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Burgmann M, Hermelink K, Farr A, Heiduschka A, van Meegen F, Engel J, Harbeck N, Wuerstlein R. Abstract P4-11-13: Cancer-specific distress, life satisfaction and parenting concerns in young breast cancer survivors. Cancer Res 2016. [DOI: 10.1158/1538-7445.sabcs15-p4-11-13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction
It is known that young breast cancer (BC) patients tend to suffer more psychological stress and have lower quality of life than older women, are less sexually active and have more body image issues than healthy women of the same age. They may also be challenged by reproductive concerns. To our knowledge, no data exist about the effect of the disease on the life satisfaction of premenopausal BC patients. This study tries to elucidate life satisfaction in several aspects of daily life in this special cohort as well as aspects of cancer-specific distress and parenting concerns in order to improve our support strategies.
Materials and methods
In a cross-sectional study design, all patients with < 40 years at primary BC diagnosis treated at Breast Center, CCC LMU Munich (Germany) between 2006 and 2013 were eligible for participation. Standardized questionnaires assessing life satisfaction (Life Satisfaction Questionnaire; Fahrenberg et al, 2000) and cancer-specific distress (Questionnaire on Stress in Cancer patients; Herschbach et al, 2003), as well as a self-developed questionnaire on partnership, employment situation, family planning, demographic and medical data were mailed in 2014.
Results
88 patients responded (55%). Compared with population data stratified for age and sex, patients showed significantly less satisfaction in the domains of health (p<0.001) and sexuality (p=0.002) but not in any other domains or overall life satisfaction. The patients' most pronounced cancer-specific problems were fear of cancer recurrence and fear of further hospital stays, diminished sexual activity, and psychosomatic problems like nervousness, fatigue and insomnia. Of those patients who retrospectively evaluated their decision for or against fertility preservation, 76.4% were satisfied with their choice. Current desire to have children was reported by 45.8% of patients and another 15.6% were uncertain, but only 21.7% actually planned to have children. The most frequently reported reasons to refrain from childbearing were shortened life expectancy, negative impact of pregnancy on prognosis, and treatment-related infertility.
Discussion
In our cohort, the general life satisfaction of young breast cancer survivors showed no difference from women without cancer, but these patients were not satisfied with their general health status and with their sexuality. Also, cancer-related fears and psychosomatic problems considerably stress young patients and thus need to be addressed by supportive care programs. There is also a need for counselling regarding childbearing after BC treatment. In contrast, fertility preservation seems to be well established in medical consultations. In conclusion, tailored supportive care programs have to be realized to respond the unique needs of young BC patients.
Citation Format: Burgmann M, Hermelink K, Farr A, Heiduschka A, van Meegen F, Engel J, Harbeck N, Wuerstlein R. Cancer-specific distress, life satisfaction and parenting concerns in young breast cancer survivors. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P4-11-13.
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Affiliation(s)
- M Burgmann
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
| | - K Hermelink
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
| | - A Farr
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
| | - A Heiduschka
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
| | - F van Meegen
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
| | - J Engel
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
| | - N Harbeck
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
| | - R Wuerstlein
- Breast Center, CCC of LMU University Hospital of Munich, Munich, Germany; Munich Cancer Registry (MCR) of the Munich Tumour Centre at the Institute for Medical Information Processing, Biometry and Epidemiology (IBE), University Hospital of Munich (LMU), Munich, Germany; Breast Center of Medical University of Vienna-General Hospital, Vienna, Austria
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Burgmann M, Hermelink K, Heiduschka A, Farr A, Engel J, Harbeck N, Wuerstlein R. Die junge Mammakarzinom-Patientin – Lebenszufriedenheit und krebsspezifische Beschwerden. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1555083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Wuerstlein R, Hermelink K, Heiduschka A, Engel J, Harbeck N, Burgmann M. P157 Life satisfaction and biographic changes in young breast cancer survivors. Breast 2015. [DOI: 10.1016/s0960-9776(15)70199-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Burgmann M, Wuerstlein R, Farr A, Heiduschka A, van Meegen F, Engel J, Harbeck N, Hermelink K. Die junge Mammakarzinompatientin: Biographische Veränderungen, Belastung und Lebenszufriedenheit in den ersten Jahren nach Diagnose. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Bischof W, Heiduschka A, Steinkopf W, Liesegang RE, Kindscher, Teichmann, Beyersdorfer. Bücherbesprechungen. Colloid Polym Sci 1937. [DOI: 10.1007/bf01542586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Heiduschka A, Schäfer G. Zur Kenntnis des Glykogens in der Hefe. Arch Pharm (Weinheim) 1934. [DOI: 10.1002/ardp.19342721002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Heiduschka A, Häbel H. Untersuchungen über Muskatnußfett. Arch Pharm (Weinheim) 1933. [DOI: 10.1002/ardp.19332710105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Heiduschka A, Thomas H. Über die Prüfung von Kaffeesurrogaten. Eur Food Res Technol 1933. [DOI: 10.1007/bf01663017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Heiduschka A. Schmelzkäse. Von Dr. O. Mezger und Dr. J. Umbrecht, Städt.-chem. Untersuchungsamt Stuttgart. Druck und Verlag der Süddeutschen Molkerei-Zeitung, Kempten im Allgäu. Preis RM. 2,50. Angew Chem Int Ed Engl 1930. [DOI: 10.1002/ange.19300433111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Heiduschka A. Die Nährpräparate mit besonderer Berücksichtigung der Sauermilcharten. Von Dr. Julius Kleeberg und Dr. Hans Behrendt, Frankfurt a. M. Mit 7 Abb. und 18 Tab. Verlag von Ferdinand Enke, Stuttgart 1930. Preis geh. RM. 23,–, geb. RM. 25,–. Angew Chem Int Ed Engl 1930. [DOI: 10.1002/ange.19300431213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Heiduschka A, Müller J. Beiträge zur Fettanalyse. Arch Pharm (Weinheim) 1930. [DOI: 10.1002/ardp.19302680302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Heiduschka A, Pyriki C. Über den Citronensäuregehalt der Trauben in verschiedenen Reifestadien und über die Bestimmungsverfahren dieser Säure. Eur Food Res Technol 1929. [DOI: 10.1007/bf01654066] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Heiduschka A, Warlimont A. Beiträge zur Kenntnis des Bleichens von Mehl. Eur Food Res Technol 1929. [DOI: 10.1007/bf01654116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Heiduschka A. Chemie des Brauwesens. Von Dr. Heinrich Lüers, Prof. an der Technischen Hochschule und Direktor der Wissenschaftlichen Station für Brauerei in München. Verlagsbuchhandlung Paul Parey, Verlag für Landwirtschaft, Gartenbau und Forstwesen, Berlin 1929. Preis geb. RM. 24,—. Angew Chem Int Ed Engl 1929. [DOI: 10.1002/ange.19290421414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Heiduschka A, Wiesemann C. Über die Zusammensetzung des Mandelöls. Vergleich zwischen dem Mandelöl und dem Aprikosen-kernöl. ACTA ACUST UNITED AC 1929. [DOI: 10.1002/prac.19301240120] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Heiduschka A, Popp G, Heiduschka A. Nachweis von Arsen in Leichenaschen. Angew Chem Int Ed Engl 1928. [DOI: 10.1002/ange.19280414808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Heiduschka A, Pyriki C. Untersuchung von 1927-er Traubenweinen des Weinbaugebietes Pillnitz-Lößnitz-Meißen-Seußlitz. Eur Food Res Technol 1928. [DOI: 10.1007/bf01660849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Heiduschka A, Pyriki C. Untersuchung von 1927-er Traubenmosten des Weinbaugebietes Pillnitz-Lößnitz-Meißen-Seußlitz. Eur Food Res Technol 1928. [DOI: 10.1007/bf01660448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Heiduschka A. Dresdner Chemische Gesellschaft. Angew Chem Int Ed Engl 1928. [DOI: 10.1002/ange.19280410508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Heiduschka A, Meisner NI. Beiträge zur Mikrochemie der Alkaloide II. Arch Pharm (Weinheim) 1927. [DOI: 10.1002/ardp.19272652904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Heiduschka A. Über den bulgarischen Käse „Kaschkawal“. Eur Food Res Technol 1924. [DOI: 10.1007/bf02025969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Gerum J, Beckurts SM, Lüning O, Heiduschka A, Deininger J, Bailey CH, Kalning H, Arpin, Pecaud T, Vautier E, Merl T, Reuß A, Brendler W, Langfurth H, Grossfeld J, Fornet A, Herter W, Marchadier, Goujon, Testeni G, Menaul P, Dowell CT, Fellenberg TV, Abel J, Fricke K, Lüning O, Arbenz E, Juckenack A, Fornet A, Nestler A. Mehl, Teig, Backware. Anal Bioanal Chem 1924. [DOI: 10.1007/bf01740538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Heiduschka A, Fichte E. Beiträge zur Feststellung der Backfähigkeit von Mehlen. Colloid Polym Sci 1923. [DOI: 10.1007/bf01423276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Heiduschka A. Probleme und Aufgaben der Nahrungsmittelchemie. Von Dr. Egon Eichwald. Mit zwei Abbildungen. Dresden und Leipzig. Verlag von Theodor Steinkopff. Angew Chem Int Ed Engl 1922. [DOI: 10.1002/ange.19220352605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Heiduschka A. Die Hilfsmittel und Grundlagen des präparativ-chemischen und analytisch - chemischen Arbeitens. Von Dr. Joseph Klein. Mit 11 Figuren im Text. Berlin und Leipzig. Vereinigung wissenschaftlicher Verleger Walter de Gruyter & Co. Angew Chem Int Ed Engl 1922. [DOI: 10.1002/ange.19220351307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Frerichs G, Mannheim E, Panchaud, Fromme, Hebeisen F, Heiduschka A, Wolf L. �ber die Wertbestimmung der Chinarinde. Anal Bioanal Chem 1921. [DOI: 10.1007/bf01419476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Heiduschka A. Ueber Morphinbestimmung. Arch Pharm (Weinheim) 1920. [DOI: 10.1002/ardp.19202580203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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