Predictive factors of overall quality of life in advanced cancer patients using EORTC QLQ-C30

被引:10
作者
Cramarossa, Gemma [1 ]
Zeng, Liang [1 ]
Zhang, Liying [1 ]
Tseng, Ling-Ming [2 ]
Hou, Ming-Feng [3 ]
Fairchild, Alysa [4 ]
Vassiliou, Vassilios [5 ]
Jesus-Garcia, Reynaldo [6 ]
El-Din, Mohamed A. Alm [7 ]
Kumar, Aswin [8 ]
Forges, Fabien [9 ,10 ]
Chie, Wei-Chu [11 ,12 ]
Sahgal, Arjun [1 ]
Lam, Henry [1 ]
Pulenzas, Natalie [1 ]
Chow, Edward [1 ]
机构
[1] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Radiat Oncol, Odette Canc Ctr, Toronto, ON M4N 3M5, Canada
[2] Natl Yang Ming Univ, Taipei Vet Gen Hosp, Dept Surg, Taipei 112, Taiwan
[3] Kaohsiung Med Univ Hosp, Dept Surg Gastroenterol, Kaohsiung, Taiwan
[4] Cross Canc Inst, Dept Radiat Oncol, Edmonton, AB T6G 1Z2, Canada
[5] Bank Cyprus, Dept Radiat Oncol, Ctr Oncol, Nicosia, Cyprus
[6] Univ Fed Sao Paulo, Dept Orthoped Oncol, Sao Paulo, Brazil
[7] Tanta Univ Hosp, Tanta Fac Med, Dept Clin Oncol, Tanta, Egypt
[8] Reg Canc Ctr, Div Gynaecol & Genitourinary Oncol, Dept Radiat Oncol, Trivandrum 695011, Kerala, India
[9] St Etienne Univ Hosp, INSERM, CIE3, St Etienne, France
[10] St Etienne Univ Hosp, Unit Clin Res Innovat & Pharmacol, St Etienne, France
[11] Natl Taiwan Univ, Dept Publ Hlth, Taipei 10764, Taiwan
[12] Natl Taiwan Univ, Inst Epidemiol & Preventat Med, Taipei 10764, Taiwan
关键词
advanced cancer; EORTC QLQ-C30; metastatic cancer; quality of life; symptom control; BRAIN METASTASES; BREAST-CANCER; FATIGUE; PAIN; RADIOTHERAPY; PREVALENCE; SYMPTOMS; DETERMINANTS; ASSOCIATION; MANAGEMENT;
D O I
10.1586/14737167.2014.864560
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: To identify which domains/symptoms from the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) were predictive of overall quality of life (QoL) in advanced cancer patients. Methods: Four hundred and forty seven patients with brain metastases or bone metastases from seven countries were enrolled with regression analysis to determine the predictive value of the QLQ-C30 functional/symptom scores for patient reported overall QoL (question 30), overall health (question 29) and the global health status domain (questions 29 and 30). Results: Worse role functioning, social functioning, fatigue and financial problems were the most significant predictive factors for worse QoL. In the bone metastases subgroup (n = 400), role functioning, fatigue and financial problems were the most significant predictors. In patients with brain metastases (n = 47), none of the EORTC domains significantly predicted worse QOL. Conclusion: Deterioration of certain QLQ-C30 functional/symptom scores significantly contributes to worse QoL, overall health and global health status.
引用
收藏
页码:139 / 146
页数:8
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