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Associations between education and physical functioning and pain in adult Danish cancer survivors

机译:成人丹麦癌症幸存者教育与身体功能与疼痛的协会

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摘要

Background: Late effects after cancer diagnosis and treatment are common, but only few studies have examined the role of social factors in developing these late effects. The aim of this study was to examine the association between educational level and physical function and pain among cancer survivors two years after diagnosis.Material and methods: The study population consisted of adult Danish patients with a first-time cancer diagnosis who were sent a questionnaire in 2010 and followed up in 2012. In total, 4346 returned the first questionnaire shortly after diagnosis and 2568 returned the follow-up questionnaire. After exclusion of 177 due to missing information, we included 2391 cancer survivors in the analyses. Physical function and pain were measured using the EORTC QLQ-C30. Linear regression analyses were conducted separately for men and women, and adjusted for demographic and clinical characteristics. Additionally, analyses were stratified on comorbidity.Results: Differences in mean scores according to educational level were small. Physical function was better in women with medium (2.8; 95% CI 0.1;5.4) and higher education (3.4; 95% CI 0.9;5.9) compared to women with short education. In contrast, men with medium education reported lower physical function (-2.9; 95% CI -5.7;-0.1) than men with short education. Compared to women with short education, we found lower pain scores among women with medium (-5.0; 95% CI -8.7;-1.4) and higher education (-3.4; 95% CI -6.7;0.0). Similarly, men with higher education experienced lower pain score (-3.4; 95% CI -6.9;0.1) than men with short education. The role of educational level differed between those with and without comorbidity.Conclusion: Educational level is slightly associated with physical function and pain among cancer survivors. However, mean differences in this study were small and below what is considered clinically relevant.
机译:背景:癌症诊断和治疗后的晚期效果是常见的,但只有少数研究已经检查了社会因素在发展这些后期效果方面的作用。本研究的目的是审查教育水平和身体功能之间的关联,诊断后两年癌幸存者之间的疼痛。材料和方法:研究人群由成人丹麦患者组成,患有第一次癌症诊断谁发送问卷2010年并于2012年随访。4346年,诊断后不久返回第一个调查问卷,2568返回后续问卷。排除177由于缺少信息,我们在分析中包括2391次癌症幸存者。使用EORTC QLQ-C30测量物理功能和疼痛。线性回归分析分别用于男女,并调整人口统计和临床特征。此外,分析分析了合并性。结果:根据教育水平的平均分数差异很小。体育功能在中等女性中更好(2.8; 95%CI 0.1; 5.4)和高等教育(3.4; 95%CI 0.9; 5.9),相比具有短期教育的妇女。相比之下,中等教育的男性报告了低于教育短期的男性(-2.9; 95%CI -5.7; -0.1)。与患有短期教育的女性相比,我们发现患有中等患者的疼痛评分较低(-5.0; 95%CI -8.7; -1.4)和高等教育(-3.4; 95%CI -6.7; 0.0)。同样,具有高等教育的男性疼痛得分较低(-3.4; 95%CI -6.9; 0.1)比教育短缺。教育水平的作用在有和没有合并症的情况下不同。结论:教育水平与癌症幸存者的物理功能略有关联。然而,这项研究的平均差异很小,低于被认为是临床相关的。

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  • 来源
    《Acta oncologica.》 |2017年第6期|共6页
  • 作者单位

    Danish Canc Soc Unit Survivorship Res Ctr Copenhagen Denmark;

    Danish Canc Soc Unit Survivorship Res Ctr Copenhagen Denmark;

    Danish Canc Soc Unit Survivorship Res Ctr Copenhagen Denmark;

    Danish Canc Soc Unit Survivorship Res Ctr Copenhagen Denmark;

    Aarhus Univ Res Ctr Canc Diag Primary Care Aarhus Denmark;

    Danish Canc Soc Unit Survivorship Res Ctr Copenhagen Denmark;

    Univ Copenhagen Dept Psychol Ctr Psychol Cross Disciplinary &

    Appl Res Copenhagen Denmark;

    Danish Canc Soc Documentat &

    Qual Copenhagen Denmark;

    Danish Canc Soc Unit Survivorship Res Ctr Copenhagen Denmark;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
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