Motivation and mortality in older women with early stage breast cancer: A longitudinal study with ten years of follow-up. Issue 2 (March 2017)

• Record Type: Journal Article
• Authors: Dumontier, Clark; Clough-Gorr, Kerri M.; Silliman, Rebecca A.; Stuck, Andreas E.; Moser, André
• Is Part Of: Journal of geriatric oncology. Volume 8:Issue 2(2017)
• Page Start: 133
• Page End: 139
• Publication Date: 2017-03
• Subjects: Geriatric oncology -- Breast cancer -- Survivorship -- Quality of life -- Health-related quality of life -- Motivation -- Mortality -- Disease-specific mortality -- Risk stratification; Geriatric oncology -- Periodicals; Neoplasms -- Periodicals; Aged -- Periodicals; Geriatric oncology; Electronic journals; Periodicals; 618.976994005
• DOI: 10.1016/j.jgo.2016.12.002
• Languages: English
• ISSNs: 1879-4068

Abstract

Abstract: Objectives: The Getting Out of Bed Scale (GOB) was validated as a health-related quality of life (HRQoL) variable in older women with early stage breast cancer, suggesting its potential as a concise yet powerful measure of motivation. The aim of our project was to assess the association between GOB and mortality over 10 years of follow-up. Materials and Methods: We studied 660 women ≥ 65-years old diagnosed with stage I–IIIA primary breast cancer. Data were collected over 10 years of follow-up from interviews, medical records, and death indexes. Results: Compared to women with lower GOB scores, women with higher GOB had an unadjusted hazard ratio (HR) of all-cause mortality of 0.78 at 5 years, 95% confidence interval (CI) (0.52, 1.19) and 0.77 at 10 years, 95%CI (0.59, 1.00). These associations diminished after adjusting for age and stage of breast cancer, and further after adjusting for other HRQoL variables including physical function, mental health, emotional health, psychosocial function, and social support. Unadjusted HRs of breast cancer-specific mortality were 0.92, 95%CI (0.49, 1.74), at 5 years, and 0.82, 95%CI (0.52, 1.32), at 10 years. These associations also decreased in adjusted models. Conclusion: Women with higher GOB scores had a lower hazard of all-cause mortality in unadjusted analysis. This effect diminished after adjusting for confounding clinical and HRQoL variables. GOB is a measure of motivation that may not be independently associated with cancer mortality, but reflects other HRQoL variables making it a potential outcome to monitor in older patients with cancer.