Js. Carpenter et al., HOT FLASHES IN POSTMENOPAUSAL WOMEN TREATED FOR BREAST-CARCINOMA - PREVALENCE, SEVERITY, CORRELATES, MANAGEMENT, AND RELATION TO QUALIFY OFLIFE, Cancer, 82(9), 1998, pp. 1682-1691
BACKGROUND. Research on hot Rashes (HFs) after the diagnosis and treat
ment of breast carcinoma (BC) is scarce. To our knowledge, this resear
ch represents the second study of HF prevalence and severity in women
with BC and the first study of 1) correlates of HF prevalence and seve
rity, 2) use of HF management strategies, and 3) the relation between
HFs and quality of life (QOL) among women with BC. METHODS. Eligible w
omen (n = 136) participated in structured telephone interviews. RESULT
S. Of the 114 postmenopausal women interviewed, 65% reported HFs, with
59% of women with HFs (n = 74) rating the symptom as severe. Multivar
iate analysis revealed that 1) HFs were most common in women with a hi
gh school education or less and those who were younger at diagnosis an
d 2) HFs were most severe in women with a higher body mass index, thos
e who were younger at diagnosis, and those receiving tamoxifen. Among
women with HFs, 37% were not using any HF management strategies and 63
% expressed interest in learning more regarding greater than or equal
to 1 strategy. HFs marginally were related to decreased mental and phy
sical QOL using the SF-12 Health Survey (P < 0.10). CONCLUSIONS. The r
esults of the current study significantly contribute to knowledge rega
rding HFs in women with BC and support the need for carefully controll
ed clinical trials evaluating interventions for relieving HFs in this
population. (C) 1998 American Cancer Society.