Health-Related Quality of Life in Disease-Free Survivors of Surgically Treated Lung Cancer Compared With the General Population

Young Ho Yun, Young Ae Kim, Young Hee Min, Yoon Jung Chang, Jongmog Lee, Moon Soo Kim, Hyun-Sung Lee, Jhingook Kim, Yong Soo Choi, Young Mog Shim, Jae Ill Zo
2012 Annals of Surgery  
Objective: We compared the health-related quality of life (HRQOL) of disease-free lung cancer survivors with those from the general population. Background: Although clinical research usually is focused on how to better identify the lung patients most likely to benefit from surgery in terms of survival, few studies have concentrated specifically on HRQOL in diseasefree lung cancer survivors compared with that of the general population. Methods: We enrolled 830 disease-free cancer survivors
more » ... n time since diagnosis, 4.11 years) who had a past diagnosis of lung cancer and treated with curative surgery (stage from 0 to III) at either of 2 hospitals between 2001 and 2006, and 1000 subjects without a history of cancer were selected randomly from a representative sample of general Korean population. Subjects filled out a questionnaire that included the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and the lung cancer module. Results: There were no clinically meaningful differences between the diseasefree lung cancer survivors and general population in terms of any of the functioning subscales and most of the symptoms. However, survivors exhibited clinically meaningful worse dyspnea and financial problems on the EORTC QLQ-C30 subscales and dyspnea, coughing, and pain in chest wall on the EORTC QLQ-LC13 subscales than the general population. There was no clinically significant difference between the survivor groups according to the survival time. Survivors receiving lung resection, radiotherapy, and chemotherapy had clinically meaningful worse dyspnea than survivors receiving only lung resection. Lung cancer survivors with a respiratory or cardiologic comorbidity showed clinically meaningful worse social functioning, fatigue, dyspnea, and financial problems. Conclusions: These findings afford useful information clinicians preparing patients for lung cancer treatment by providing them with an understanding of the potential outcomes, and also for potential intervention targeting supportive care needs. A lthough lung cancer has one of the worst prognoses, 1 the practice of low-dose computed tomographic scanning as an early detection tool and improvement in patient management has increased the number of long-term lung cancer survivors. 2-5 The most recent 5-year survival rate in Korea reported by the Korean Central Cancer Registry From the
doi:10.1097/sla.0b013e31824f1e9e pmid:22470076 fatcat:tinoahm77bgcjo27tlnozco6hu