Abstract
Background
Patients with breast cancer have high rates of physical symptoms that negatively impact their quality of life. The relationship between women's perceptions of these physical symptoms and patient demographic and breast cancer characteristics is less well known. This study describes breast cancer patients' physical symptoms and their relationship with patient characteristics.
Methods
Patients (n=125) with breast cancer (Stage 0-IV) completed questionnaires in a dedicated academic medical center breast cancer clinic. Patients reported demographics (age, race/ethnicity, marital status, employment status) and disease characteristics (surgery type, receipt of chemotherapy or anti-hormonal therapy). Patients reported whether they were bothered by any of 22 Physical Problem List (PPL) variables from the Distress Thermometer and Problem List (DT&PL).
Results
The median number of physical problems endorsed by patients was 3.0 (M=3.43, SD=3.42). Approximately one-fourth endorsed no physical symptoms while three-fourths reported at least one problem, and three-fifths endorsed 2 or more problems. Fatigue (40.0%), sleep (34.7%), skin dry/itchy (22.9%), pain (19.5%), and feeling swollen (19.5%) were most commonly reported. Age, race/ethnicity, marital status, employment status, and receipt of chemotherapy were associated with certain physical problems. Problems with breathing, eating, memory/concentration, nausea, and total number of endorsed PPL variables were associated with distress.
Conclusion
The breast cancer population demonstrates heavy physical symptom burden with multiple physical problems that are related to overall functioning. Special attention should be given to the physical symptom burden of younger, non-white, unmarried, and unemployed patients. Future research should investigate the PPL of the DT&PL with other measures of symptom burden.
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