The relationship between smoking and quality of life in advanced lung cancer patients: a prospective longitudinal study

Danson, Sarah; Rowland, Christine; Rowe, Richard; Ellis, Sue; Crabtree, Carol; Horsman, Janet; Wadsley, Jonathan; Hatton, Matthew; Woll, Penella J.; Eiser, Christine

doi:10.1007/s00520-015-2928-x

Cited by 41 publications

(38 citation statements)

References 48 publications

(41 reference statements)

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“…Perez and associates found that those who wanted to trade time, scored lower in many of the domains of the baseline HRQoL questionnaires . Patients in better health were found to rate LoL more highly, whereas those who were in poorer health strived to maintain their QoL . Kiebert and associates noted that issues patients felt were important were baseline QoL and the probability of survival …”

Section: Resultsmentioning

confidence: 99%

“…3 Patients in better health were found to rate LoL more highly, whereas those who were in poorer health strived to maintain their QoL. 7,22,32,44 Kiebert and associates noted that issues patients felt were important were baseline QoL and the probability of survival. 17 Other studies have shown different results, with gender, children, education, religion, and cancer type not influencing treatment choices.…”

Section: Survival and Baseline Qolmentioning

confidence: 99%

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Quality of life versus length of life considerations in cancer patients: A systematic literature review

et al. 2019

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Objective Patients with cancer face difficult decisions regarding treatment and the possibility of trading quality of life (QoL) for length of life (LoL). Little information is available regarding patients' preferences and attitudes toward their cancer treatment and the personal costs they are prepared to exchange to extend their life. The aim of this review is to determine the complex trade‐offs and underpinning factors that make patients with cancer choose quality over quantity of life. Methods A systematic review of the literature was conducted using MeSH terms: cancer, longevity or LoL, QoL, decision making, trade‐off, and health utility. Articles retrieved were published between 1942 and October 2018. Results Out of 4393 articles, 30 were included in this review. Older age, which may be linked to declining physical status, was associated with a preference for QoL over LoL. Younger patients were more likely to undergo aggressive treatment to increase survival years. Preference for QoL and LoL was not influenced by gender, education, religion, having children, marital status, or type of cancer. Patients with better health valued LoL and inversely those with poorer physical status preferred QoL. Conclusion Baseline QoL and future expectations of life seem to be key determinants of preference for QoL versus LoL in cancer patients. In‐depth studies are required to understand these trade‐offs and the compromises patients are willing to make regarding QoL or LoL, especially in older patients with naturally limited life expectancy.

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Section: Resultsmentioning

confidence: 99%

Section: Survival and Baseline Qolmentioning

confidence: 99%

Quality of life versus length of life considerations in cancer patients: A systematic literature review

et al. 2019

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“…Studies with lung and HN 13 cancer patients indicated that smoking after diagnosis was associated with greater fatigue. In this study, we found a relationship between days abstinent and a lower fatigue, but only after a long period of abstinence (>6 months).…”

Section: Discussionmentioning

confidence: 99%

Does smoking abstinence predict cancer patients' quality of life over time?

et al. 2019

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Objective Smoking cessation improves quality of life (QOL) in the general population. However, there is limited information on the role of smoking status on QOL among cancer patients. Moreover, previous studies tended to analyze smoking status dichotomously and at a single point in time, potentially reducing the strength of the relation between smoking cessation and QOL. This study examined the association of smoking abstinence and QOL over time, including depression, pain, and fatigue in patients with a wide variety of cancers. Methods Participants were 332 cancer patients (eg, gynecologic, breast, thoracic, head and neck, and genitourinary) who had been abstinent for at least 24 hours. Days abstinent and QOL were assessed at baseline and 2, 6, and 12 months later. Latent growth curve models examined if days abstinent was associated with QOL at each assessment. Baseline demographics (eg, sex and income) and smoking history variables (eg, nicotine dependence) were used as time‐invariant covariates. Results The final model for each QOL component had good‐to‐excellent fit. More days abstinent was associated with lower depression at all follow‐ups and with lower fatigue at 12 months but was not associated with pain. Conclusions QOL was better among patients who quit smoking for longer periods. Findings suggest different timelines, with smoking abstinence most immediately associated with lower depression, followed by lower fatigue. Although pain decreased over time, it was not associated with length of smoking abstinence. Results reinforce the relationship between sustained smoking cessation and QOL, which should be communicated to patients.

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“…In addition to improving the response to cancer treatment, quitting smoking can also improve quality of life. A recent study demonstrated that patients with advanced lung cancer who continued smoking after diagnosis reported poorer health-related quality of life compared to former smokers or non-smokers [8]. Despite the known benefits of quitting smoking, the implementation and availability of smoking cessation services remains limited.…”

Section: Smoking Cessation and Lung Cancermentioning

confidence: 99%

Strategies for smoking cessation among high risk populations to prevent lung cancer

Rojewski

Zuromski

Toll

2016

Expert Review of Respiratory Medicine

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The relationship between smoking and quality of life in advanced lung cancer patients: a prospective longitudinal study

Cited by 41 publications

References 48 publications

Quality of life versus length of life considerations in cancer patients: A systematic literature review

Quality of life versus length of life considerations in cancer patients: A systematic literature review

Does smoking abstinence predict cancer patients' quality of life over time?

Strategies for smoking cessation among high risk populations to prevent lung cancer

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