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BMC Public Health

, 15:965

First Online: 25 September 2015Received: 12 December 2014Accepted: 07 September 2015DOI: 10.1186-s12889-015-2240-1

Cite this article as: Wang, JW., Sun, L., Li, J. et al. BMC Public Health 2015 15: 965. doi:10.1186-s12889-015-2240-1


BackgroundMany gynecological cancer survivors GCS have comorbid chronic diseases CCD. This study was to estimate the impacts of CCD on quality of life QOL in GCS.

MethodsWe collected cross-sectional self-reported survey data from 598 GCS between April and July 2013, in Shanghai, China. All the subjects were asked to complete a questionnaire containing the European Organization for Research and Treatment quality of life version 3 questionnaire EORTC QLQ-C30 and questions on socio-demographic characteristics and CCD. In order to mitigate the bias caused by confounding factors, multiple linear models were employed to calculate adjusted means of QOL scores.

ResultsApproximately three-quarters of subjects reported at least one CCD. The highest overall prevalence of all CCD was found in endometrial cancer survivors. Subjects with CCD generally reported lower scores for most EORTC QLQ-C30 scales when compared to subjects without CCD, indicating poorer QOL, particularly for cardiovascular diseases, respiratory diseases, digestive diseases, and musculoskeletal disease.

ConclusionsThe CCD are common health problems among GCS. CCD have significantly negative influence on QOL, and GCS with CCD generally reported lower QOL scores. These findings suggested comprehensive cares for GCS.

KeywordsGynecological cancer survivors Quality of life Comorbid chronic diseases Cancer care Ji-Wei Wang and Li Sun contributed equally to this work.

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Autor: Ji-Wei Wang - Li Sun - Jiang Li - Xiao-Huan Cong - Xue-Fen Chen - Zheng Tang - Dong-Hui Yu - Tian-Rui Zhang - Zheng-Nian 


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