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Comparison of quality of life among long-term melanoma survivors and non-melanoma controls: a cross-sectional study

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Abstract

Purpose

Little is known about specific concerns facing long-term melanoma survivors. The goal of this study was to compare quality of life (QOL) and mental health between long-term melanoma survivors and population controls.

Methods

Participants from a previously conducted case-control study of risk factors for melanoma were recruited for a cross-sectional survey. Generic QOL and emotional health were measured using the SF-36 and Hospital Anxiety and Depression Scale questionnaires. A total of 724 melanoma survivors and 660 controls participated. Most melanoma survivors had stage I disease (85.6%); mean time from diagnosis was 9.6 ± 1.0 years. Comparisons of QOL measures between melanoma survivors and controls were conducted using regression models, adjusting for potential confounders.

Results

Melanoma survivors, compared to controls, reported statistically significant but only slightly higher physical functioning and bodily pain QOL subscale scores than controls and otherwise similar QOL as measured by the remaining six SF-36 subscale scores. Prevalence of anxiety (18.1% vs. 19.3%, adjusted OR = 1.00 (0.74, 1.36); p = 1.00) and depression (7.2% vs. 9.8%, adjusted OR = 0.74 (0.48, 1.16); p = 1.00) were similar between melanoma survivors and controls.

Conclusion

Long-term early stage melanoma survivors report similar general QOL and mental health compared to population controls. Further research is needed to identify concerns more specific to melanoma.

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References

  1. Godar, D. E. (2011). Worldwide increasing incidences of cutaneous malignant melanoma. Journal of Skin Cancer, 2011, 858425.

    Article  PubMed  PubMed Central  Google Scholar 

  2. World Health Organization. (2016). Skin cancers. Retrieved from http://www.who.int/uv/faq/skincancer/en/index1.html. Accessed 12 Sept 2016.

  3. Garbe, C., & Leiter, U. (2009). Melanoma epidemiology and trends. Clinics in Dermatology, 27(1), 3–9.

    Article  PubMed  Google Scholar 

  4. Cornish, D., Holterhues, C., van de Poll-Franse, L., Coebergh, J., & Nijsten, T. (2009). A systematic review of health-related quality of life in cutaneous melanoma. Annals of Oncology, 20, 51–58.

    Article  Google Scholar 

  5. Butow, P. N., Coates, A. S., & Dunn, S. M. (1999). Psychosocial predictors of survival in metastatic melanoma. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 17(7), 2256–2263.

    Article  CAS  Google Scholar 

  6. Lehto, U. S., Ojanen, M., Dyba, T., Aromaa, A., & Kellokumpu-Lehtinen, P. (2007). Baseline psychosocial predictors of survival in localized melanoma. Journal of Psychosomatic Research, 63(1), 9–15.

    Article  PubMed  Google Scholar 

  7. Foster, C., Wright, D., Hill, H., Hopkinson, J., & Roffe, L. (2009). Psychosocial implications of living 5 years or more following a cancer diagnosis: A systematic review of the research evidence. European Journal of Cancer Care, 18(3), 223–247.

    Article  CAS  PubMed  Google Scholar 

  8. Valdivieso, M., Kujawa, A. M., Jones, T., & Baker, L. H. (2012). Cancer survivors in the United States: A review of the literature and a call to action. International Journal of Medical Sciences, 9(2), 163–173.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kasparian, N. A., McLoone, J. K., & Butow, P. N. (2009). Psychological responses and coping strategies among patients with malignant melanoma: A systematic review of the literature. Archives of Dermatology, 145(12), 1415–1427.

    Article  PubMed  Google Scholar 

  10. Heinze, S., Egberts, F., Rotzer, S., Volkenandt, M., Tilgen, W., Linse, R., Boettjer, J., Vogt, T., Spieth, K., Eigentler, T., Brockmeyer, N., Hinzpeter, A., Hauschild, A., & Schaefer, M. (2010). Depressive mood changes and psychiatric symptoms during 12-month low-dose interferon-alpha treatment in patients with malignant melanoma results from the multicenter DeCOG trial. Journal of Immunotherapy, 33(1), 106–114.

    Article  CAS  PubMed  Google Scholar 

  11. Rataj, D., Jankowiak, B., Krajewska-Kulak, E., Van Damme-Ostapowicz, K., Nowecki, Z. I., Rutkowski, P., & Niczyporuk, W. (2005). Quality-of-life evaluation in an interferon therapy after radical surgery in cutaneous melanoma patients. Cancer Nursing, 28(3), 172–178.

    Article  PubMed  Google Scholar 

  12. Dixon, S., Walters, S. J., Turner, L., & Hancock, B. W. (2006). Quality of life and cost-effectiveness of interferon-alpha in malignant melanoma: Results from randomised trial. British Journal of Cancer, 94(4), 492–498.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Trask, P., Paterson, A., Esper, P., Pau, J., & Redman, B. (2004). Longitudinal course of depression, fatigue, and quality of life in patients with high risk melanoma receiving adjuvant interferon. Psycho-Oncology, 13(8), 526–536.

    Article  PubMed  Google Scholar 

  14. Butow, P., Coates, A., & Dunn, S. (1999). Psychosocial predictors of survival in metastatic melanoma. Journal of Clinical Oncology, 17(7), 2256–2263.

    Article  CAS  PubMed  Google Scholar 

  15. Brown, J., Butow, P., Culjak, G., Coates, A., & Dunn, S. (2000). Psychosocial predictors of outcome: Time to relapse and survival in patients with early stage melanoma. British Journal of Cancer, 83(11), 1448–1453.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Vogel, R. I., Strayer, L. G., Engelman, L., Nelson, H. H., Blaes, A. H., Anderson, K. E., & Lazovich, D. (2017). Sun exposure and protection behaviors among long-term melanoma survivors and non-cancer controls. Cancer Epidemiology, Biomarkers and Prevention.

  17. Lazovich, D., Vogel, R. I., Berwick, M., Weinstock, M. A., Anderson, K. E., & Warshaw, E. M. (2010). Indoor tanning and risk of melanoma: A case-control study in a highly exposed population. Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 19(6), 1557–1568.

    Article  Google Scholar 

  18. Dillman, D., Smith, J., & Christian, L. (2014). Internet, phone, mail and mixed-mode surveys: The tailored design method (4th ed.). New Jersey: Wiley.

    Google Scholar 

  19. Ware, J. E. Jr. (2000). SF-36 health survey update. Spine, 25(24), 3130–3139.

    Article  PubMed  Google Scholar 

  20. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.

    Article  CAS  PubMed  Google Scholar 

  21. Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale. An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.

    Article  PubMed  Google Scholar 

  22. Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: The remarkable universality of half a standard deviation. Medical Care, 41(5), 582–592.

    PubMed  Google Scholar 

  23. Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6, 65–70.

    Google Scholar 

  24. Aziz, N. M. (2007). Cancer survivorship research: State of knowledge, challenges and opportunities. Acta Oncologica (Stockholm, Sweden), 46(4), 417–432.

    Article  Google Scholar 

  25. Holterhues, C., Cornish, D., van de Poll-Franse, L., Krekels, G., Koedijk, F., Kuijpers, D., Coebergh, J., & Nijsten, T. (2011). Impact of melanoma on patients’ lives among 562 survivors a Dutch population-based study. Archives of Dermatology, 147(2), 177–185.

    Article  PubMed  Google Scholar 

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Funding

This study was funded by the Masonic Cancer Center of the University of Minnesota and National Institutes of Health National Cancer Institute Grant P30CA077598 and National Center for Advancing Translational Sciences award UL1TR000114. The Masonic Cancer Center Women’s Health Scholar award is sponsored by the University of Minnesota Masonic Cancer Center, a comprehensive cancer center designated by the National Cancer Institute, and administrated by the University of Minnesota Deborah E. Powell Center for Women’s Health.

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Correspondence to Rachel Isaksson Vogel.

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Conflict of interest

Author Rachel Isaksson Vogel declares that she has no conflict of interest. Author Lori Strayer declares that she has no conflict of interest. Author Leah Engelman declares that she has no conflict of interest. Author Heather H. Nelson declares that she has no conflict of interest. Author Anne H. Blaes declares that she has no conflict of interest. Author Kristin E. Anderson declares that she has no conflict of interest. Author DeAnn Lazovich declares that she has no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Vogel, R.I., Strayer, L.G., Engelman, L. et al. Comparison of quality of life among long-term melanoma survivors and non-melanoma controls: a cross-sectional study. Qual Life Res 26, 1761–1766 (2017). https://doi.org/10.1007/s11136-017-1532-6

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  • DOI: https://doi.org/10.1007/s11136-017-1532-6

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