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Attitude about cancer disclosure and quality of life of patients with cancer

Authors: Fatemeh Mollarahimi-Maleki, Marzieh Nojomi, Mohammad-Reza Rostami

Int J Med Res Health Sci.457-466 | pdf PDF Full Text

Detection of cancer is often equal to facing with a crisis by the patients. Traditionally it is believed that cancer
diagnosis should not be told to the patients. The aim of this study was to compare the attitudes towards the
disclosure of cancer diagnosis in patients with cancer and control group included healthy people. This crosssectional
study was carried out in 2015 with a total of 531 people. We used three questionnaires to collect data. The
first one was EORTC QLQ-C30 to assess quality of life of patients with cancer. The second one included items to
assess the patients’ willingness for detection of the cancer diagnosis. Finally, the third one was the DUREL to
evaluate religiosity. Five hundred and thirty one subjects including 216 patients with cancer and 315 healthy
people were studied. Mean age of participants was 44 ± 15.7, 50.5% were female. Overall, 63% of patients with
cancer were informed of their disease status and 37% uninformed. A significant association was seen between the
awareness of cancer with physical and social functioning of quality of life. There was a positive significant
association between the tendency for being informed of the diagnosis and non-organizational religious activity in
participants without cancer. Global health status and all dimensions of religious were correlated in patients
significantly. We found the majority of subjects tend to be aware of the disclosure of diagnosis. The physical and
social functioning of quality of life were better in uninformed patients than informed patients.
Keywords: Attitude, Cancer, Diagnosis disclosure, Religious commitment, Quality of life

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