title: Health-related quality of life and satisfaction with case management in cancer survivors.
abstract: OBJECTIVE
  To (i) investigate the characteristics of health-related quality of life and satisfaction with case management and (ii) to identify factors associated with health-related quality of life in cancer survivors.
  
  
  BACKGROUND
  The level of health-related quality of life can reflect treatment efficacy and satisfaction with cancer care.
  
  
  METHODS
  A cross-sectional study design was adopted.
  
  
  METHODS
  Subjects from the outpatient setting of a cancer centre in northern Taiwan were recruited by consecutive sampling. A set of questionnaires were employed, including a background information form, case management service satisfaction survey (CMSS) and The European Quality of Life Scale (EQ-5D). Descriptive statistics were used to examine levels of health-related quality of life and satisfaction with case management. Pearson's correlation was used to identify relationships between treatment characteristics, satisfaction with case management and health-related quality of life. Multiple stepwise regression was used to identify factors associated with health-related quality of life.
  
  
  RESULTS
  A total of 252 cancer patients were recruited. The three lowest scores for items of health-related quality of life were mobility, self-care and usual activities. Cancer survivors with higher mobility, less pain and discomfort, and lower anxiety and depression were more likely to have better health-related quality of life.
  
  
  CONCLUSIONS
  Mobility, pain and discomfort, and anxiety and depression are important predictive factors of high health-related quality of life in cancer survivors.
  
  
  CONCLUSIONS
  In clinical care, patients' physical mobility, pain and discomfort, and anxiety and depression are important indicators of health-related quality of life. Case managers should include self-care and symptom management into survivorship care plans to improve health-related quality of life during survival after treatment concludes.
authors.affiliation: Department of Nursing, Cancer Center, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.|Graduate Institute of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
authors.forename: Ya-Hui
authors.initials: YH
authors.lastname: Hsu
authors.affiliation: Department of Nursing, Cancer Center, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
authors.forename: Hsiu-Ying
authors.initials: HY
authors.lastname: Chai
authors.affiliation: Department of Nursing, Cancer Center, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
authors.forename: Yu-Fen
authors.initials: YF
authors.lastname: Lin
authors.affiliation: Department of Nursing, Cancer Center, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.|Department of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
authors.forename: Chao-Hui
authors.initials: CH
authors.lastname: Wang
authors.affiliation: Department of Nursing, Cancer Center, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.|Graduate Institute of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.|Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.|Department of Radiation Oncology, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan.
authors.forename: Shu-Ching
authors.identifier: http://orcid.org/0000-0002-7921-1964
authors.initials: SC
authors.lastname: Chen
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000073116:Cancer Survivors / Q000523:psychology*; D019090:Case Management; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D012648:Self Care / Q000523:psychology; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: cancer survivor; case management; health-related quality of life; satisfaction