Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study
Objectives The study aimed to investigate the prevalence and factors associated with poor health-related quality of life in adults with cancer in Uganda. Methods This cross-sectional study surveyed 385 adult patients (95% response rate) with various cancers at a specialised oncology facility in Ugan...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2325728 |
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| author | Allen Naamala Lars E. Eriksson Jackson Orem Gorrette K. Nalwadda Zarina Nahar Kabir Lena Wettergren |
| author_facet | Allen Naamala Lars E. Eriksson Jackson Orem Gorrette K. Nalwadda Zarina Nahar Kabir Lena Wettergren |
| author_sort | Allen Naamala |
| collection | DOAJ |
| description | Objectives The study aimed to investigate the prevalence and factors associated with poor health-related quality of life in adults with cancer in Uganda. Methods This cross-sectional study surveyed 385 adult patients (95% response rate) with various cancers at a specialised oncology facility in Uganda. Health-related quality of life was measured using the EORTC QLQ-C30 in the Luganda and English languages. Predetermined validated clinical thresholds were applied to the instrument in order to identify patients with poor health-related quality of life, that is, functional impairments or symptoms warranting concern. Multivariable logistic regression was used to identify factors associated with poor health-related quality of life in six subscales: Physical Function, Role Function, Emotional Function, Social Function, Pain and Fatigue. Results The mean age of the patients was 48 years. The majority self-reported poor functioning ranging between 61% (Emotional Function) to 79% (Physical Function) and symptoms (Fatigue 63%, Pain 80%) at clinically concerning levels. These patients were more likely to be older, without formal education and not currently working. Being an inpatient at the facility and being diagnosed with cervical cancer or leukaemia was a predictor of poor health-related quality of life. Conclusion Improvement of cancer care in East Africa requires a comprehensive and integrated approach that addresses various challenges specific to the region. Such strategies include investment in healthcare infrastructure, for example, clinical guidelines to improve pain management, and patient education and support services. |
| format | Article |
| id | doaj-art-e532d4a51e4b4061bcd61ac6c608c327 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-e532d4a51e4b4061bcd61ac6c608c3272025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23257282325728Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional studyAllen Naamala0Lars E. Eriksson1Jackson Orem2Gorrette K. Nalwadda3Zarina Nahar Kabir4Lena Wettergren5Makerere UniversityCare Sciences and Society, Karolinska InstitutetUganda Cancer InstituteMakerere UniversityCare Sciences and Society, Karolinska InstitutetUppsala UniversityObjectives The study aimed to investigate the prevalence and factors associated with poor health-related quality of life in adults with cancer in Uganda. Methods This cross-sectional study surveyed 385 adult patients (95% response rate) with various cancers at a specialised oncology facility in Uganda. Health-related quality of life was measured using the EORTC QLQ-C30 in the Luganda and English languages. Predetermined validated clinical thresholds were applied to the instrument in order to identify patients with poor health-related quality of life, that is, functional impairments or symptoms warranting concern. Multivariable logistic regression was used to identify factors associated with poor health-related quality of life in six subscales: Physical Function, Role Function, Emotional Function, Social Function, Pain and Fatigue. Results The mean age of the patients was 48 years. The majority self-reported poor functioning ranging between 61% (Emotional Function) to 79% (Physical Function) and symptoms (Fatigue 63%, Pain 80%) at clinically concerning levels. These patients were more likely to be older, without formal education and not currently working. Being an inpatient at the facility and being diagnosed with cervical cancer or leukaemia was a predictor of poor health-related quality of life. Conclusion Improvement of cancer care in East Africa requires a comprehensive and integrated approach that addresses various challenges specific to the region. Such strategies include investment in healthcare infrastructure, for example, clinical guidelines to improve pain management, and patient education and support services.http://dx.doi.org/10.1080/16549716.2024.2325728cancer care facilitieshealth statusneoplasmshealth-related quality of lifeuganda |
| spellingShingle | Allen Naamala Lars E. Eriksson Jackson Orem Gorrette K. Nalwadda Zarina Nahar Kabir Lena Wettergren Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study Global Health Action cancer care facilities health status neoplasms health-related quality of life uganda |
| title | Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study |
| title_full | Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study |
| title_fullStr | Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study |
| title_full_unstemmed | Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study |
| title_short | Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study |
| title_sort | health related quality of life among adult patients with cancer in uganda a cross sectional study |
| topic | cancer care facilities health status neoplasms health-related quality of life uganda |
| url | http://dx.doi.org/10.1080/16549716.2024.2325728 |
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