Quality of life in urban and rural settings: a study of head and neck cancer survivors.
Thomas, AA
Timmons, A
Molcho, M
Pearce, A
Gallagher, P
Butow, P
O'Sullivan, E
Gooberman-Hill, R
O'Neill, C
Sharp, L
- Publisher:
- Elsevier
- Publication Type:
- Journal Article
- Citation:
- Oral Oncology, 2014, 50 (7), pp. 676 - 682
- Issue Date:
- 2014-07
Closed Access
Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Thomas, AA | en_US |
dc.contributor.author | Timmons, A | en_US |
dc.contributor.author | Molcho, M | en_US |
dc.contributor.author | Pearce, A | en_US |
dc.contributor.author | Gallagher, P | en_US |
dc.contributor.author | Butow, P | en_US |
dc.contributor.author | O'Sullivan, E | en_US |
dc.contributor.author | Gooberman-Hill, R | en_US |
dc.contributor.author | O'Neill, C | en_US |
dc.contributor.author | Sharp, L | en_US |
dc.date.available | 2014-03-23 | en_US |
dc.date.issued | 2014-07 | en_US |
dc.identifier.citation | Oral Oncology, 2014, 50 (7), pp. 676 - 682 | en_US |
dc.identifier.issn | 1368-8375 | en_US |
dc.identifier.uri | http://hdl.handle.net/10453/117228 | |
dc.description.abstract | OBJECTIVE: Urban-rural variation in cancer incidence, treatment, and clinical outcomes has been well researched. With the growing numbers and longer lifespan of cancer survivors, quality of life (QOL) is now a critical issue. The present study investigates the QOL of head and neck cancer (HNC) survivors in Ireland, paying special attention to urban and rural variation. METHODS: From the population-based National Cancer Registry Ireland, we identified 991 survivors of HNC (ICD10 C00-C14, C32), who were at least eight months post-diagnosis, and invited them to complete a postal survey. We used self-reported data and information from the Registry to create a composite variable classifying respondents' current area of residence as "urban" or "rural." Respondents self-reported QOL using the Functional Assessment for Cancer Therapy with Head and Neck module (FACT-HN). We used bootstrap linear regression to control for confounding variables, while estimating the association of urban and rural residence to FACT-HN domain scores. RESULTS: We obtained survey and Registry data from 583 HNC survivors. Controlling for demographic and clinical variables, rural survivors reported higher physical (coefficient 1.27, bias-corrected and accelerated 95% confidence interval 0.54, 2.43), emotional (coef. 0.99, 95% CI 0.21, 2.02), and HNC-specific (coef. 1.55, 95% CI 0.32, 3.54) QOL than their urban counterparts. Social and functional QOL did not differ significantly. CONCLUSIONS: These findings add to growing evidence of important differences in life experiences of cancers survivors in urban and rural settings. Results such as these will allow health professionals, policy makers and service providers to better serve these populations. | en_US |
dc.language | English | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.ispartof | Oral Oncology | en_US |
dc.relation.isbasedon | 10.1016/j.oraloncology.2014.03.007 | en_US |
dc.subject.classification | Oncology & Carcinogenesis | en_US |
dc.subject.classification | Dentistry | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Head and Neck Neoplasms | en_US |
dc.subject.mesh | Quality of Life | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Aged, 80 and over | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Survivors | en_US |
dc.subject.mesh | Rural Health | en_US |
dc.subject.mesh | Urban Health | en_US |
dc.subject.mesh | Ireland | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Self Report | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Aged, 80 and over | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Head and Neck Neoplasms | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Ireland | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Quality of Life | en_US |
dc.subject.mesh | Rural Health | en_US |
dc.subject.mesh | Self Report | en_US |
dc.subject.mesh | Survivors | en_US |
dc.subject.mesh | Urban Health | en_US |
dc.title | Quality of life in urban and rural settings: a study of head and neck cancer survivors. | en_US |
dc.type | Journal Article | |
utslib.description.version | Published | en_US |
utslib.citation.volume | 7 | en_US |
utslib.citation.volume | 50 | en_US |
utslib.location.activity | England | en_US |
utslib.for | 1117 Public Health And Health Services | en_US |
utslib.for | 1112 Oncology And Carcinogenesis | en_US |
utslib.for | 1105 Dentistry | en_US |
utslib.for | 1117 Public Health And Health Services | en_US |
pubs.embargo.period | Not known | en_US |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Business | |
pubs.organisational-group | /University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation | |
utslib.copyright.status | closed_access | |
pubs.consider-herdc | false | en_US |
pubs.issue | 7 | en_US |
pubs.publication-status | Published | en_US |
pubs.volume | 50 | en_US |
Files in This Item:
Filename | Description | Size | |||
---|---|---|---|---|---|
1-s2.0-S1368837514000979-main.pdf | Published Version | 334.68 kB | Adobe PDF |
Copyright Clearance Process
- Recently Added
- In Progress
- Closed Access
This item is closed access and not available.
Abstract:
OBJECTIVE: Urban-rural variation in cancer incidence, treatment, and clinical outcomes has been well researched. With the growing numbers and longer lifespan of cancer survivors, quality of life (QOL) is now a critical issue. The present study investigates the QOL of head and neck cancer (HNC) survivors in Ireland, paying special attention to urban and rural variation. METHODS: From the population-based National Cancer Registry Ireland, we identified 991 survivors of HNC (ICD10 C00-C14, C32), who were at least eight months post-diagnosis, and invited them to complete a postal survey. We used self-reported data and information from the Registry to create a composite variable classifying respondents' current area of residence as "urban" or "rural." Respondents self-reported QOL using the Functional Assessment for Cancer Therapy with Head and Neck module (FACT-HN). We used bootstrap linear regression to control for confounding variables, while estimating the association of urban and rural residence to FACT-HN domain scores. RESULTS: We obtained survey and Registry data from 583 HNC survivors. Controlling for demographic and clinical variables, rural survivors reported higher physical (coefficient 1.27, bias-corrected and accelerated 95% confidence interval 0.54, 2.43), emotional (coef. 0.99, 95% CI 0.21, 2.02), and HNC-specific (coef. 1.55, 95% CI 0.32, 3.54) QOL than their urban counterparts. Social and functional QOL did not differ significantly. CONCLUSIONS: These findings add to growing evidence of important differences in life experiences of cancers survivors in urban and rural settings. Results such as these will allow health professionals, policy makers and service providers to better serve these populations.
Please use this identifier to cite or link to this item: