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Quality of Life Domains in Breast Cancer Survivors: The Relationship Between Importance and Satisfaction Ratings

Objectives: Quality of life (QoL) has been the focus of increasing interest in oncology.
QoL assessment instruments implicitly assume that each QoL domain has the same
meaning for each patient. The objective of this study was to analyze the importance of
and the satisfaction with QoL domains and to analyze the relationship between the two.
Methods: A sample of 308 breast cancer survivors was examined twice with a
three-month time interval. The women completed the two QoL questionnaires Questions
of Life Satisfaction (FLZ-M), which measures participants’ satisfaction with eight QoL
domains and the subjective importance of those domains to them, and the EORTC
QLQ-C30. A sample of 1,143 women from the general population served as controls.
Results: Compared with the general population sample, the patients were less satisfied
with their health andmore satisfied with all other QoL domains. The subjective importance
of health was lower in the patients’ sample (Effect size: d = 0.38). Satisfaction with health
and importance of health were slightly positively correlated (r between 0.05 and 0.08).
The effect of QoL domain importance on general QoL was small (beta between −0.05
and 0.11), and interaction effects between domain importance and satisfaction on the
prediction of global QoL were negligible.
Conclusion: In addition to satisfaction with QoL dimensions, the subjective importance
of these dimensions is relevant for psychooncological research and treatment. Health
is not the only relevant QoL domain in breast cancer survivors, other domains such as
finances also deserve health care providers’ attention.

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:87690
Date26 October 2023
CreatorsHinz, Andreas, Zenger, Markus, Schmalbach, Bjarne, Brähler, Elmar, Hofmeister, Dirk, Petrowski, Katja
PublisherFrontiers Media S.A.
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text
Rightsinfo:eu-repo/semantics/openAccess
Relation923537

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