Quality of Life and Climacteric Symptoms in Postmenopausal Women Receiving Hormone Therapy for Breast Cancer

J Obstet Gynaecol Can. 2020 Oct;42(10):1243-1247. doi: 10.1016/j.jogc.2020.02.124. Epub 2020 Mar 27.

Abstract

Objective: To assess quality of life and climacteric symptoms for post-menopausal women receiving hormone therapy for breast cancer.

Methods: A prospective observational study of women treated at the Mastology Outpatient Clinic of the Department of Obstetrics and Gynecology was conducted between 2015 and 2019. Post-menopausal patients who had been diagnosed with breast cancer and who were experiencing climacteric symptoms were selected. These patients had undergone surgery, radiotherapy, and/or chemotherapy more than one year prior and were receiving tamoxifen or an aromatase inhibitor. A total of 57 women were recruited and during visits completed a sociodemographic questionnaire, the Blatt-Kupperman Menopausal Index (KI), and the World Health Organization Quality of Life version-bref (WHOQOL-bref) scale. Repeated measures ANOVA, and Friedman and Pearson tests were conducted.

Results: Patients had a mean age of 54.4 ± 5.9 years, 86% had ductal carcinoma, 98% had undergone surgery, 70% had received chemotherapy, and 96% had received radiotherapy. Scores on the KI (P < 0.001) and WHOQOL-bref scale (P < 0.046) had improved by the 6-month follow-up. Correlation of the KI and WHOQOL-bref scales showed that less intense climacteric symptoms were associated with higher scores on quality of life domains, and these results were statistically significant (P < 0.001).

Conclusions: The correlation of the scales showed that reduction in climacteric symptoms is associated with significant improvements in quality of life measures.

Keywords: aromatase inhibitors; breast neoplasms; climacteric; quality of life; tamoxifen.

Publication types

  • Observational Study

MeSH terms

  • Antineoplastic Agents, Hormonal / adverse effects
  • Antineoplastic Agents, Hormonal / therapeutic use*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / psychology
  • Female
  • Humans
  • Menopause
  • Middle Aged
  • Postmenopause*
  • Prospective Studies
  • Quality of Life*
  • Surveys and Questionnaires
  • Treatment Outcome

Substances

  • Antineoplastic Agents, Hormonal