Impact of systemic cancer treatment on quality of life and mental well-being: a comparative analysis of patients with localized and advanced cancer

Introduction This study investigated the impact of systemic cancer therapy on the quality of life, mental well-being, and life satisfaction of cancer patients. Methods This prospective study was promoted by the Spanish Society of Medical Oncology (SEOM) and enrolled patients with localized, resected...

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Published in:Clinical & translational oncology 2023-12, Vol.25 (12), p.3492-3500
Main Authors: Rodríguez-Gonzalez, Adán, Carmona-Bayonas, Alberto, Hernandez San Gil, Raquel, Cruz-Castellanos, Patricia, Antoñanzas-Basa, Mónica, Lorente-Estelles, David, Corral, María Jose, González-Moya, Manuel, Castillo-Trujillo, Oscar Alfredo, Esteban, Emilio, Jiménez-Fonseca, Paula, Calderon, Caterina
Format: Article
Language:English
Subjects:
Colorectal Neoplasms - therapy
Emotions
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Prospective Studies
Psychological Well-Being
Quality of Life - psychology
Research Article
Surveys and Questionnaires
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Summary:Introduction This study investigated the impact of systemic cancer therapy on the quality of life, mental well-being, and life satisfaction of cancer patients. Methods This prospective study was promoted by the Spanish Society of Medical Oncology (SEOM) and enrolled patients with localized, resected, or unresectable advanced cancer from 15 Spanish medical oncology departments. Patients completed surveys on quality of life (EORTC-QoL-QLQ-C30), psychological distress (BSI-18) and life satisfaction (SWLS) before and after systemic cancer treatment. Results The study involved 1807 patients, 944 (52%) having resected, localized cancer, and 863 with unresectable advanced cancer. The mean age was 60 years, and 53% were female. The most common types of localized cancer were colorectal (43%) and breast (38%), while bronchopulmonary (32%), non-colorectal digestive (23%), and colorectal (15%) were the most frequent among those with advanced cancer. Before systemic treatment, patients with advanced cancer had poorer scores than those with localized cancer on physical, role, emotional, cognitive, social limitations, symptoms, psychological distress, and life satisfaction (all p  
ISSN:1699-3055
1699-3055
DOI:10.1007/s12094-023-03214-5