ArticleMedicine and pharmacy reports2022
Quality of life, distress, anxiety and depression of ambulatory cancer patients receiving chemotherapy.
Article in Medicine and pharmacy reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Pretreatment quality of life and survival in patients with lung cancer: a systematic review and meta-analysis.BMC cancer · 2024Pooled it
- Anxiety, depression, quality of life and the mediating role of psychological flexibility: A study on Spanish cancer patients.Scientific reports · 2025Trial
- Navigating Concurrent Diagnoses With Cancer and Mental Health Disorder: Patients' Perspectives on Personalised Treatment and Care.Journal of clinical nursing · 2026Article
- Prevalence and Determinants of Depression, Anxiety, and Quality of Life in Patients With Breast Cancer in Saudi Arabia: A Focus on Adjuvant Pharmacotherapy.Cancer medicine · 2026Observational
- Article
- The Interplay of Quality of Life and Satisfaction with Nursing Care in Cancer Patients: A Narrative Review.Clinics and practice · 2026Review
- Therapy Dog Presence During Chemotherapy in a Day Chemotherapy Unit: A Prospective Pilot Comparative Pre-Post Study.Cureus · 2026Article
- Implementation of a Cancer Navigation Intervention for Newly Diagnosed Survivors of Breast Cancer: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2026Article
- Death Anxiety During the Last Year of Life in Patients With Advanced Cancer: Longitudinal Results From the eQuiPe Study.Psycho-oncology · 2026Observational
- Repurposing Imeglimin for Chemotherapy-Induced Cognitive Impairment: Targeting Mitochondrial Dysfunction and Neuroinflammation.Cellular and molecular neurobiology · 2026Review
- Negative correlation between psychological distress and quality of life in papillary thyroid carcinoma (PTC) patients treated with radioactive iodine.American journal of translational research · 2026Article
- Influencing Factors of Dietary Guidance Compliance in Patients with Esophageal Cancer During Preoperative Neoadjuvant Therapy: A Qualitative Study.Journal of multidisciplinary healthcare · 2026Article
- Brain Functional and Structural Changes of Breast Cancer After Chemotherapy: A Systematic Review and Meta-analysis.Neuropsychology review · 2025Review
- Impact of pharmacist-led chemotherapy counseling on health-related quality of life and psychological outcomes of oncology patients in cancer hospital: A single center, open-label, randomized controlled trial.Exploratory research in clinical and social pharmacy · 2025Article
- Using Blended Aromatherapy for Anxiety and Stress Management in Patients Receiving Oncology Care.Clinical journal of oncology nursing · 2025Article
- The influence of cancer treatments on long-term psychological outcomes and quality of life in breast cancer patients.BMC cancer · 2025Article
- Impact of chemotherapy on sexual dysfunction in Turkish women with breast cancer: A single-center prospective cohort study.Medicine · 2025Observational
- Interdependence of health between patients with colorectal cancer and family caregivers: a cross-sectional study.BMC nursing · 2025Article
- Greater Symptom Burden and Poorer Quality of Life Outcomes Are Associated With The Co-Occurrence of Anxiety and Depression During Cancer Chemotherapy.Seminars in oncology nursing · 2025Article
- Psychological Distress and Quality of Life in Patients with Colon Cancer: Predictors, Moderating Effects, and Longitudinal Impact.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective and aim: Cancer and its treatment have substantial physical and psychological consequences that severely affect the patients' quality of life (QoL) and emotional status. This study aimed to investigate the relationship between distress, anxiety, depression, and QoL of ambulatory cancer patients undergoing chemotherapy. Methods: A descriptive, cross-sectional study of 150 cancer patients who were receiving chemotherapy in the outpatient unit of a central anticancer hospital in Athens. The data were collected through convenience sampling between November 2017 and January 2018, using a demographic and clinical characteristics questionnaire, the Distress Thermometer (DT) and Problem List (PL), the Hospital Anxiety and Depression Scale (HADS) and the European Organization for Research and Treatment for Cancer QoL assessment Questionnaire (EORTC QLQ-C30). Results: Variability characterized the sample's demographic and clinical characteristics. The majority of patients were women (64%), married (66%), high school graduates (43%), had breast cancer (35%), with a mean age of 60.07 ± 11.42. 83% reported anxiety, 75% reported fear, 51% nervousness and sadness, 34% depression and 84.7% fatigue. The DT was positively correlated with HADS (p<0.001) and with almost all EORTC QLQ-C30 functional subscales and symptoms (p<0.001). The HADS-Anxiety was significantly correlated with overall QoL and with almost all the EORTC QLQ-C30 functional scales and symptoms (p<0.001). HADS-Depression was significantly correlated with overall QoL and all the EORTC QLQ-C30 functional scales and symptoms (p<0.001). Women tended to have higher level of distress (p=0.003). There was a statistically significant relationship between educational level, the cognitive functioning scale (p=0.017) and financial difficulties (p=0.026). Conclusions: Ambulatory cancer patients undergoing chemotherapy are at risk of facing distress in all aspects of daily living, along with anxiety and depression, which decreases their QoL. Oncology nurses as members of multidisciplinary teams should assess the affected aspects of patients' QoL and appropriate interventions should be implemented at community level.
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