Relationship between socioeconomic determinants, social support and oncological treatment in elderly Czech women with breast cancer: pilot study
Authors:
Kateřina Skřivanová 1; Dagmar Brančiková 2; Tomáš Svěrák 3; Ľubomíra Anderková 3; Nela Elfmarková 3; Marcela Bendová 4; Hana Peterková 1; Eva Holoubková 1; Jiří Jarkovský 5; Klára Benešová 5; Markéta Protivánková 2; Luboš Minář 4; Ladislav Dušek 5
Authors‘ workplace:
Ústav psychologie a psychosomatiky LF MU, Brno
1; Interní hematologická a onkologická klinika LF MU a FN Brno
2; Středoevropský technologický institut MU (CEITEC MU), Brno
3; Gynekologicko-porodnická klinika LF MU a FN Brno
4; Institut biostatistiky a analýz MU, Brno
5
Published in:
Prakt Gyn 2015; 19(3): 172-181
Category:
Oncogynecology: Original Article
Overview
The objective of the study was to investigate the relationship between social support, socioeconomic determinants and oncological treatment progress in patients with complications due to the toxicity of antitumor therapy, viral diseases during 6 months following surgery, as well as postoperative complications. The study sample consisted of 139 female patients with breast cancer (age median: 65 years), and social support (SS) and socioeconomic status (SES) were evaluated based on a structured interview. SES was estimated based on income and education classification. The analyses performed included information from patients’ documentation, including data on the occurrence of general therapy complications, postoperative complications, and the occurrence of infectious viral diseases within the first 6 months following surgery. The level of statistical significance of the differences within category-specific variables between the analysed groups was evaluated with Fisher’s exact test. The differences in statistical significance between groups with and without SS were found within the entire group of patients, while viral diseases occurred less in patients with SS (no viral diseases 70.3% vs 48.3% without SS). Patients with SS and below 60 years of age experienced a lower occurrence of postoperative complications (56.7% vs 0%), as well as generally lower numbers of complications resulting from oncological treatment (more than 4 complications occurred in 47.1% of patients with SS vs 100% of patients without SS). Patients with SS in the Stage II–III experienced a lower occurrence of viral diseases (63.2% no virosis vs 28.6%) and a lower occurrence of complications (35.5% more than four complications vs 73.3%). A statistically significant relationship (P = 0.015) was determined between the education of patients and the number of complications in patients in Stage II–III: more than four complications occurred in patients with basic and vocational education (55.9%), compared to patients with secondary and higher education (32.6%). An increasing trend was determined for the relationship between SES and the occurrence of complications due to oncological treatment (P = 0.06) within the group of patients with Stage II–III breast cancer. We have found evidence supporting the idea of a relationship between social support and oncological treatment for older patients across clinical stages and for the relationship between SES and the occurrence of complications for older women in Stage II–III. Social support is a factor which is of great importance for patient health, while higher socioeconomic status and education play a significant role, too.
Keywords:
breast cancer – oncological treatment – social support – socioeconomic status
Sources
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