The effect of gender on health-related quality of life and related factors in post-lobectomy lung-cancer patients

Chang, Nai Wen; Lin, Kuan Chia; Hsu, Wen Hu; Lee, Shih Chun; Chan, James Yi Hsin; Wang, Kwua Yun

doi:10.1016/j.ejon.2014.10.015

Cited by 18 publications

(14 citation statements)

References 58 publications

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“…Physical health QoL significantly decreased from pre-to post-surgery among both men and women, but this change was not significantly different when compared between the two. Previous lung cancer surgical studies have found women to generally fare worse than men in terms of post-surgical QoL [15,20], although the literature is somewhat mixed with some findings not supporting gender differences [14,21].…”

Section: Discussionmentioning

confidence: 93%

The impact of resection method and patient factors on quality of life among stage IA non‐small cell lung cancer surgical patients

Yip

Flores

Olkin

et al. 2016

Journal of Surgical Oncology

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Background and Objectives Given the increased number of treatment options for stage IA lung cancer patients, there is a growing body of literature that focuses on comparing each option’s relative impact on quality of life (QoL). The current study seeks to further understand the differences in these patients’ QoL according to surgical approach. Methods Screening-diagnosed first primary pathologic stage IA non-small-cell lung cancer surgical patients from the I-ELCAP cohort who answered a baseline and 1-year follow-up QoL questionnaire (SF-12) were included in the analysis. Thoracotomy patients (N = 85) were compared with VATS patients (N = 15) using paired t-tests and analysis of variance tests. Results Multivariate analyses indicated no differences in QoL change between the two groups from pre- to post-surgery. Physical and emotional role functioning significantly improved among VATS patients and worsened among thoracotomy patients. Among thoracotomy patients, a significant decrease in post-surgical physical QoL was observed only in those who underwent lobectomy (−3.3; 95% CI: −5.1, −1.5), not limited resection. Conclusions Although the sample size is small, preliminary findings underscore that changes in overall QoL are similar in VATS and thoracotomy stage IA lung cancer patients. Extension of the resection may be a more relevant factor on QoL post-surgery.

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Section: Discussionmentioning

confidence: 93%

The impact of resection method and patient factors on quality of life among stage IA non‐small cell lung cancer surgical patients

Yip

Flores

Olkin

et al. 2016

Journal of Surgical Oncology

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“…Te current study assesses for the frst time the impact of surgery on physical and mental health-related quality of life in patients with stage IA lung cancer diagnosed by computerized-tomography (CT) screening and treated with surgical resection, and attempts to understand whether there is diferential impact on HRQoL based on type of surgery (limited resection vs lobectomy). Further, in lung cancer specifcally, studies have noted diferences between men and women in terms of HRQoL outcomes and overall survival, with women usually faring worse than men on all outcomes, 29,[44][45][46][47] although one study found that men fared worse on physical health QoL than did women, 47 and another found no diferences in QoL based on gender. 48 As such, the current study also aims to delineate any diferences in outcomes by sex, and it is hypothesized that women will likely have worse HRQoL outcomes after surgery than do men.…”

Section: Original Reportmentioning

confidence: 99%

Impact of surgery for stage IA non-small-cell lung cancer on patient quality of life

Yip¹,

Olkin²,

Sikavi³

et al. 2016

J Community Support Oncol

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“…Therefore, there might be cohort differences that shared different social and non-social events throughout the aging process. Despite the cohort effect on the elderly population, gender differences are easily found in a society that can possibly affect the quality of life and cognitive level [38][39][40][41]. Men and women tend to participate in different social activities which could influence their quality of life and/or cognitive level [39,40].…”

Section: Discussionmentioning

confidence: 99%

The Association Between the Changes in General, Family, and Financial Aspects of Quality of Life and Their Effects on Cognitive Function in an Elderly Population: The Korean Longitudinal Study of Aging, 2008–2016

Chae

Park

Jang

2020

IJERPH

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Background The growing aging population is a global phenomenon and a major public health challenge. Among Organization for Economic Co-operation and Development countries, Korea is the fastest aging country. We aimed to investigate the relationship between changes in quality of life (QOL) and cognitive function in older adults. Method: Data from the Korean Longitudinal Study of Aging collected from 2008 to 2016 were used. In 3453 participants (men: 1943; women: 1541), QOL was measured by three aspects: general, financial, and familial. Changes in QOL status were assessed by four categories: remained poor, worsened, improved, and remained good. The level of cognitive function was measured by the Mini-Mental State Examination score (MMSE, normal range cut-off value: 24 or above). For the statistical analysis, the generalized equation model (GEE) was performed. Results: For all three aspects of QOL measured, participants whose QOL score remained poor were associated with cognitive decline that their odds ratios (OR) were statistically significant (general: OR = 1.33; familial: OR = 1.39; financial: OR = 1.40). For subgroup analysis by gender, the highest OR in men was the financial aspect of QOL (OR = 1.45); in women, the highest OR was the familial aspect of QOL (OR = 1.75). Conclusion: This study showed an association between QOL and cognitive function in a Korean elderly population. Our findings suggest that QOL measurements with a gender-specific approach can be used as a tool to detect cognitive changes in older adults and help prevent or delay cognitive decline.

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The effect of gender on health-related quality of life and related factors in post-lobectomy lung-cancer patients

Cited by 18 publications

References 58 publications

The impact of resection method and patient factors on quality of life among stage IA non‐small cell lung cancer surgical patients

The impact of resection method and patient factors on quality of life among stage IA non‐small cell lung cancer surgical patients

Impact of surgery for stage IA non-small-cell lung cancer on patient quality of life

The Association Between the Changes in General, Family, and Financial Aspects of Quality of Life and Their Effects on Cognitive Function in an Elderly Population: The Korean Longitudinal Study of Aging, 2008–2016

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