PMID- 24828426 OWN - NLM STAT- MEDLINE DCOM- 20141230 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 5 DP - 2014 TI - Impact of response shift on time to deterioration in quality of life scores in breast cancer patients. PG - e96848 LID - 10.1371/journal.pone.0096848 [doi] LID - e96848 AB - BACKGROUND: This prospective multicenter study aimed to study the impact of the recalibration component of response-shift (RS) on time to deterioration (TTD) in health related quality of life (QoL) scores in breast cancer (BC) patients and the influence of baseline QoL expectations on TTD. METHODS: The EORTC-QLQ-C30 and BR-23 questionnaires were used to assess the QoL in a prospective multicenter study at inclusion (T0), at the end of the first hospitalization (T1) and, three (T2) and 6 months after the first hospitalization (T3). Recalibration was investigated by the then-test method. QoL expectancy was assessed at diagnosis. Deterioration was defined as a 5-point decrease in QoL scores, considered a minimal clinically important difference (MCID). TTD was estimated using the Kaplan-Meier method. Cox regression analyses were used to identify factors influencing TTD. RESULTS: From February 2006 to February 2008, 381 women were included. Recalibration of breast cancer patients' internal standards in the assessment of their QoL had an impact on TTD. Median TTD were significantly shorter when recalibration was not taken into account than when recalibration was taken into account for global health, role-functioning, social-functioning, body-image and side effects of systemic therapy. Cox multivariate analyses showed that for body image, when recalibration was taken into account, radiotherapy was associated with a shorter TTD (HR: 0.60[0.38-0.94], whereas, no significant impact of surgery type on TTD was observed. For global health, cognitive and social functioning dimensions, patients expecting a deterioration in their QoL at baseline had a significantly shorter TTD. CONCLUSIONS: Our results showed that RS and baseline QoL expectations were associated with time to deterioration in breast cancer patients. FAU - Hamidou, Zeinab AU - Hamidou Z AD - Quality of life and Cancer clinical research Platform, Marseille, France; Public health laboratory, EA 3279-College of Medicine, Marseille, France. FAU - Dabakuyo-Yonli, Tienhan S AU - Dabakuyo-Yonli TS AD - Quality of life and Cancer clinical research Platform, Marseille, France; Biostatistic and Quality of Life Unit, Centre Georges Francois Leclerc, Dijon, France; EA 4184, College of Medicine, Dijon, France. FAU - Guillemin, Francis AU - Guillemin F AD - Quality of life and Cancer clinical research Platform, Marseille, France; Inserm, CIC-EC, department of clinical epidemiology and evaluation, university hospital of Nancy, Nancy, France. FAU - Conroy, Thierry AU - Conroy T AD - Medical oncology department, Centre Alexis Vautrin, Nancy, France. FAU - Velten, Michel AU - Velten M AD - Quality of life and Cancer clinical research Platform, Marseille, France; Epidemiology and public health laboratory, College of Medicine, Strasbourg, France. FAU - Jolly, Damien AU - Jolly D AD - Quality of life and Cancer clinical research Platform, Marseille, France; University hospital of Reims, Reims, France. FAU - Causeret, Sylvain AU - Causeret S AD - Surgery department, Centre Georges Francois Leclerc, Dijon, France. FAU - Graesslin, Olivier AU - Graesslin O AD - Gynecology and Obstetrics Department, Mother Child Institute, University hospital of Reims, Reims, France. FAU - Gauthier, Melanie AU - Gauthier M AD - Quality of life and Cancer clinical research Platform, Marseille, France; Biostatistic and Quality of Life Unit, Centre Georges Francois Leclerc, Dijon, France; EA 4184, College of Medicine, Dijon, France. FAU - Mercier, Mariette AU - Mercier M AD - Quality of life and Cancer clinical research Platform, Marseille, France; Cellular and Molecular Biology Laboratory, University hospital of Besancon, Besancon, France. FAU - Bonnetain, Franck AU - Bonnetain F AD - Quality of life and Cancer clinical research Platform, Marseille, France; Methodology and quality of Life in Oncology unit (EA 3181), University hospital of Besancon, Besancon, France. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20140514 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antineoplastic Agents) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/therapeutic use MH - Body Image MH - Breast Neoplasms/pathology/*psychology/therapy MH - Disease Progression MH - Female MH - Gamma Rays/*therapeutic use MH - Humans MH - Middle Aged MH - Prognosis MH - Prospective Studies MH - Quality of Life/*psychology MH - Social Adjustment MH - Surveys and Questionnaires MH - Time Factors PMC - PMC4020802 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/05/16 06:00 MHDA- 2014/12/31 06:00 PMCR- 2014/05/14 CRDT- 2014/05/16 06:00 PHST- 2013/09/06 00:00 [received] PHST- 2014/04/11 00:00 [accepted] PHST- 2014/05/16 06:00 [entrez] PHST- 2014/05/16 06:00 [pubmed] PHST- 2014/12/31 06:00 [medline] PHST- 2014/05/14 00:00 [pmc-release] AID - PONE-D-13-36716 [pii] AID - 10.1371/journal.pone.0096848 [doi] PST - epublish SO - PLoS One. 2014 May 14;9(5):e96848. doi: 10.1371/journal.pone.0096848. eCollection 2014.