Evolution of Symptom Burden of Advanced Lung Cancer Over a Decade

Sung, Mike; Patel, Milan; Djalalov, Sarvar; Le, Lisa W.; Shepherd, Frances A.; Burkes, Ronald L.; Feld, Ronald; Lin, Stephanie; Tudor, R.; Leighl, Natasha B.

doi:10.1016/j.cllc.2016.12.010

Cited by 74 publications

(65 citation statements)

References 37 publications

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“…The patient experience is extremely important in the assessment and development of quality healthcare interventions (Garratt et al, ). The lung cancer patient population have unmet survivorship needs which require attention (Granger, ; Sung et al, ). Our study focused specifically on the patient experience of physical activity after diagnosis of lung cancer due to the strong evidence regarding benefits (Rock et al, ) and the current rarity of physical activity services as part of routine clinical practice for these patients (Canestraro et al, ; Dennett et al, ; Stevinson & Fox, ).…”

Section: Discussionmentioning

confidence: 99%

“…The patient experience is extremely important in the assessment and development of quality healthcare interventions (Garratt et al, 2008). The lung cancer patient population have unmet survivorship needs which require attention (Granger, 2016;Sung et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Whilst most DALYs come from years of life lost, the high morbidity associated with lung cancer is a significant concern (Fitzmaurice et al, ). A third of patients attribute major impairment in their daily activities to having lung cancer (Sung et al, ). People with lung cancer experience debilitating symptoms such as fatigue, cough and dyspnoea and decline in physical function after diagnosis (Granger et al, ; Sung et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…A third of patients attribute major impairment in their daily activities to having lung cancer (Sung et al, ). People with lung cancer experience debilitating symptoms such as fatigue, cough and dyspnoea and decline in physical function after diagnosis (Granger et al, ; Sung et al, ). Most patients do not meet minimum recommended levels of physical activity for health (Rock et al, ) before, during or after cancer treatment (Coups et al, ; Granger et al, ; Stevinson, Lydon, & Amir, ).…”

Section: Introductionmentioning

confidence: 99%

“…Most patients do not meet minimum recommended levels of physical activity for health (Rock et al, ) before, during or after cancer treatment (Coups et al, ; Granger et al, ; Stevinson, Lydon, & Amir, ). Beyond medical treatment, patients have unmet survivorship needs which are not consistently addressed in current practice (Granger, ; Sung et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

et al. 2018

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Objective To explore patient experiences of, and preferences for, physical activity after a lung cancer diagnosis. Methods This was a qualitative study involving seven patients who had been treated for lung cancer within the previous 2 years. Participants attended a focus group interview. Conventional content analysis methodology was used to analyse the text by two independent researchers. Results Eight major themes emerged from the data. These were as follows: the influence of past lifestyle and chronic disease; the perceived benefits of physical activity; using physical activity to facilitate return to activities of daily living; the impact of symptoms, capacity and motivation; family and peer support; access to services; health professionals; and enjoyment of different types of physical activity. Patients suggested several factors that could improve their healthcare experience. These include access to exercise professionals particularly after cancer treatment; access to information about physical activity in different formats; supervision from health professionals and peer support; and use of behaviour change strategies to achieve sustainable increases in physical activity. Conclusion Our results should be considered in the improvement of lung cancer care pathways as we strive to implement physical activity services into routine clinical care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

et al. 2018

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Timeliness of cancer care in a regional Victorian health service: A comparison of high‐volume (Lung) and low‐volume (oesophagogastric) tumour streams

et al. 2020

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Background Timeliness of cancer care is vital for improved survival and quality of life of patients. Service and care centralisation at larger‐volume centres has been associated with improved outcomes. However, there is a lack of systematic data on the impact of tumour stream volume on timeliness of care. Aims To investigate and compare timeliness of care for lung cancer, a high‐volume (more commonly diagnosed) tumour stream, and oesophagogastric (OG) cancer, a low‐volume (less commonly diagnosed) tumour stream, at a regional health service in Victoria, Australia. Methods A retrospective cohort study comprising random samples of 75 people newly diagnosed with lung cancer (International Classification of Diseases and Related Health Problems‐10 [ICD‐10] diagnosis codes C34 in the Victorian Cancer Registry [VCR]) and 50 people newly diagnosed with OG cancer (ICD‐10 diagnosis codes C15 or C16 in VCR) at one regional Victorian health service between 2016 and 2017. Binary logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for associations between patient factors and suboptimal timeliness of care. Results In comparison to OG cancer patients, lung cancer patients had reduced odds of suboptimal timeliness of care in reference to times outside OCP for referral to diagnosis (OR [95% CI] = 0.34 [0.14 to 0.83]) but increased odds of suboptimal timeliness for diagnosis to treatment (OR [95% CI] = 2.48 [1.01 to 6.09]). Conclusion In the low‐volume OG cancer stream, patients had longer wait times from referral to an MDM, where treatment decisions occur, but shorter time to commencement of first treatment. Conversely in the high‐volume lung cancer group, there was delayed initiation of first treatment following presentation at MDM. There is need to explore ways to fast‐track MDM presentation and commencement of therapy among people diagnosed with low‐volume and high‐volume cancers, respectively.

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Combined Mindfulness‐Based Stress Reduction and Exercise Intervention for Improving Psychological Well‐Being in Patients With Non‐Small Cell Lung Cancer

Wang,

Zhang,

Wang

et al. 2024

Clin Psychology and Psychoth

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ObjectiveThis study aims to assess the clinical effectiveness of combining mindfulness‐based stress reduction (MBSR) with exercise intervention in improving anxiety, depression, sleep quality and mood regulation in patients with non‐small cell lung cancer (NSCLC).MethodsA total of 60 patients with NSCLC who had not received surgical treatment were selected using convenience sampling and divided into an intervention group and control group, with 30 patients in each group. The control group received conventional psychological nursing care, whereas the intervention group received a combination of MBwSR and exercise therapy. Before the intervention, a questionnaire was completed to collect the basic data of the two groups. Further questionnaires were administered at 6 and 8 weeks after treatment to assess anxiety, depression, sleep quality and other items included in the five‐item Brief Symptom Rating Scale (BSRS‐5).ResultsNo significant differences between the intervention and control groups were identified in terms of personal and clinical characteristics (p > 0.05). No significant differences were determined in the BSRS‐5, Self‐Rating Anxiety Scale (SAS), Self‐Rating Depression Scale (SDS) or Pittsburgh Sleep Quality Index (PSQI) scores between the intervention and control groups before the intervention. However, 6 and 8 weeks after the intervention, scores were significantly lower in both groups (p < 0.001). Significant differences in the BSRS‐5, SAS, SDS and PSQI scores were identified between the two groups at different time points (p < 0.001).ConclusionThe combination of MBSR and exercise intervention demonstrated improvements in anxiety, depression, sleep quality and BSRS‐5 scores in patients with NSCLC.

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Evolution of Symptom Burden of Advanced Lung Cancer Over a Decade

Cited by 74 publications

References 37 publications

Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

Improving the delivery of physical activity services in lung cancer: A qualitative representation of the patient’s perspective

Timeliness of cancer care in a regional Victorian health service: A comparison of high‐volume (Lung) and low‐volume (oesophagogastric) tumour streams

Combined Mindfulness‐Based Stress Reduction and Exercise Intervention for Improving Psychological Well‐Being in Patients With Non‐Small Cell Lung Cancer

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