ArticleJournal of pain and symptom management2017
Longitudinal Examination of Symptom Profiles Among Breast Cancer Survivors.
Article in Journal of pain and symptom management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- An Audio-Recorded Hypnosis Intervention for Chronic Pain Management in Cancer Survivors: A Randomized Controlled Pilot Study.The International journal of clinical and experimental hypnosisTrial
- Association between symptom experience and long-term survival in people treated for cancer.ESMO open · 2026Article
- Effectiveness of an urban forest healing program for improving sleep in cancer survivors.Asia-Pacific journal of oncology nursing · 2025Article
- Effects of sleep disturbance, cancer-related fatigue, and psychological distress on breast cancer patients' quality of life: a prospective longitudinal observational study.Scientific reports · 2024Observational
- The prevalence and risk of symptom and function clusters in colorectal cancer survivors.Journal of cancer survivorship : research and practice · 2022Article
- Septic Shock: Phenotypes and Outcomes.Advances in therapy · 2022Article
- Prevalence and Persistence of Anxiety and Depression over Five Years since Breast Cancer Diagnosis-The NEON-BC Prospective Study.Current oncology (Toronto, Ont.) · 2022Article
- Distress among Korean Cancer Survivors: A Latent Profile Analysis.International journal of environmental research and public health · 2022Article
- Identification of Patient-Reported Outcome Phenotypes Among Oncology Patients With Palliative Care Needs.JCO oncology practice · 2021Article
- Diverse patient trajectories during cytotoxic chemotherapy: Capturing longitudinal patient-reported outcomes.Cancer medicine · 2021Article
- Pain mapping and characteristics in breast cancer survivors during task-oriented training: analysis at 3, 6, and 9 months.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Prediction of quality of life in early breast cancer upon completion of adjuvant chemotherapy.NPJ breast cancer · 2021Article
- To which extent do breast cancer survivors feel well informed about disease and treatment 5 years after diagnosis?Breast cancer research and treatment · 2021Article
- Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics.Breast cancer research and treatment · 2020Article
- Symptom Clusters in Breast Cancer Survivors: A Latent Class Profile Analysis.Oncology nursing forum · 2020Article
- The impact of health symptoms on health-related quality of life in early-stage breast cancer survivors.Breast cancer research and treatment · 2019Article
- Yoga for symptom management in oncology: A review of the evidence base and future directions for research.Cancer · 2019Review
- Article
- It is not just menopause: symptom clustering in the Study of Women's Health Across the Nation.Women's midlife health · 2017Article
- Changes in Symptom Clusters Among Asian American Breast Cancer Survivors in Technology-Based Coaching Intervention.Cancer nursingArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
contextIdentification of cancer patients with similar symptom profiles may facilitate targeted symptom management.
objectivesTo identify subgroups of breast cancer survivors based on differential experience of symptoms, examine change in subgroup membership over time, and identify relevant characteristics and quality of life (QOL) among subgroups.
methodsSecondary analyses of data from 653 breast cancer survivors recruited within eight months of diagnosis who completed questionnaires at five time points. Hidden Markov modeling was used to 1) formulate symptom profiles based on prevalence and severity of eight symptoms commonly associated with breast cancer and 2) estimate probabilities of changing subgroup membership over 18 months of follow-up. Ordinal repeated measures were used to 3) identify patient characteristics related to subgroup membership and 4) evaluate the relationship between symptom subgroup and QOL.
resultsA seven-subgroup model provided the best fit: 1) low symptom burden, 2) mild fatigue, 3) mild fatigue and mild pain, 4) moderate fatigue and moderate pain, 5) moderate fatigue and moderate psychological, 6) moderate fatigue, mild pain, mild psychological, and 7) high symptom burden. Seventy percent of survivors remained in the same subgroup over time. In multivariable analyses, chemotherapy and greater illness intrusiveness were significantly related to greater symptom burden, while not being married or partnered, no difficulty paying for basics, and greater social support were protective. Higher symptom burden was associated with lower QOL. Survivors who reported psychological symptoms had significantly lower QOL than did survivors with pain symptoms.
conclusionCancer survivors can be differentiated by their symptom profiles.
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