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Searching for a harmonious survival: the experience of quality of life of urological cancer survivors

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Abstract

Purpose

This study aimed to analyze the experience of quality of life for urological cancer survivors.

Methods

This is a qualitative narrative research based on the experience-centered approach. Twenty-one semi-structured face-to-face interviews were conducted with 12 survivors of urological cancer at different survival seasons. Participants were recruited from the convenience sampling. The thematic analysis approach was used to analyze the data. The findings are presented as narrative syntheses. The standards for reporting qualitative research (SPQR) were used in this study.

Results

Two narrative syntheses were constructed: (1) Rupture in the different dimensions of QoL; and (2) QoL: Searching for a harmonious survival, each presenting their respective sub-themes. After the rupture in the different dimensions of QoL, the survivors resigned themselves and searched for a harmonious survival despite the physical, social, and psychological changes imposed by cancer treatments. Survivors achieved a new meaning of QoL with the support of family, hope, and spirituality.

Conclusions

The results highlight the changes experienced by survivors in different dimensions of QoL and the search for harmonious survival. Based on QoL experience reported in this study, health professionals can plan survival care and interventions that mitigate the consequences of treatment on QoL.

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Data availability

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

Code availability

Not applicable.

References

  1. Haas BK (1999) A multidisciplinary concept analysis of quality of life. West J Nurs Res [Internet]. 21:728–42. https://doi.org/10.1177/01939459922044153

    Article  CAS  PubMed  Google Scholar 

  2. WHOQOL Group. Quality of life assessment: international perspectives. In: Orley J, Kuyken W, editor. Dev World Heath Organ Qual life assessment Instrum (The WHOQOL). Heidelberg: Springer; 1994. p. 41–60

  3. Fitzpatrick TR, editor (2018) Quality of life among cancer survivors [Internet]. Cham: Springer International Publishing. Available from: http://link.springer.com/https://doi.org/10.1007/978-3-319-75223-5

  4. Ploussard G, Albrand G, Rozet F, Lang H, Paillaud E, Mongiat-Artus P (2014) Challenging treatment decision-making in older urologic cancer patients. World J Urol [Internet] 32:299–308. https://doi.org/10.1007/s00345-013-1158-4

    Article  Google Scholar 

  5. Miller KD, Nogueira L, Mariotto AB, Rowland JH, Yabroff KR, Alfano CM et al (2019) Cancer treatment and survivorship statistics, 2019. CA Cancer J Clin [Internet] 69:363–85. https://doi.org/10.3322/caac.21565

    Article  Google Scholar 

  6. Mayer DK, Nasso SF, Earp JA. Defining cancer survivors, their needs, and perspectives on survivorship health care in the USA. Lancet Oncol [Internet]. Elsevier Ltd; 2017;18:e11–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1470204516305733

  7. Mullan F (1985) Seasons of survival: reflections of a physician with cancer. N Engl J Med [Internet]. 313:270–3. https://doi.org/10.1056/NEJM198811243192103

    Article  CAS  PubMed  Google Scholar 

  8. Sanda MG, Dunn RL, Michalski J, Sandler HM, Northouse L, Hembroff L et al (2008) Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med [Internet]. 358:1250–61. https://doi.org/10.1056/NEJMoa074311

    Article  CAS  PubMed  Google Scholar 

  9. Namiki S, Arai Y (2010) Health-related quality of life in men with localized prostate cancer. Int J Urol [Internet]. 17:125–38. https://doi.org/10.1111/j.1442-2042.2009.02437.x

    Article  PubMed  Google Scholar 

  10. Jung A, Nielsen ME, Crandell JL, Palmer MH, Smith SK, Bryant AL et al (2020) Health-related quality of life among non-muscle-invasive bladder cancer survivors: a population-based study. BJU Int [Internet]. 125:38–48. https://doi.org/10.1111/bju.14888

    Article  PubMed  Google Scholar 

  11. Taarnhøj GA, Johansen C, Pappot H (2019) Quality of life in bladder cancer patients receiving medical oncological treatment; a systematic review of the literature. Health Qual Life Outcomes [Internet] 17:20. https://doi.org/10.1186/s12955-018-1077-6

    Article  PubMed Central  Google Scholar 

  12. Huang C-Y, Wang M-J, Lin Y-H, Chen C-I (2018) Depressive symptoms and health-related quality of life among prostate cancer survivors. Cancer Nurs [Internet] 41:E1–8. Available from: http://journals.lww.com/00002820-201801000-00012

  13. O’Boyle CA (1994) The Schedule for the Evaluation of Individual Quality of Life (SEIQoL). Int J Ment Health [Internet] 23:3–23. https://doi.org/10.1080/00207411.1994.11449285

    Article  Google Scholar 

  14. Burke S, Wurz A, Bradshaw A, Saunders S, West MA, Brunet J (2017) Physical activity and quality of life in cancer survivors: a meta-synthesis of qualitative research. Cancers (Basel) [Internet] 9:53. Available from: http://www.mdpi.com/2072-6694/9/5/53

  15. Pereira ÉF, Teixeira CS, Santos A dos (2012) Qualidade de vida: abordagens, conceitos e avaliação. Rev Bras Educ Física e Esporte [Internet]. Elsevier Masson SAS 26:241–50. Available from: http://www.revistas.usp.br/rbefe/article/view/45895/0

  16. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018 (2018) GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin [Internet] 68:394–424. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30207593

  17. Squire C (2013) Experience-centred and culturally-oriented approaches to narrative. In: Andrews M, Squire C, Tamboukou M (eds) Doing Narrat Res, 2nd edn. Sage Publications LTDA, Los Angeles, pp 41–63

    Google Scholar 

  18. O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA (2014) Standards for Reporting Qualitative Research. Acad Med [Internet] 89:1245–51. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00001888-201409000-00021

  19. Stein REK, Jessop DJ (1989) What diagnosis does not tell: the case for a noncategorical approach to chronic illness in childhood. Soc Sci Med [Internet] 29:769–78. Available from: https://linkinghub.elsevier.com/retrieve/pii/0277953689901573

  20. Lee G, Pang G, Akhileswaran R, Ow M, Fan G, Wong C et al (2016) Understanding domains of health-related quality of life concerns of Singapore Chinese patients with advanced cancer: a qualitative analysis. Support Care Cancer [Internet]. 24:1107–18. https://doi.org/10.1007/s00520-015-2886-3

    Article  CAS  PubMed  Google Scholar 

  21. Hennink MM, Kaiser BN, Marconi VC (2017) Code saturation versus meaning saturation. Qual Health Res [Internet]. 27:591–608. https://doi.org/10.1177/1049732316665344

    Article  PubMed  Google Scholar 

  22. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol [Internet]. 3:77–101. https://doi.org/10.1191/1478088706qp063oa

    Article  Google Scholar 

  23. Anbari AB, Wanchai A, Armer JM (2019) Breast cancer-related lymphedema and quality of life: a qualitative analysis over years of survivorship. Chronic Illn [Internet] 174239531987279. https://doi.org/10.1177/1742395319872796

  24. Neris RR, Nascimento LC, Leite ACAB, Alvarenga W, Polita NB, Zago MMF (2020) The experience of health-related quality of life in extended and permanent cancer survivors: A qualitative systematic review. Psycho-Oncology. 29(10):1474–85. https://doi.org/10.1002/pon.5472

    Article  PubMed  Google Scholar 

  25. Michael C, Barnett F, Gray M (2016) The experiences of prostate cancer survivors: changes to physical function and its impact on quality of life. Int J Ther Rehabil [Internet]. 23:323–30. https://doi.org/10.12968/ijtr.2016.23.7.323

    Article  Google Scholar 

  26. Buetto LS, Zago MMF (2015) Meanings of quality of life held by patients with colorectal cancer in the context of chemotherapy. Rev Lat Am Enfermagem [Internet] 23:427–34. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000300427&lng=en&tlng=en

  27. Costa MCS, Rossi LA, Lopes LM, Cioffi CL (2008) The meanings of quality of life: interpretative analysis based on experiences of people in burns rehabilitation. Rev Lat Am Enfermagem [Internet] 16:252–9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692008000200013&lng=en&tlng=en

  28. Jassim GA, Whitford DL (2014) Understanding the experiences and quality of life issues of Bahraini women with breast cancer. Soc Sci Med [Internet]. Elsevier Ltd 107:189–95. https://doi.org/10.1016/j.socscimed.2014.01.031

    Article  Google Scholar 

  29. Zeng YC, Li D, Loke AY (2011) Life after cervical cancer: quality of life among Chinese women. Nurs Health Sci [Internet] 13:no-no. Available from: http://doi.wiley.com/https://doi.org/10.1111/j.1442-2018.2011.00616.x

  30. Harandy TF, Ghofranipour F, Montazeri A, Anoosheh M, Mohammadi E, Ahmadi F et al (2010) Health-related quality of life in Iranian breast cancer survivors: a qualitative study. Appl Res Qual Life [Internet]. 5:121–32. https://doi.org/10.1007/s11482-010-9097-3

    Article  Google Scholar 

  31. Delmar C, Bøje T, Dylmer D, Forup L, Jakobsen C, Møller M et al. Achieving harmony with oneself: life with a chronic illness. Scand J Caring Sci. 2005:19:204–12.

    Article  Google Scholar 

  32. Harryson L, Aléx L, Hammarström A (2016) “I have surly passed a limit, it is simply too much”: women’s and men’s experiences of stress and wellbeing when living within a process of housework resignation. BMC Public Health [Internet]. 16:1–10. https://doi.org/10.1186/s12889-016-2920-5

    Article  Google Scholar 

  33. Nelson AM, Albizu-Jacob A, Fenech AL, Chon HS, Wenham RM, Donovan KA (2018) Quality of life after pelvic exenteration for gynecologic cancer: findings from a qualitative study. Psychooncology [Internet]. 27:2357–62. https://doi.org/10.1002/pon.4832

    Article  PubMed  Google Scholar 

  34. Duggleby W, Hicks D, Nekolaichuk C, Holtslander L, Williams A, Chambers T et al (2012) Hope, older adults, and chronic illness: a metasynthesis of qualitative research. J Adv Nurs [Internet]. 68:1211–23. https://doi.org/10.1111/j.1365-2648.2011.05919.x

    Article  PubMed  Google Scholar 

  35. Weathers E, McCarthy G, Coffey A (2016) Concept analysis of spirituality: an evolutionary approach. Nurs Forum [Internet]. 51:79–96. https://doi.org/10.1111/nuf.12128

    Article  PubMed  Google Scholar 

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Funding

This study was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES), finance code 001.

Author information

Authors and Affiliations

Authors

Contributions

RRN and MMFZ have made substantial contributions to the conception and design of the study. RRN has performed the data collection. RRN, LCN, and MMFZ have been involved in data analysis and interpretation, drafting of the manuscript, and relevant critical review of the intellectual content. All authors have given final approval of the version to be published.

Corresponding author

Correspondence to Lucila Castanheira Nascimento.

Ethics declarations

Ethics approval

The study was approved by the Research Ethics Committee of the University to which the research team is attached, and the hospital where the data was collected (Protocol Number: 217/2016).

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Consent for publication

Not applicable.

Conflict of interest

The authors declare no competing interests.

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Neris, R.R., Nascimento, L.C. & Zago, M.M.F. Searching for a harmonious survival: the experience of quality of life of urological cancer survivors. Support Care Cancer 30, 3485–3494 (2022). https://doi.org/10.1007/s00520-021-06786-6

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  • DOI: https://doi.org/10.1007/s00520-021-06786-6

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