Background
Methods
Setting
Population
-
Patients: individuals 18 years of age or older, having a cancer defined by histology whatever the origin of the primitive, loco-regionally advanced or metastatic cancer, with an indication of chemotherapy, and able to speak/read French.
-
Caregivers: individuals 18 years of age or older, designated as the primary caregiver by the patient, able to speak/read French, and free from cancer comorbidity.
Ethics approval and consent to participate
Data collection and measures
Quality of life
Data analysis
Results
Characteristics of patient–caregivers dyads
N (%) | MD | ||
---|---|---|---|
M ± SD | % | ||
1. Patients | |||
Age | Years | 61.5 ± 11.7 | 7.8 |
Gender | Woman | 91 (44.4) | 0 |
Man | 114 (55.6) | ||
Educational level | <12 years | 108 (58.1) | 9.3 |
> = 12 years | 78 (41.9) | ||
Marital status | Single | 51 (26.2) | 4.9 |
Couple | 144 (73.8) | ||
Professional status | Worker | 55 (33.1) | 19.0 |
Not worker | 111 (66.9) | ||
Localization of cancer | Lung | 56 (28.3) | 3.4 |
Head and neck | 51 (24.8) | ||
Gynecologic | 39 (19.7) | ||
Urologic | 21 (10.6) | ||
Soft tissue sarcoma | 8 | ||
Digestive | 7 | ||
Dermatologic | 6 | ||
Lymphoma | 3 | ||
Bone | 3 | ||
Adrenal | 2 | ||
Undefined | 2 | ||
WHO Performans status | 0 | 125 (63.5) | 3.9 |
> = 1 | 72 (36.5) | ||
Nodes | 109 (64.5) | 17.6 | |
Metastasis | 67 (36.2) | 9.8 | |
Time since diagnosis | Days | 39.08 ± 35.1 | 9.8 |
2. Caregivers | |||
Age | Years | 55,6 ± 14,4 | 22.4 |
Relationship with the patient | Partner | 125 (61.0) | 0 |
Children | 44 (21.5) | ||
Brother/sister | 12 (5.9) | ||
Parent | 6 (2.9) | ||
Othersa
| 18 (8.8) | ||
Gender | Woman | 146 (71.2) | 0 |
Man | 59 (28.8) | ||
Educational level | <12 years | 79 (48.8) | 21.0 |
> = 12 years | 83 (51.2) | ||
Marital status | Single | 30 (15.8) | 7.3 |
Couple | 160 (84.2) | ||
Professional status | Worker | 31 (16.4) | 7.8 |
Not worker | 158 (83.6) |
SEIQoL domains freely expressed by patients and caregivers
N | Range | Scorea
| Weighb
| |||||
---|---|---|---|---|---|---|---|---|
Patients | Caregivers | Patients | Caregivers | Patients | Caregivers | Patients | Caregivers | |
Domains |
N = 205 |
N = 205 |
N = 205 |
N = 205 |
N = 205 |
N = 205 |
N = 205 |
N = 205 |
N (%) | N (%) | 1–10 | 1–10 | (0–100) | (0–100) | (0–100) | (0–100) | |
Family | 184 | 181 | 1 | 1 | 87,17 ± 17,65 | 81,64 ± 19,21 | 40,74 ± 18,19 | 40,74 ± 20,91 |
Health | 129 | 132 | 2 | 2 | 55,96 ± 25,57 | 56,17 ± 25,67 | 34,57 ± 16,28 | 37,16 ± 19,43 |
Leisures | 128 | 100 | 3 | 3 | 51,41 ± 32,64 | 58,47 ± 28,21 | 16,24 ± 12,27 | 14,65 ± 11,43 |
Social life | 99 | 90 | 4 | 4 | 82,74 ± 17,92 | 76,96 ± 23,00 | 17,71 ± 9,84 | 17,73 ± 12,09 |
Occupational issues | 55 | 70 | 5 | 5 | 53,56 ± 32,19 | 75,42 ± 23,04 | 14,44 ± 10,42 | 15,53 ± 9,49 |
Psychological well-being | 53 | 56 | 6 | 7 | 70,63 ± 23,27 | 69,37 ± 28,93 | 19,81 ± 13,18 | 16,98 ± 12,60 |
Environment | 44 | 61 | 7 | 6 | 64,72 ± 29,98 | 70,31 ± 26,05 | 15,3 ± 14,26 | 11,90 ± 7,14 |
Financial issues | 42 | 46 | 8 | 9 | 51,35 ± 24,48 | 62,02 ± 23,89 | 12,17 ± 6,61 | 10,43 ± 8,67 |
Love life | 33 | 52 | 9 | 8 | 80,27 ± 28,60 | 71,71 ± 24,77 | 31,97 ± 14,24 | 28,65 ± 17,93 |
Autonomy | 21 | 7 | 10 | 10 | 52,41 ± 28,51 | 61,42 ± 21,15 | 21 ± 13,13 | 13,29 ± 8,56 |
Domains | N | Scores’ differencea
|
p
| Weighs’ difference b
|
p
|
---|---|---|---|---|---|
Family | 167 | 4.81 |
0.002
| 0.33 | 0.918 |
Health | 93 | 1.6 | 0.660 | 4.86 |
0.030
|
Leisures | 75 | 5.9 | 0.099 | 3.34 |
0.042
|
Social life | 55 | 0.59 | 0.939 | 0.80 | 0.730 |
Occupational issues | 25 | 19.71 |
0.030
| 4.50 | 0.317 |
Psychological well-being | 20 | 7.96 | 0.421 | 7.05 |
0.039
|
Environment | 15 | 6.32 | 0.555 | 4.40 | 0.486 |
Financial issues | 17 | 5.11 | 0.793 | 1.06 | 0.594 |
Love life | 12 | 14.5 | 0.176 | 1.00 | 0.929 |
Autonomy | 2 | - | - | - | |
Index | 205 | 1.72 | 0.424 |
Relations between SEIQoL and dimensions scores of standardized QoL questionnaires
Condition-specific QoL questionnaires: EORTC QLQ-C30 and CarGOQoL
Patients’ SEIQoL indexa
| Caregivers’ SEIQoL indexa
| ||||
---|---|---|---|---|---|
Patient’QoL | R | p | Caregiver’s QoL | R | p |
SF-36 (generic) | SF-36 (generic) | ||||
Physical Functioninga
| 0.074 | 0.314 | Physical Functioninga
|
0.172
|
0.028
|
Social Functioninga
|
0.257
|
<0.001
| Social Functioninga
|
0.305
|
<0.001
|
Role Limitation physicala
| 0.143 | 0.051 | Role Limitation physicala
|
0.244
|
0.002
|
Role Limitation emotionala
| 0.075 | 0.322 | Role Limitation emotionala
|
0.253
|
0.001
|
Mental Healtha
|
0.242
|
0.001
| Mental Healtha
|
0.242
|
0.002
|
Vitalitya
|
0.26
|
<0.001
| Vitalitya
|
0.273
|
<0.001
|
Bodily Paina
| 0.136 | 0.062 | Bodily Paina
|
0.234
|
0.003
|
General Healtha
|
0.257
|
<0.001
| General Healtha
|
0.254
|
0.001
|
PCSa
| 0.079 | 0.304 | PCSa
| 0.158 | 0.052 |
MCSa
|
0.245
|
0.001
| MCSa
|
0.258
|
0.001
|
QLQ-C30 (specific) | CARGOQOL (specific) | ||||
Global healtha
|
0.27
|
<0.001
| Psychological well-beinga
|
0.262
|
0.001
|
Physical Functioninga
| 0.131 | 0.076 | Burdena
|
0.313
|
<0.001
|
Role Functioninga
|
0.248
|
0.001
| Relationship with health carea
| 0.127 | 0.118 |
Emotional Functioninga
|
0.266
|
<0.001
| Administration and financesa
|
0.182
|
0.023
|
Cognitive Functioninga
|
0.152
|
0.041
| Copinga
| 0.105 | 0.188 |
Social Functioninga
|
0.184
|
0.013
| Physical well-beinga
|
0.24
|
0.002
|
Fatigueb
|
-0.232
|
0.002
| Self-esteema
| 0.053 | 0.51 |
Nauseab
|
-0.209
|
0.005
| Leisures Timea
| 0.132 | 0.096 |
Painb
|
-0.175
|
0.019
| Social Supporta
| 0.094 | 0.242 |
Dyspnoeab
| -0.135 | 0.071 | Private lifea
|
0.237
|
0.004
|
Insomniab
| -0.144 | 0.057 | Index CarGOQoLa
|
0.402
|
<0.001
|
Appetiteb
| -0.146 | 0.051 | |||
Constipationb
| -0.062 | 0.402 | |||
Diarrhoeab
| -0.045 | 0.560 | |||
Financial difficultiesb
| 0.021 | 0.781 |