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Quality of life and cancer-related needs in patients with choroidal melanoma
  1. Joshua F Wiley1,
  2. Kelsey Laird1,
  3. Tammy Beran1,
  4. Tara A McCannel2,3,4,
  5. Annette L Stanton1,4,5
  1. 1Department of Psychology, University of California, Los Angeles, California, USA
  2. 2Department of Ophthalmology, University of California, Los Angeles, California, USA
  3. 3Jules Stein Eye Institute, University of California, Los Angeles, California, USA
  4. 4Jonsson Comprehensive Cancer Center, University of California, Los Angeles, California, USA
  5. 5Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA
  1. Correspondence to Dr Annette L Stanton, Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, CA 90095-1563, USA; astanton{at}ucla.edu

Abstract

Aims To assess quality of life (QoL) indices and their associations with treatment modality, sociodemographics and cancer-related needs in choroidal melanoma patients.

Methods Patients (N=99) treated at the University of California, Los Angeles, for choroidal melanoma within the prior 5 years (M=2.05) completed questionnaires assessing demographics, cancer-related needs, vision-specific QoL, depressive symptoms and concern about recurrence. Visual acuity, comorbidities, treatment modality (radiotherapy, enucleation) and years since diagnosis were gathered from medical records. Primary analyses were multiple regressions.

Results Although concern about cancer recurrence was elevated, QoL was better than in other oncology samples and comparable with healthy samples on some outcomes. Enucleation was associated with worse vision-specific QoL, and presence of comorbid diseases was associated with worse vision-specific QoL, depressive symptoms and concern about cancer recurring (all p values<0.05). Patients who experienced at least one stressful life event in the past year (vs no events) reported more depressive symptoms (p<0.01). Report of more unmet cancer needs was associated with worse vision-specific QoL, depressive symptoms and more concern about recurrence (all p values<0.05), uniquely explaining 4%–12% of the variance.

Conclusions For choroidal melanoma patients, an average of 2 years after treatment, the number of physical comorbidities and unmet cancer needs were the strongest correlates of poorer QoL.

  • quality of life
  • choroid neoplasms
  • cancer

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