초록접수 현황
| 19F-169 | 구연 발표 |
Global Health Status/QOL at Diagnosis for Prediction of Postoperative Pulmonary Complications in NSCLC Patients
Sumin Shin¹, Danbee Kang²,³, Juhee Cho²,³, Yong Soo Choi¹, Jong Ho Cho¹, Hong Kwan Kim¹, Yong Soo Choi¹, Jhingook Kim¹, Jae Ill Zo¹, Young Mog Shim¹
¹Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea, ²Center for Clinical Epidemiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea, ³Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Purpose : The aim of this study to evaluate the quality of life (QOL) at diagnosis of Non-small cel lung cancer (NSCLC) and clinical significance of initial QOL for postoperative complication after lung resection.
Methods : The data were obtained from a prospective cohort study which was conducted at a tertiary cancer center from 2016 to 2018 to evaluate level of physical activity and Health-related QOL after lung cancer surgery. In total, 611 were included the study. Initial QOL was evaluated using EORTC-QLQ30 and LC13. Patients were classified into two groups by perceived health status and QOL score.
Results : Among the 611 patients, 9% (n = 55) was problematic group for perceived health status/QOL. Problematic group had a significantly higher proportion of problem in role, emotional, cognitive and social functioning at diagnosis. However, there was no differences in physical functioning. In terms of symptoms, problematic group were more likely to have fatigue, dyspnea, insomnia, appetite loss, constipation and financial problem.
The incidence of postoperative pulmonary complication (PPC) was higher in problematic group (10.9%) compared in the normal groups (5.4%). In multivariable-adjusted analyses, problematic group had 2.8 times (95% CI = 1.05, 7.46) more likely to have PPC compared to normal group.
Conclusion : Problematic group in perceived health status/QOL at diagnosis of NSCLC was associated with lower emotional QOL without physical dysfunction and was at greater risk of developing postoperative complications. Our study suggest that there is a need to provide emotional support and respond to the psychosocial needs of patients to improve postoperative outcomes.
Methods : The data were obtained from a prospective cohort study which was conducted at a tertiary cancer center from 2016 to 2018 to evaluate level of physical activity and Health-related QOL after lung cancer surgery. In total, 611 were included the study. Initial QOL was evaluated using EORTC-QLQ30 and LC13. Patients were classified into two groups by perceived health status and QOL score.
Results : Among the 611 patients, 9% (n = 55) was problematic group for perceived health status/QOL. Problematic group had a significantly higher proportion of problem in role, emotional, cognitive and social functioning at diagnosis. However, there was no differences in physical functioning. In terms of symptoms, problematic group were more likely to have fatigue, dyspnea, insomnia, appetite loss, constipation and financial problem.
The incidence of postoperative pulmonary complication (PPC) was higher in problematic group (10.9%) compared in the normal groups (5.4%). In multivariable-adjusted analyses, problematic group had 2.8 times (95% CI = 1.05, 7.46) more likely to have PPC compared to normal group.
Conclusion : Problematic group in perceived health status/QOL at diagnosis of NSCLC was associated with lower emotional QOL without physical dysfunction and was at greater risk of developing postoperative complications. Our study suggest that there is a need to provide emotional support and respond to the psychosocial needs of patients to improve postoperative outcomes.
첨부파일 : Table _추계.docx
책임저자: Sumin Shin
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
발표자: Sumin Shin, E-mail : essennee@gmail.com