Quality of life in Spanish advanced non-small-cell lung cancer patients: determinants of global QL and survival analyses

dc.contributor.authorArrarás, Juan Ignacio
dc.contributor.authorHernández, Berta
dc.contributor.authorMartínez Aguillo, Maite
dc.contributor.authorCambra Contin, Koldo
dc.contributor.authorRico, Mikel
dc.contributor.authorIllarramendi, José Juan
dc.contributor.authorViúdez, Antonio
dc.contributor.authorIbáñez Beroiz, Berta
dc.contributor.authorZarandona, Uxue
dc.contributor.authorMartínez, Enrique
dc.contributor.authorVera García, Ruth
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.contributor.funderGobierno de Navarra / Nafarroako Gobernuaes
dc.date.accessioned2019-01-21T13:24:49Z
dc.date.available2019-01-21T13:24:49Z
dc.date.issued2016
dc.description.abstractPurpose: This paper studies the Quality of Life (QL) of Spanish advanced non-small-cell lung cancer (NSCLC) patients receiving platinum-doublet chemotherapy, compares our results with those from studies from other cultural areas, and identifies factors associated with global QL and survival prognostic variables. Methods: EORTC QLQ-C30 and QLQ-LC13 questionnaires were completed three times by 39 patients along treatment and follow-up. Univariate and multivariate logistic regression analyses were performed to study global QL determinants (≤50 points considered low global-QL score). Analyses of prognostic variables for death were performed (Cox proportional hazards models). Results: QL mean scores in the whole sample were moderately high, with limitations (>30) in physical, role, social functioning, emotional areas, fatigue, pain, neuropathy and global QL. Differences with studies from other cultural areas were mainly found in the lower score for dyspnoea (≥15 points). There were no significant differences in QL scores between the first and second assessments. In six areas, the third assessment was lower than the first and second: fatigue, hair loss (>20 points); physical, social functioning, neuropathy (10–20 points); emotional functioning (5–10 points). The best model to explain the chances of low QL includes, as explanatory variables, high emotional functioning as protective factor and fatigue as risk factor (R2 = 0.70). Eight QL areas (four pain-related) and performance status showed a statistically significant association with survival. Conclusion: Patients adapted well to their disease and treatments. Platinum-doublet can be administered in advanced NSCLC patients. Our QL data are in line with those from other cultural areas.en
dc.description.sponsorshipThis study was supported by grants from the Instituto de Salud Carlos III and the Departamento de Salud del Gobierno de Navarra, Spain, to finance a research assistant to interview the patients.en
dc.format.extent9 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.doi10.1186/s40064-016-2559-9
dc.identifier.issn2193-1801
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/32038
dc.language.isoengen
dc.publisherSpringeren
dc.relation.ispartofSpringerPlus (2016) 5:836en
dc.relation.publisherversionhttps://doi.org/10.1186/s40064-016-2559-9
dc.rights© 2016 The Author(s). This article is distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAdvanced lung canceren
dc.subjectQuality of lifeen
dc.subjectSurvivalen
dc.subjectDeterminantsen
dc.titleQuality of life in Spanish advanced non-small-cell lung cancer patients: determinants of global QL and survival analysesen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication965d0cdc-67d8-4ff2-805a-fd8e6b68e273
relation.isAuthorOfPublication6cc547dc-8ec5-4b66-b920-358328d1f12c
relation.isAuthorOfPublication.latestForDiscovery965d0cdc-67d8-4ff2-805a-fd8e6b68e273

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
12_Arraras_QualityLife.pdf
Size:
809.91 KB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed to upon submission
Description: