Anxiety, depression and quality of life in colorectal cancer patients

Tsunoda, Akira; Nakao, Kentaro; Hiratsuka, Kenshi; Yasuda, Naokuni; Shibusawa, Miki; Kusano, Mitsuo

doi:10.1007/s10147-005-0524-7

Cited by 130 publications

(137 citation statements)

References 44 publications

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“…However, almost a quarter of the respondents are at the age of 55-59 years old (23.0%) which is relatively a younger population age group. This result is in agreement with studies in Western countries by Braun et al (2011) in United States and Engle et al (2003) in Germany but on the other hand Tsunoda et al (2005) in Japan showed that majority (43.0%) of their respondents are more than 70 years old due to the ageing effect of the population. Even though this is not a national survey of CRC in this country, this reflects that younger generation of the population in Malaysia are acquiring CRC.…”

Section: Discussionsupporting

confidence: 92%

“…The mean GHS in respondents at age 50 and above is at 79.69 (SD 21.37). In general the overall GHS in this preliminary study is comparable to other studies done in developed countries as shown in Table 2. b) Functional and Symptoms Score, respondents mean functional and symptoms score were compared with other studies (Engle et al, 2003;Tsunoda et al, 2005;Braun et al, 2011). The mean functional score in this study ranges between 79.50 (SD 26.58) to 92.17 (SD 13.71).…”

Section: Quality Of Lifementioning

confidence: 61%

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Quality of Life in Malaysian Colorectal Cancer Patients : A Preliminary Result

Natrah¹,

Ezat²,

Syed³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Objective: Rapidly increasing colorectal cancer (CRC) incidence in Malaysia and the introduction of cutting edge new treatments, which prolong survival, mean that treatment outcome measures meed to be evaluated, including consideration of patient's quality of life (QoL) assessment. There are limited data on QoL in CRC patients, especially in Malaysia. Therefore, this study was performed focusing on cancer stages and age groups. Methods: The cross sectional study was conducted from June to September 2011 at three public tertiary hospitalswith the EORTC QLQ C-30 questionnaire in addition to face to face interview and review of medical records of 100 respondents. Results: The mean age was 57.3 (SD 11.9) years with 56.0% are males and 44.0% females, 62% of Malay ethnicity, 30% Chinese, 7% Indian and 1% Sikh. Majority were educated up to secondary level (42%) and 90% respondents had CRC stages III and IV. Mean global health status (GHS) score was 79.1 (SD 21.4). Mean scores for functional status (physical, emotional, role, cognitive, social) rangeds between 79.5 (SD 26.6) to 92.2 (SD 13.7). Mean symptom scores (fatigue, pain, nausea/vomiting, constipation, diarrhea, insomnia, dyspnoea, loss of appetite) ranged between 4.00 (SD 8.58) to 20.7 (SD 30.6). Respondents role function significantly deteriorates with increasing stage of the disease (p=0.044). Females had worse symptoms of pain (p=0.022), fatigue (p=0.031) and dyspnoea (p=0.031). Mean insomnia (p=0.006) and diarrhea (p=0.024) demonstrated significant differences between age groups. Conclusion: QOL in CRC patients in this study was comparable to that in other studies done in developed countries. Pain, fatigue and dyspnoea are worse among female CRC patients. Given that functions deteriorates with advanced stage of the disease at diagnosis, a systematic screening programme to detect cases as early as possible is essential nationwide.

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Section: Discussionsupporting

confidence: 92%

Section: Quality Of Lifementioning

confidence: 61%

Quality of Life in Malaysian Colorectal Cancer Patients : A Preliminary Result

Natrah¹,

Ezat²,

Syed³

et al. 2012

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…However, the majority of the respondents were 55-59 years old (36.3%), which is a relatively younger population age group. This is in agreement with studies from Western countries, such as that by Braun et al (2011) from the USA and by Engel et al (2003) from Germany; however, Tsunoda et al (2005) from Japan showed that the majority (43.0%) of their respondents were older than 70 years due to the ageing effect of the population.…”

Section: Discussionsupporting

confidence: 92%

“…Respondents' mean functional and symptom scores were compared with other studies (Engel et al 2003, Tsunoda et al 2005, Braun et al 2011. The mean functional score in the present study ranged between 87.33 (IQR 16.71) and 95.21 (IQR 11.58).…”

Section: Functional and Symptom Scoresmentioning

confidence: 72%

Quality of life in Malaysian colorectal cancer patients

Puteh

Saad

Aljunid

et al. 2013

Asia-Pacific Psychiatry

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IntroductionThe rapidly increasing of incidence colorectal cancer (CRC) in Malaysia and the introduction of new treatments that prolong survival advocating treatment outcome measures such as patients' quality of life (QOL) are evaluated in this study. The study aims to determine QOL in CRC patients according to cancer stage and age.MethodsA cross‐sectional study was performed from June to December 2011 at four public tertiary hospitals. The European Organization for Research and Treatment in Cancer (EORTC) Quality of Life Questionnaire Core‐30 (EORTC QLQ C‐30) questionnaire was used through face‐to‐face interview and the medical records of 160 respondents were reviewed.ResultsThe mean age of respondents was 58.47 ± 12.04 years with 57.5% of respondents being male and 42.5% female. The majority of respondents were in CRC stages III and IV. Median global health status (GHS) score was 83.33 (IQR 16.67). Sikhs and Indians had a higher median GHS score compared to other ethnicities (Kruskal–Wallis, χ2 = 12.12, p = 0.007). Emotional, cognitive and social functions were higher in respondents with earlier stage of disease (Kruskal‐Wallis, χ2 = 6.06, 6.36, 10.58, p = 0.048, 0.042, 0.005). Median pain, dyspnea, diarrhea and financial implication scores were significantly higher in advanced stage of disease (Kruskal‐Wallis, χ2 = 9.31, 6.26,6.77, 7.28, p = 0.010, 0.044,0.034,0.026). Median diarrhea score (p = 0.012) was significantly different between age groups.DiscussionEmotional, cognitive and social functions deteriorate with advanced stage of disease. Patients with advanced stage disease experience more pain, dyspnea, diarrhea and financial implications. A systematic screening program to detect cases as early as possible is essential nationwide.

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“…The Hospital Anxiety and Depression Scale (HADS) is a self-administered questionnaire with the ability to detect minor psychiatric impairment. It is a screening instrument for anxiety and depression and has been validated in different settings for the general population and patients with a wide range of medical conditions (Zigmond and Snaith, 1983), including colorectal cancer (Tsunoda et al, 2005). There is a validated Arabic version of this questionnaire (El-Rufaie and Absood, 1987).…”

Section: Introductionmentioning

confidence: 99%