Quality of life and risk factors of the patients undergoing lung resection from the perspective of thoracic surgery
Authors:
K. Bobčíková 1; P. Macounová 2; H. Tomášková 2; R. Bužgová 1; M. Mitták 3,4; R. Maďar 2
Authors‘ workplace:
Ústav ošetřovatelství a porodní asistence, Lékařská fakulta Ostravské univerzity, Vedoucí: prof. PhDr. Darja Jarošová, Ph. D.
1; Ústav epidemiologie a ochrany veřejného zdraví, Lékařská fakulta Ostravské univerzity, Vedoucí: doc. MUDr. Rastislav Maďar, Ph. D., MBA, FRCPS
2; Katedra chirurgických oborů, Lékařská fakulta Ostravské univerzity, Vedoucí: prof. MUDr. Čestmír Neoral, CSc.
3; Chirurgická klinika, Fakultní nemocnice Ostrava, Přednosta: doc. MUDr. Lubomír Martínek, Ph. D.
4
Published in:
Prakt. Lék. 2022; 102(6): 287-294
Category:
Of different specialties
Overview
Objective: The aim of the prospective study is to evaluate the quality of life of patients undergoing lung resection at the University Hospital of Ostrava and to evaluate the occurrence of risk factors associated with lung disease.
Methods: Standardized tools SF-12v2 and WHO Disability Assessment Schedule 2.0 (WHODAS) were used for evaluation of quality of life. Risk factors associated with lung cancer and sociodemographic characteristics were assessed too. The measurement was realized before and 3 months after lung resection. Descriptive statistics, the Fischer exact test, the Wilcoxon signed-rank test and the Chi-square test at the significance level 5% were used for evaluation of the data, Stata v. 16.
Results: The sample was consisted of 32 respondents who were observed from 5/2021 to 3/2022. The average age in the sample was 64.9 years (min. 37; max. 79), 53% were women. Work in the high-risk occupation was detect in 25% of respondents, most often in coal mines. A statistically significant difference was found between gender and high-risk occupation (p = 0.013), more often it was men. Ex-smokers and smokers were comprised approximately 60% of the sample, but no statistically significant difference was found according to gender (p = 0.379). There was a statistically significant deterioration in WHODAS quality of life before and 3 months after resection (p < 0.001). According to SF-12v2, a statistically significant deterioration was found in the domain Role limitations due to physical health (p < 0.001).
Conclusion: Lung resection was associated with reduced quality of life after 3 months of the surgery. In addition to the objective indicators associated with this surgical procedure, it is also important to monitor the patient's quality of life in the long-term view, which could identify problem areas and help to target further care effectively.
Keywords:
risk factor – lung cancer – Quality of life – Lung resection
Sources
1. Akhtar N, Bansal JG. Risk factors of lung cancer in nonsmoker. Curr Probl Cancer 2017; 41(5): 328–339.
2. Avery K, Blazeby JM, Chalmers KA, et al. Impact on health-related quality of life of video-assisted thoracoscopic surgery for lung cancer. Ann Surg Oncol 2020; 27(4): 1259–1271.
3. Blakely AM, Hu H, Wong FL, et al. Deterioration in health-related quality of life diminishes benefit of lung cancer resection in older adults. Clin Lung Cancer 2021; 22(4): e544–e551.
4. Brown LM, Gosdin MM, Cooke DT, et al. Health-related quality of life after lobectomy for lung cancer: conceptual framework and measurement. Ann Thorac Surg 2020; 110(6): 1840–1846.
5. Cavalheri V, Burtin C, Formico VR, et al. Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer. Cochrane Database Syst Rev 2019; 6(6): CD009955.
6. Černovská M, Abrahámová J. Etiologie karcinomu plic. In XVI. Jihočeské onkologické dny 2009 [online]. Dostupné z: https:// www.linkos.cz/lekar-a-multidisciplinarni-tym/kongresy/po-kongresu/ databaze-tuzemskych-onkologickych-konferencnich-abstrakt/ etiologie-karcinomu-plic/ [cit. 2022-07-20].
7. Khullar OV, Rajaei MH, Force SD, et al. Pilot study to integrate patient reported outcomes after lung cancer operations into the Society of Thoracic Surgeons Database. Ann Thorac Surg 2017; 104(1): 245–253.
8. Krejčí D, Pehalová L, Talábová A, a kol. Novotvary 2018. Současné epidemiologické trendy novotvarů v České republice. Ústav zdravotnických informací a statistiky ČR 2018 [online]. Dostupné z: https://www.uzis.cz/res/f/008352/novotvary2018. pdf [cit. 2020-07-20].
9. Maruish ME. User’s manual for the SF-12v2 Health Survey (3rd ed.). Lincoln, RI: QualityMetric Incorporated 2012.
10. Ministerstvo zdravotnictví České republiky. Metodika realizace populačního pilotního programu časného záchytu karcinomu plic. Program časného záchytu karcinomu plic v rizikové populaci [online]. Dostupné z: https://www.mzcr.cz/wpcontent/ uploads/2022/01/Metodika-realizace-populacnihopilotniho-programu-casneho-zachytu-karcinomu-plic.pdf [cit. 2020-07-20].
11. Ministerstvo zdravotnictví České republiky. Od nového roku doporučí praktici silným kuřákům bezplatný screening plic [online]. Dostupné z: https://www.mzcr.cz/tiskove-centrum-mz/ od-noveho-roku-doporuci-praktici-silnym-kurakum-bezplatny- -screening-plic/ [cit. 2022-07-20].
12. Pallis AG, Syrigos KN. Lung cancer in never smokers: disease characteristics and risk factors. Crit Rev Oncol Hematol 2013; 88(3): 494–503.
13. Pompili C, Salati M, Refai M, et al. Preoperative quality of life predicts survival following pulmonary resection in stage I non-small-cell lung cancer. Eur J Cardiothorac Surg 2013; 43(5): 905–910.
14. Pompili C, Trevis J, Patella M, et al. European Society of Thoracic Surgeons electronic quality of life application after lung resection: field testing in a clinical setting. Interact Cardiovasc Thorac Surg 2021; 32(6): 911–920.
15. Pompili C. Quality of life after lung resection for lung cancer. J Thorac Dis 2015; 7(Suppl 2): 138–144.
16. Provazník K, Komárek L, a kol. Manuál prevence v lékařské praxi: souborné vydání. Praha: Nakladatelství Fortuna 2004.
17. Reddy RM. Long-term outcomes and quality of life should be the future focus of research measuring effectiveness of lung cancer surgery approaches. J Thorac Dis 2019; 11(2): 361–363.
18. Ruppert AM, Amrioui F, Fallet V. Facteurs de risque et prévention des cancers du poumon [Risk factors and prevention of lung cancer]. Revue Prat 2020; 70(8): 852–856.
19. Saad IAB, Botega NJ, Toro IFC. Predictors of quality-of-life improvement following pulmonary resection due to lung cancer. Sao Paulo Med J 2007; 125(1): 46–49.
20. Schwartz RM, Yip R, Flores RM, et al. The impact of resection method and patient factors on quality of life among stage IA non-small cell lung cancer surgical patients. J Surg Oncol 2017; 115(2): 173–180.
21. Sim J, Kim YA, Kim JH, et al. The major effects of health?related quality of life on 5-year survival prediction among lung cancer survivors: applications of machine learning. Sci Rep 2020; 10: 10693.
22. Singer ES, Kneuertz PJ, Nishimura J, et al. Effect of operative approach on quality of life following anatomic lung cancer resection. J Thorac Dis 2020; 12(11): 6913–6919.
23. Skřičková J, Nebeský T, Kadlec B, a kol. Karcinom plic – diagnostika a časný záchyt. Klin Onkol 2021; 34(Suppl 1): S6–S19.
24. Sommer MS, Trier K, Vibe-Petersen J, et al. Changes in health- related quality of life during rehabilitation in patients with operable lung cancer: a feasibility study (PROLUCA). Integr Cancer Ther 2018; 17(2): 388–400.
25. Szeliga E, Czenczek-Lewandowska E, Kontek A, et al. Evaluation of the quality of life after surgical removal of lung cancer. Adv Respir Med 2019; 87(1): 14–19.
26. Šimánek V, Klečka J, Třeška V, a kol. Kombinovaný výkon plicní resekce a radiofrekvenční ablace nádorů plic – kazuistiky. Rozhl. Chir. 2013; 92(4): 205–208.
27. Ustun TB, Kostanjesek N, Chatterji S, et al. Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0). World Health Organization 2010.
28. Venclíček O. External lung cancer risk factors in non-smokers. Onkologie 2020; 14(1), 45–46.
29. Ministerstvo zdravotnictví České republiky. Vyhláška č. 79/2013 Sb. Vyhláška o provedení některých ustanovení zákona č. 373/2011 Sb., o specifických zdravotních službách, (vyhláška o pracovnělékařských službách a některých druzích posudkové péče) [online]. Dostupné z: https://ppropo.mpsv.cz/vyhlaska_ 79_2013 [cit. 2022-07-20].
30. Ware J Jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34(3): 220–233.
31. Parlament České republiky. Zákon č. 258/2000 Sb. Zákon o ochraně veřejného zdraví a o změně některých souvisejících zákonů [online]. Dostupné z: https://ppropo.mpsv.cz/zakon_ 258_2000 [cit. 2022-07-20].
32. Česká národní rada. Zákon č. 582/1991 Sb. Zákon České národní rady o organizaci a provádění sociálního zabezpečení, ve znění pozdějších právních předpisů [online]. Dostupné z: https://www. zakonyprolidi.cz/cs/1991-582 [cit. 2022-07-20].
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