. Rostoft S, Audisio RA. Recent advances in cancer surgery in older patients. F1000Res. 2017; 6:1242.

18. Lindskog M, Tavelin B, Lundstrom S. Old age as risk indicator for poor end-of-life care quality - a population-based study of cancer deaths from the Swedish Register of Palliative Care. Eur J Cancer. 2015; 51(10):1331–1339.

19. Lee MK, Kang HS, Lee KS, Lee ES. Three-year prospective cohort study of factors associated with return to work after breast cancer diagnosis. J Occup Rehabil. 2017; 27(4):547–558.

20. Lee SY, Kim SJ, Shin J, Han KT, Park EC. The impact of job status on quality of life: general population versus long-term cancer survivors. Psychooncology. 2015; 24(11):1552–1559.

21. Schultz PN, Beck ML, Stava C, Sellin RV. Cancer survivors. Work related issues. AAOHN J. 2002; 50(5):220–226.

22. de Jong M, Tamminga SJ, Frings-Dresen MH, de Boer AG. Quality of working life of cancer survivors: associations with health- and work-related variables. Support Care Cancer. 2017; 25(5):1475–1484.

23. Islam T, Dahlui M, Majid HA, Nahar AM, Mohd Taib NA, Su TT. MyBCC study group. Factors associated with return to work of breast cancer survivors: a systematic review. BMC Public Health. 2014; 14:Suppl 3. S8.

24. Taskila T, Lindbohm ML. Factors affecting cancer survivors' employment and work ability. Acta Oncol. 2007; 46(4):446–451.

25. Xu RH, Cheung AWL, Wong EL. Examining the health-related quality of life using EQ-5D-5L in patients with four kinds of chronic diseases from specialist outpatient clinics in Hong Kong SAR, China. Patient Prefer Adherence. 2017; 11:1565–1572.

26. Joshi P, Song HB, Lee SA. Association of chronic disease prevalence and quality of life with suicide-related ideation and suicide attempt among Korean adults. Indian J Psychiatry. 2017; 59(3):352–358.

27. Pergolotti M, Deal AM, Williams GR, Bryant AL, Bensen JT, Muss HB, et al. Activities, function, and health-related quality of life (HRQOL) of older adults with cancer. J Geriatr Oncol. 2017; 8(4):249–254.