Predictors of the health‐related quality of life of patients who are newly diagnosed with lung cancer in China

Cai, Chunfeng; Zhou, Zongkui; Yu, Liping; Wan, Yonghui

doi:10.1111/j.1442-2018.2011.00612.x

Cited by 10 publications

(8 citation statements)

References 35 publications

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“…In Chinese culture, cancer, to some extent, means death. 27 Chinese culture around dying and death is deeply influenced by Confucianism. 28 Confucianism is an important aspect of nondisclosure in China and influences Chinese medical ethics.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Behavior After a Diagnosis of Lung Cancer Differs Between Countries: An Observational Cohort Study

Denehy

Feng

et al. 2017

Integr Cancer Ther

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Introduction. Physical activity (PA) is important in lung cancer. Objectives. To investigate PA levels and health-related quality of life (HRQoL) of patients with lung cancer in China and compare this to a similar cohort in Australia. Methods. Prospective cohort study. 71 patients from China (group CH) and 90 patients from Australia (group AU) with newly diagnosed lung cancer. Questionnaires assessed self-reported PA levels and HRQoL at baseline (diagnosis) and 8 weeks. Results. At baseline, group CH were engaged in less overall PA than group AU (Physical Activity Scale for the Elderly [PASE] total score: median [IQR] group CH, 56 [32-59]; group AU, 66 [38-116]; P < .005), and less occupational and household activity (P < .005). However, at baseline, group CH reported significantly more walking time than group AU (median [IQR]: group CH, 210 [150-315] min/wk; group AU, 55[0-210] min/wk; P < .0005). Global HRQoL scores were similar between groups (P = .038). Over 8 weeks, group CH increased their overall PA levels (P < .005) and walking time (P = .008), and HRQoL remained unchanged. The comparison group AU experienced a reduction in PA levels (P = .02) and HRQoL (P < .005). Conclusions. A diagnosis, patients in China were less physically active than those in Australia. Following diagnosis, patients in China increased their PA levels, whereas those in Australia reduced their PA levels. Research is required to explore potential reasons behind differences, and this may inform research/clinical services to facilitate patients with lung cancer to be more active.

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Section: Discussionmentioning

confidence: 99%

Physical Activity Behavior After a Diagnosis of Lung Cancer Differs Between Countries: An Observational Cohort Study

Denehy

Feng

et al. 2017

Integr Cancer Ther

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“…Controlling for demographic variables, Tang et al [42] found that in a group of diabetes patients social support was a positive predictor of quality of life. The positive relationship between social support and HRQL, in cancer patients underscores the importance of social support as a beneficial resource in sustaining an acceptable HRQL [48]. …”

Section: Discussionmentioning

confidence: 99%

Psychosocial factors as predictors of quality of life in chronic portuguese patients

Vilhena

Pais-Ribeiro

Silva

et al. 2014

Health and Quality of Life Outcomes

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BackgroundChronic illnesses are diseases of long duration and generally of slow progression. They cause significant quality of life impairment. The aim of this study was to analyse psychosocial predictors of quality of life and of subjective well-being in chronic Portuguese patients.MethodsChronic disease patients (n = 774) were recruited from central Portuguese Hospitals. Participants completed self-reported questionnaires assessing socio-demographic, clinical, psychosocial and outcome variables: quality of life (HRQL) and subjective well-being (SWB). MANCOVA analyses were used to test psychosocial factors as determinants of HRQL and SWB.ResultsAfter controlling for socio-demographic and clinical variables, results showed that dispositional optimism, positive affect, spirituality, social support and treatment adherence are significant predictors of HRQL and SWB. Similar predictors of quality of life, such as positive affect, treatment adherence and spirituality, were found for subgroups of disease classified by medical condition.ConclusionsThe work identifies psychosocial factors associated with quality of life. The predictors for the entire group of different chronic diseases are similar to the ones found in different chronic disease subgroups: positive affect, social support, treatment adherence and spirituality. Patients with more positive affect, additional social support, an adequate treatment adherence and a feel-good spirituality, felt better with the disease conditions and consequently had a better quality of life. This study contributes to understanding and improving the processes associated with quality of life, which is relevant for health care providers and chronic diseases support.

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“… 18–23 However, compared with international studies, very few of them focused on the roles of psychosocial factors on QOL: only one reported the significant association between social support and the global QOL in patients with newly diagnosed lung cancer. 23 …”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in Chinese inpatients with lung cancer treated in large general hospitals: across-sectional study

Zhong

2018

BMJ Open

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ObjectiveIn China, psychosocial problems of patients with cancer are under-recognised and undertreated in medical oncology practice. This study examined the health-related quality of life (QOL) in inpatients with lung cancer treated in large general hospitals and explored the demographic, clinical and psychosocial factors associated with QOL.DesignCross-sectional study.Participants and settingAltogether, 148 inpatients with lung cancer were consecutively recruited from two large general hospitals in Tianjin, China.Main outcome measuredQOL, pain intensity, depressive and anxiety symptoms, and social support were assessed with WHO QOL Scale Brief Version, four-point Verbal Rating Scale, Hospital Anxiety and Depression Scale and Social Support Rating Scale, respectively.ResultsCompared with the normative data for the Chinese general population, patients had significantly lower scores in physical (t=−25.860, p<0.001) and psychological (t=−18.225, p<0.001) QOL. Being unmarried (β=−2.471, 95% CI −4.908 to –0.034), poor economic status (β=−1.764, 95% CI −2.964 to –0.564), cancer metastasis (β=−1.328, 95% CI −2.632 to –0.024), poor performance status (β=−0.959, 95% CI −1.542 to –0.376), depression (β=−0.465, 95% CI −0.631 to –0.299), anxiety (β=−0.208, 95% CI −0.354 to –0.062) and low utilisation of social support (β=−0.344, 95% CI −0.577 to –0.111) were independently associated with poor physical QOL, while female gender (β=−1.494, 95% CI −0.649 to –2.339), less education years (β=−0.209, 95% CI −0.294 to –0.123), currently receiving chemotherapy (β=−1.536, 95% CI −3.051 to –0.021), small-cell cancer (β=−1.157, 95% CI −2.223 to –0.091), more intense pain (β=−0.535, 95% CI −0.919 to –0.151), poor performance status (β=−0.930, 95% CI −1.383 to –0.477), anxiety (β=−0.178, 95% CI −0.248 to –0.108) and inadequate subjective social support (β=−0.137, 95% CI −0.153 to –0.121) were independently associated with poor psychological QOL.ConclusionsInpatients with lung cancer treated in Chinese large general hospitals have poorer QOL than the general population. Effective prevention and management of psychosocial problems are potentially effective to improve their QOL.

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Predictors of the health‐related quality of life of patients who are newly diagnosed with lung cancer in China

Cited by 10 publications

References 35 publications

Physical Activity Behavior After a Diagnosis of Lung Cancer Differs Between Countries: An Observational Cohort Study

Physical Activity Behavior After a Diagnosis of Lung Cancer Differs Between Countries: An Observational Cohort Study

Psychosocial factors as predictors of quality of life in chronic portuguese patients

Health-related quality of life in Chinese inpatients with lung cancer treated in large general hospitals: across-sectional study

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