ArticleCancer medicine2023
Social inequality in cancer survivorship: Educational differences in health-related quality of life among 27,857 cancer survivors in Denmark.
Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 19 citations in OpenAlex.
- Cancer and Health Inequalities.British journal of cancer · 2026Review
- Association of social determinants of health and physical functioning among breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Patient-reported outcomes and health-related quality of life in individuals living with, through, and beyond cancer in Sweden: a cross-sectional study.Journal of patient-reported outcomes · 2026Article
- Influence of socioeconomic status on physical and psychological wellbeing during the cancer care continuum: a longitudinal and logistic regression analysis of cancer patients in New Delhi, India.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Social inequalities in cancer in Germany: a call to action.Journal of cancer research and clinical oncology · 2026Review
- Prevalence of concurrent severe self-reported late symptoms and functional limitations in cancer survivors: a cross-sectional study of sociodemographic, clinical, and lifestyle associations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- The mediating role of new morbidities on social inequality in mortality after curative cancer treatment - a SEQUEL study.British journal of cancer · 2025Article
- Article
- Principles to promote social equality across the cancer trajectory: A group concept mapping study.Acta oncologica (Stockholm, Sweden) · 2025Article
- Article
- Early Cancer Survivorship Distress Trajectories Associated With Socioeconomic Status and Age: Findings From a Multicenter Prospective Study.Cancer medicine · 2025Article
- Prevalence of and factors associated with clinically important levels of fatigue, pain, and insomnia in survivors of cancer: a population-based cross-sectional study.Journal of cancer survivorship : research and practice · 2025Article
- Employment status among cancer survivors in a Late Effects Clinic in Denmark.Journal of cancer survivorship : research and practice · 2025Article
- The Impact of Caregiving Intensity and Financial Burden on the Health-Related Quality of Life Among Informal Caregivers for Patients With Advanced Lung Cancer: A Multicenter Cross-Sectional Study.Journal of nursing management · 2025Article
- Validation of the Assessment of Rehabilitation Needs Checklist in a Swedish cancer population.Journal of patient-reported outcomes · 2024Article
- Health-Related Quality of Life in Danish Cancer Survivors Referred to a Late Effects Clinic: A Prospective Cohort Study.Acta oncologica (Stockholm, Sweden) · 2024Article
- Social inequality in cancer survivorship: Educational differences in health-related quality of life among 27,857 cancer survivors in Denmark.Cancer medicine · 2023Article
- Predictors of Preoperative Quality of Life in Older Patients With Colorectal Cancer in Taiwan: A Retrospective Cohort Study.Cancer control : journal of the Moffitt Cancer CenterArticle
- Understanding the Quality of Life Among Patients With Cancer in Saudi Arabia: Insights From a Cross-Sectional Study.Cancer control : journal of the Moffitt Cancer CenterArticle
- Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer.Therapeutic advances in respiratory diseaseReview
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Authors and funding
18 authors at 10 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith a growing population of cancer survivors in Denmark, the evaluation of health-related quality of life (HRQoL) has become increasingly important. We describe variations in HRQoL between educational groups in a national population of cancer survivors.
methodsWe conducted a cross-sectional questionnaire study among breast, prostate, lung, and colon cancer survivors diagnosed in 2010-2019 in Denmark. We used the EORTC QLQ-C30 to assess HRQoL including physical, role, emotional, cognitive, social functioning, and symptoms (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Information on educational level and clinical data were extracted from national registers and clinical databases. Levels of impaired functioning and severe symptoms were identified using newly established thresholds for clinical importance. Multivariate logistic regression was used to examine associations between education and HRQoL. All statistical tests were 2-sided.
resultsIn total, 27,857 (42%) participated in the study. Up to 72% and 75% of cancer survivors with short education (≤9 years) reported impaired functioning and severe symptoms, respectively. Cancer survivors with short compared to long education (>12 years) were more likely to report impaired functioning and severe symptoms, with for example significantly higher odds ratios (ORs) for impaired physical function (breast OR = 2.41, 99% CI = 2.01-2.89; prostate OR = 1.81, 99% CI = 1.48-2.21; lung OR = 2.97, 99% CI = 1.95-4.57; and colon cancer OR = 1.69, 99% CI = 1.28-2.24).
conclusionsCancer survivors with short education are at greater risk of impaired HRQoL than survivors with long education 2-12 years after diagnosis. This underscores the need for systematic screening and symptom management in cancer aftercare, in order to reach all cancer survivors, also cancer survivors with short education.
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