Bolin Kristian
Department of Health Sciences, Vårdal Institute, Lund University, Lund, Sweden.
Psychooncology. 2008 Jan;17(1):1-8. doi: 10.1002/pon.1189.
In this paper we examine health among breast cancer 5-year survivors. We raise two questions: (1) how do the health level of this survival group compare to the health level of the general population; and (2) how have the health levels among these survivors changed over time. We found that 5-year breast cancer survivors assess their health lower than the general population, and that having being diagnosed in a later year increases health compared to having received the diagnosis at an earlier point in time. This implies that screening and treatment of breast cancer have been successful. Further, we did not find any statistically significant effect of the length of the time spell since diagnosis on health. One reason for this may be that those additional individuals surviving over time as a result of improved treatment therapies have on average lower health levels than those who survived before more efficient medical technologies were introduced.
在本文中，我们研究了乳腺癌5年幸存者的健康状况。我们提出两个问题：（1）这个幸存者群体的健康水平与普通人群的健康水平相比如何；（2）这些幸存者的健康水平随时间发生了怎样的变化。我们发现，乳腺癌5年幸存者对自身健康的评估低于普通人群，而且与较早被诊断相比，在较晚年份被诊断出乳腺癌的患者健康状况有所改善。这意味着乳腺癌的筛查和治疗是成功的。此外，我们没有发现自诊断以来的时间长度对健康有任何统计学上的显著影响。造成这种情况的一个原因可能是，由于治疗方法的改进而存活更长时间的那些人，其平均健康水平低于在引入更高效医疗技术之前就存活下来的人。
