Date of Award
1-1-2021
Document Type
Open Access Thesis
Degree Name
Master of Public Health (MPH)
Department
School of Public Health
First Advisor
Leah M. Ferrucci
Abstract
Background: Endometrial cancer is the most common cancer of the female reproductive organs and one of few cancers in the United States with rising incidence and mortality rates. Few studies have examined factors that influence health-related quality of life (HRQOL) of endometrial cancer survivors after active treatment and existing studies have been limited in sample size. In this study, we examined sociodemographic and clinical factors associated with HRQOL and symptom burden in a national sample of endometrial cancer survivors.
Methods: We evaluated 331 endometrial cancer survivors from the longitudinal American Cancer Society’s Study of Cancer Survivors-I who completed self-administered questionnaires at 1-year post-diagnosis on socioeconomic, demographic, and clinical characteristics. The 36-Item Short Form Health Survey (SF-36) and Modified Rotterdam Symptom Checklist (RSCL-M) were completed at 1- and 2-years post-diagnosis. We assessed characteristics associated with HRQOL (via SF-36 scores) using multivariate linear regression with backwards stepwise selection.
Results: The majority of the 331 endometrial cancer survivors were non-Hispanic white (85.2%) and diagnosed with a localized disease (73.11%). The mean SF-36 Mental Component Summary (MCS) and Physical Component Summary (PCS) scores 1-year post-diagnosis were 50.07 (SD ± 10.65) and 46.95 (SD ± 10.41), respectively. Older age, having health insurance, being a person of color, and lower symptom burden (i.e., lower RSCL-M score) were associated with higher SF-36 MCS scores 1-year post-diagnosis (p
Conclusions and Implications: We identified a range of characteristics associated with mental and physical components of HRQOL. Symptoms were common in this population. Our results may help clinicians identify patients with lower HRQOL who could benefit from targeted psychosocial support and better integrated treatment plans to manage symptoms.
Recommended Citation
Sodipo, Michelle, "Health-Related Quality Of Life In Endometrial Cancer Survivors" (2021). Public Health Theses. 2097.
https://elischolar.library.yale.edu/ysphtdl/2097
