Health-related quality of life in Malaysia gastrointestinal cancer patients and their family caregivers- a comparison study

29 July 2019


Nik Nairan Abdullah, Idayu Badilla Idris, Khadijah Shamsuddin, Nik Muhd Aslan Abdullah


Abstract

Purpose

Gastrointestinal (GI) cancer has emerged as a major health problem. Cancer patients receive informal care from their families beyond formal care. There has been little evidence showing how the health-related quality of life (HRQOL) of the caregivers differs from that of the GI patients in Malaysia. A cross-sectional study was conducted in three referral hospitals in Malaysia. The objectives of this study were to determine the HRQOL of GI cancer patients and their family caregivers, and assess whether there is any significant relationship between the demographic factors, and the physical component summary (PCS) and mental component summary (MCS) scores for patients and caregivers.

Methods

A total of 323 dyads of GI cancer patients and their caregivers completed the Medical Outcomes Study 12-item Short Form (MOS SF-12) questionnaire to measure their HRQOL during face-to-face interviews. The analyses were performed using SF-12 scoring software to compute PCS and MCS scores (HRQOL parameters). The independent t test, one-way ANOVA, and the Pearson correlation test were conducted to determine the demographic factors related to the HRQOL of the dyads.

Results

The caregivers had higher scores in all domains for the SF-12 than the patients. There were significant differences found in the MCS scores of the patients according to ethnicity, origin of cancer, duration of cancer, and surgery. None of these factors had a significant relationship with the caregivers’ HRQOL.

Conclusion

Caregivers had better HRQOL than cancer patients. Early intervention for cancer patients in the form of counselling and personalised pain management may enhance the HRQOL of patients.


Reference

  1. Pourhoseingholi MA, Vahedi M, Baghestani AR. Burden of gastrointestinal cancer in Asia: an overview. Gastroenterology and Hepatology from Bed to Bench. 2015;8(1):19–27.
  2. Goh LY, Leow AHR, Goh KL. Observations on the epidemiology of gastrointestinal and liver cancers in the Asia–Pacific region. Journal of Digestive Diseases. 2014;15(9):463–468.
  3. Peery AF, Crockett SD, Barritt AS, Dellon ES, Eluri S, Gangarosa LM, et al. Burden of gastrointestinal, liver, and pancreatic diseases in the United States. Gastroenterology. 2015;149(7):1731–1741.
  4. Brown LF, Kroenke K, Theobald DE, Wu J, Tu W. The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain. Psycho-Oncology. 2010;19(7):734–741.
  5. Taylor C. Supporting the carers of individuals affected by colorectal cancer. British Journal of Nursing. 2008;17(4):226–230.
  6. Mohammad NH, Walter AW, Van Oijen MG, Hulshof MC, Bergman JJ, Anderegg MC, et al. Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent. Supportive Care in Cancer. 2015;23(12):3589–3598.
  7. Husson O, Mols F, Van de Poll-Franse LV. The relation between information provision and health-related quality of life, anxiety and depression among cancer survivors: a systematic review. Annals of Oncology. 2010;22(4):761–772.
  8. Pickard AS, Wilke CT, Lin HW, Lloyd A. Health utilities using the EQ-5D in studies of cancer. Pharmacoeconomics. 2007;25(5):365–384.
  9. Li Q, Xu Y, Zhou H, Loke AY. Factors influencing the health-related quality of life of Chinese advanced cancer patients and their spousal caregivers: a cross-sectional study. BMC Palliative Care. 2016;15(1):72. https://doi.org/10.1186/s12904-016-0142-3
  10. Shaffer KM, Kim Y, Carver CS. Physical and mental health trajectories of cancer patients and caregivers across the year post-diagnosis: a dyadic investigation. Psychology & Health. 2016;31(6):655–674.
  11. Glise H, Wiklund I. Health-related quality of life and gastrointestinal disease. Journal of Gastroenterology and Hepatology. 2002;17:S72–S84.
  12. Ware J Jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care. 1996;34(3):220–233.
  13. Optum SF-12v2 Health Survey
  14. Yesilbalkan OU, Ozkutuk N, Ardahan M. Comparison quality of life of Turkish cancer patients and their family caregivers. Asian Pacific Journal of Cancer Prevention. 2010;11(6):1575–1579.
  15. Wadhwa D, Burman D, Swami N, Rodin G, Lo C, Zimmermann C. Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho-Oncology. 2013;22(2):403–410.
  16. Meyler D, Stimpson JP, Peek MK. Health concordance within couples: a systematic review. Social Science & Medicine. 2007;64(11):2297–2310.
  17. Haugland T, Wahl AK, Hofoss D, DeVon HA. Association between general self-efficacy, social support, cancer-related stress and physical health-related quality of life: a path model study in patients with neuroendocrine tumors. Health and Quality of Life Outcomes. 2016;14(1):11.
  18. Krouse RS, Herrinton LJ, Grant M, Wendel CS, Green SB, Mohler MJ, et al. Health-related quality of life among long-term rectal cancer survivors with an ostomy: manifestations by sex. Journal of Clinical Oncology. 2009;27(28):4664–4670.
  19. Lambert S, Girgis A, Descallar J, Levesque JV, Jones B. Trajectories of mental and physical functioning among spouse caregivers of cancer survivors over the first five years following the diagnosis. Patient Education and Counseling. 2017;100(6):1213–1221.
  20. Gotze H, Ernst J, Brahler E, Romer G, Klitzing KV. Predictors of quality of life of cancer patients, their children, and partners. Psycho-Oncology. 2015;24:787–795.
  21. Reyes ME, Ye Y, Zhou Y, Liang A, Kopetz S, Rodriquez MA, et al. Predictors of health-related quality of life and association with survival may identify colorectal cancer patients at high risk for poor prognosis. Quality of Life Research. 2017;26(2):319–330.
  22. Deng Y, Tu H, Pierzynski JA, Miller ED, Gu X, Huang M, et al. Determinants and prognostic value of quality of life in patients with pancreatic ductal adenocarcinoma. European Journal of Cancer. 2018;92:20–32.
  23. Sharifa Ezat WP, Fuad I, Hayati Y, Zafar A, Kiyah GAW. Observational study on patient’s satisfactions and quality of life (QoL) among cancer patients receiving treatment with palliative care intent in a tertiary hospital in Malaysia. Asian Pacific Journal of Cancer Prevention. 2014;15:695–701. https://doi.org/10.7314/APJCP.2014.15.2.695
  24. Bowen DJ, Alfano CM, McGregor BA, Kuniyuki A, Bernstein L, Meeske K, et al. Possible socioeconomic and ethnic disparities in quality of life in a cohort of breast cancer survivors. Breast Cancer Research and Treatment. 2007;106(1):85–95.
  25. Morishita M, Kamibeppu K. Quality of life and satisfaction with care among family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care. Supportive Care in Cancer. 2014;22(10):2687–2696.
  26. Renemane L, Oleynik D, Sivins A. Depression, anxiety and subjective stress in gastrointestinal cancer inpatients. European Neuropsychopharmacology. 2016;26:S373–S374.
  27. Hanly P, Maguire R, Hyland P, Sharp L. Examining the role of subjective and objective burden in carer health-related quality of life: the case of colorectal cancer. Supportive Care in Cancer. 2015;23:1941–1949.
  28. Shaffer KM, Jacobs JM, Nipp RD, Carr A, Jackson VA, Park ER, et al. Mental and physical health correlates among family caregivers of patients with newly diagnosed incurable cancer: a hierarchical linear regression analysis. Supportive Care in Cancer. 2017;25(3):965–971.
  29. Chen SC, Lai YH, Liao CT, Huang BS, Lin CY, Fan KH, et al. Unmet supportive care needs and characteristics of family caregivers of patients with oral cancer after surgery. Psycho-Oncology. 2014;23:569–577.
  30. Litzelman K, Green PA, Yabroff KR. Cancer and quality of life in spousal dyads: spillover in couples with and without cancer-related health problems. Supportive Care in Cancer. 2016;24(2):763–771.
  31. Mohd Noor N, Abd Aziz A. Validity and reliability of the Malay version of 12-item short form of health survey among postpartum mothers. Malaysian Journal of Public Health Medicine. 2014;14(2):56–66.
  32. Zainal AO, Nor Saleha IT. National Cancer Registry Report 2007. Malaysia: Ministry of Health; 2011.
  33. Gozum S, Akcay D. Response to the needs of Turkish chemotherapy patients and their families. Cancer Nursing. 2005;28:469–475.
  34. Duobova SV, Infante-Castanede C. Factors associated with quality of life of caregivers of Mexican cancer patients. Quality of Life Research. 2016;25:2931–2940.
  35. Zhu P, Fu JF, Wang B, Lin J, Wang Y, Fang NN, et al. Quality of life of male spouse caregivers for breast cancer patients in China. Asian Pacific Journal of Cancer Prevention. 2013;15(10):4181–4185.
  36. Papadopoulos A, Vrettos I, Kamposioras K, Anagnostopoulos F, Giannopoulos G, Pectasides D, et al. Impact of cancer patients’ disease awareness on their family members’ health-related quality of life: a cross-sectional survey. Psycho-Oncology. 2011;20(3):294–301.
  37. Hodges LJ, Humphris GM, Macfarlane G. A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Social Science & Medicine. 2005;60(1):1–12.
  38. Alcala HE. Different mental health impact of cancer across racial/ethnic groups: findings from a population-based study in California. BMC Public Health. 2014;14:930.
  39. Pitceathly C, Maguire P. The psychological impact of cancer on patients’ partners and other key relatives: a review. European Journal of Cancer. 2003;39(11):1517–1524.
  40. Northouse L, Templin T, Mood D. Couples adjustment to breast disease during the first year following diagnosis. Journal of Behavioral Medicine. 2001;24:115–136.
  41. Lee Y, Lin PY, Chien CY, Fang FM, Wang LJ. A comparison of psychological well-being and quality of life between spouse and non-spouse caregivers in patients with head and neck cancer: a 6-month follow-up study. Neuropsychiatric Disease and Treatment. 2018;14:1697–1704. https://doi.org/10.2147/NDT.S162116

Cite

Abdullah, N.N., Idris, I.B., Shamsuddin, K. et al. Health-related quality of life in Malaysian gastrointestinal cancer patients and their family caregivers—a comparison study. Support Care Cancer 28, 1891–1899 (2020). https://doi.org/10.1007/s00520-019-05007-5

COPY CITATION Copied!