Author/Authors :
Pourali Leila نويسنده 1. Womens Health Research Center, Ghaem Hospital, Faculty of Medicine , Mashhad University of Medical Sciences, Mashhad, Iran , Zarifian Ahmadreza نويسنده Student Research Committee, School of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran , Sheikh Andalibi Mohammad Sobhan نويسنده Student Research Committee, School of Medicine,Mashhad University of Medical Sciences,Mashhad,Iran , Taghizadeh Ali نويسنده Department of Clinical Oncology, Cancer Research Center,
School of Medicine, Mashhad University of Medical Sciences, Mashhad,
IR Iran , Akhoundi Mohammad Reza نويسنده Imam Reza Hospital, Mashhad, IR Iran , Varshoei Fatemeh نويسنده Imam Reza Hospital, Mashhad, IR Iran
Abstract :
Background Breast cancer is the second most common malignancy in
women, worldwide. Several etiologic factors may cause anemia in a
patient with breast cancer. Anemia is a prevalent complication in
patients with breast cancer who undergo chemotherapy which affects the
health status and quality of life in these patients. The aim of this
study was to evaluate the prevalence of anemia in patients with
non-metastatic breast cancer who underwent adjuvant chemotherapy.
Methods In this cross-sectional study, 144 women with non-metastatic
breast cancer who referred to radiotherapy and oncology department of
Imam Reza hospital and met inclusion criteria were included. Data were
obtained from patients’ archived documents and were analyzed by SPSS
software (version16). Results In this study, 41% of patients were anemic
before the chemotherapy and 43.1% of patients became anemic during and
after treatment. The prevalence of post-chemotherapy anemia was
significantly higher in advanced stages of cancer (P = 0.01). The chance
of developing anemia were more in patients who underwent 8 cycles and AC
+ paclitaxel regimen, compared to the ones with 6 cycles and other
regimens. There was no significant relationship between the prevalence
of anemia and type of chemotherapy regimen, number of chemotherapy
cycles, positive lymph nodes, co-morbidities, menstrual status, and body
mass index (BMI). Conclusions Due to the high prevalence of
chemotherapy-induced anemia and its effects on quality of life, even
mild degrees of anemia should be detected and evaluated before
treatment. Considering early interventions is of cardinal importance,
especially in the elderly.