Evidence map›Paper›PMID 39982594›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025

Long-term health-related quality of life among adolescent and young adult breast cancer survivors.

Noelle J M C Vrancken Peeters, Roos Kerklaan, Carla Vlooswijk, Rhodé M Bijlsma, Suzanne E J Kaal, Jacqueline M Tromp, Monique E M M Bos, Tom van der Hulle, Maaike de Boer, Janine Nuver and 3 more

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Financial toxicity among breast cancer survivors receiving care during the pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Noelle J M C Vrancken PeetersDepartment of Medical Oncology, Netherlands Cancer Institute-Antoni Van Leeuwenhoek, 1066 CX, Amsterdam, The Netherlands.ORCID http://orcid.org/0009-0007-3558-3946
Roos KerklaanDepartment of Plastic and Reconstructive Surgery, Erasmus MC Cancer Institute, Erasmus University Medical Centre, 3015 GD, Rotterdam, The Netherlands.
Carla VlooswijkResearch and Development, Netherlands Comprehensive Cancer Organisation, 3511 CV, Utrecht, The Netherlands.
Rhodé M BijlsmaDepartment of Medical Oncology, University Medical Centre, 3584 CX, Utrecht, The Netherlands.
Suzanne E J KaalDepartment of Medical Oncology, Radboud University Medical Centre, 6525 GA, Nijmegen, The Netherlands.
Jacqueline M TrompDepartment of Medical Oncology, Amsterdam University Medical Centres, 1105 AZ, Amsterdam, The Netherlands.
Monique E M M BosDepartment of Medical Oncology, Erasmus MC Cancer Institute, Erasmus University Medical Centre, 3015 GD, Rotterdam, The Netherlands.
Tom van der HulleDepartment of Medical Oncology, Leiden University Medical Centre, 2333 ZA, Leiden, The Netherlands.
Maaike de BoerDepartment of Medical Oncology, Maastricht University Medical Center, 6202 AZ, Maastricht, The Netherlands.
Janine NuverDepartment of Medical Oncology, University Medical Centre Groningen, 9713 GZ, Groningen, The Netherlands.
Mathilde C M KouwenhovenDepartment of Neurology, Amsterdam UMC, Amsterdam University Medical Centres, Location VUmc, 1081 HV, Amsterdam, The Netherlands.
Winette T A van der GraafDepartment of Medical Oncology, Netherlands Cancer Institute-Antoni Van Leeuwenhoek, 1066 CX, Amsterdam, The Netherlands.
Olga HussonDepartment of Medical Oncology, Netherlands Cancer Institute-Antoni Van Leeuwenhoek, 1066 CX, Amsterdam, The Netherlands. o.husson@nki.nl.

Funding

KWF Kankerbestrijding 11788Netherlands Organization for Scientific Research 198.007Netherlands Organization for Scientific Research 480-08-009
6 · The paper itself

Abstract

purposeAs the prognosis for adolescents and young adults (AYAs) with breast cancer has improved, long-term health-related quality of life (HRQoL) has become increasingly important. This study aimed to analyze the long-term HRQoL of AYA breast cancer survivors compared to an age-matched normative population and to identify factors associated with HRQoL.

methodsSecondary analyses were conducted using data from the SURVAYA study. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) was used to assess HRQoL. The Mann-Whitney U test was used to compare HRQoL scores of AYA breast cancer survivors with those of the normative population (n = 409). Linear regression models were constructed to identify patient and treatment characteristics associated with HRQoL.

resultsA total of 944 female AYA breast cancer survivors were included, with a median age of 36.0 years and a median follow-up of 12.2 years. AYA breast cancer survivors scored significantly lower on five functional scales: physical, role, emotional, cognitive, and social, and higher on five symptom scales: fatigue, pain, dyspnea, insomnia, and financial impact compared to the normative population. Being in a relationship, having a positive body image, and adaptive coping were positively associated with HRQoL, while older age, chemotherapy, unemployment, and maladaptive coping were negatively associated.

conclusionAYA breast cancer survivors experience significantly compromised long-term HRQoL compared to an age-matched normative population. These results highlight the need for tailored follow-up care and long-term support, as well as the importance of shared decision-making about the benefits and risks of treatments before initiation.

Indexed as

Breast NeoplasmsCancer SurvivorsQuality of LifeAdolescentAdultFemaleHumansSurveys and QuestionnairesYoung AdultAdolescents and young adults (AYAs)Breast cancerHealth-related quality of life (HRQoL)Survivorship

Identifiers

PMID39982594
PMCPMC12064603

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.