Assessment of change of quality of life in hospitalized terminally ill cancer patients

Jasińska, Magdalena; Tracz, Michał; Kurczewska, Urszula; Orszulak–Michalak, Daria

doi:10.5114/wo.2010.17298

Cited by 8 publications

(11 citation statements)

References 17 publications

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“…The studies used retrospective ( n = 1) and prospective ( n = 10) cohorts and cross-sectional ( n = 6) designs. Twelve of the studies included only hospitalized patients [ 20 , 24 , 25 , 27 – 35 ], and one study included both hospital- and home-based patients [ 36 ]. Two studies included inpatients in the palliative care unit in the hospital who were undergoing cancer treatment [ 37 , 38 ], and one study included patients from palliative home care services and the palliative unit of a hospital [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…Dumping symptoms developed in 13 patients (26%), 2 of whom had severe condition. Clear decreases in physical and mental strength (spiritual energy) were reported by 10 and 8 patients ◊ It is important to evaluate surgical results also with regard to the patients' long-term postoperative QoL ** 7 Jasinska et al, Poland [ 27 ] Assessment of change of QoL in hospitalized terminally ill palliative cancer patients Prospective cohort 2007–2009 [ 25 ] Hospital 41 inpatients, mean age 68 years (range 46–85) ¤ EORTC QLQ- C15—PAL Overall QoL was in correlation with the type of diagnosed carcinoma. During the end-of-life care performed in the palliative care unit, the subjective QoL and emotional functioning in patients did not worsen, and in some patients the above parameters improved ◊ The effectiveness of palliative care relating to overall QoL did not differ significantly among patients with various types of tumors *** 8 Jia et al, China [ 20 ] Investigate cancer-related depression and the relationship between symptoms of depression and QoL Prevalence study Hospital 262 inpatients with cancer of the digestive system, 50 pancreatic, 60 liver, 50 esophageal, 50 gastric and 52 colorectal cancer patients Four age strata from 20 to 85 years¤ EORTC-QLQ- C30 EORTC-QLQ-PAN-26 The incidence of depression among pancreatic cancer patients was significantly higher than among other types of digestive cancer.…”

Section: Methodsmentioning

confidence: 99%

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Quality of life among cancer inpatients 80 years and older: a systematic review

Drageset

Sandvik

Eide

et al. 2021

Health Qual Life Outcomes

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Objective The aim of this systematic review was to summarize and assess the literature on quality of life (QoL) among cancer patients 80 years and older admitted to hospitals and what QoL instruments have been used. Methods We searched systematically in Medline, Embase and Cinahl. Eligibility criteria included studies with any design measuring QoL among cancer patients 80 years and older hospitalized for treatment (surgery, chemotherapy or radiation therapy). Exclusion criteria: studies not available in English, French, German or Spanish. We screened the titles and abstracts according to a predefined set of inclusion criteria. All the included studies were assessed according to the Critical Appraisal Skills Programme checklists, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement checklist was used to ensure rigor in conducting and reporting. This systematic review was registered in PROSPERO (CRD42017058290). Results We included 17 studies with 2005 participants with various cancer diagnoses and Classification of Malignant Tumors stages (TNM). The included studies used a range of different QoL instruments and had different aims and outcomes. Both cancer-specific and generic instruments were used. Only one of the 17 studies used an age-specific instrument. All the studies included patients 80 years and older in their cohort, but none specifically analyzed QoL outcomes in this particular subgroup. Based on findings in the age-heterogeneous population (age range 20–100 years), QoL seems to be correlated with the type of diagnosed carcinoma, length of stay, depression and severe symptom burden. Conclusion We were unable to find any research directly exploring QoL and its determinants among cancer patients 80 years and older since none of the included studies presented specific analysis of data in this particular age subgroup. This finding represents a major gap in the knowledge base in this patient group. Based on this finding, we strongly recommend future studies that include this increasingly important and challenging patient group to use valid age- and diagnosis-specific QoL instruments.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Quality of life among cancer inpatients 80 years and older: a systematic review

Drageset

Sandvik

Eide

et al. 2021

Health Qual Life Outcomes

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“…since the QlQ-c15 Pal questionnaire is an abridged, and thus extremely concise, version of the classic QlQ-c30 Pal questionnaire, it only demands patients to provide answers to 15, instead of 30, questions that are assumed to be of core importance [18]. the QlQ-c15 Pal questionnaire has been successfully used to assess quality of life in palliative patients with lung, breast, colon and prostate cancer [19]. accepting a previously developed and validated questionnaire is a reasonable strategy in everyday medical practice [20], as it is highly difficult to build such a tool independently [21], especially for the purposes of quality of life estimations [22] that need to be precisely adjusted for the purposes of well--defined target groups [23].…”

Section: Discussionmentioning

confidence: 99%

EORTC QLQ-15 PAL questionnaire as tool for determining the quality of life of patients with pancreas adenocarcinoma – preliminary study

Błaszczyk¹,

Susło²,

Nowak³

et al. 2017

fmpcr

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A -study Design, B -Data collection, C -statistical analysis, D -Data interpretation, E -Manuscript Preparation, F -literature search, G -Funds collection Background. in neoplastic diseases, quality of life often has to be balanced against duration of life, therefore adequate psychological support and optimal pain management are extremely important. the QlQ-c15 Pal questionnaire is recommended to be used for patients with advanced, incurable and symptomatic cancer, with an expected survival time of a few months, not undergoing anti-cancer treatment. Objectives. the aim of the study was to define, using the QlQ-c15 Pal questionnaire, the quality of life related needs of a group of patients with pancreas adenocarcinoma and to evaluate the questionnaire's practical usefulness for palliative care monitoring and its ongoing improvement. Material and methods. a Polish translation of the QlQ-c15 Pal questionnaire was used in the year 2010 to estimate the quality of life of 26 patients with advanced stage pancreas adenocarcinoma, subjected to palliative care outside hospitals in the lower silesia region of Poland. Results. the majority of patients in the surveyed group considered their quality of life to be quite good, but the study pointed out 2 patients complaining of very poor quality of life, thus requiring a reevaluation of their needs and the strategy of their palliative support. Conclusions. the QlQ-c15 Pal questionnaire is a rapid and effective means to find out both the needs of particular patients and the characteristics of palliative care-covered patients groups. its use enabled quick identification of those patients needing care adjustment. in cases when the questionnaire is filled in repeatedly over a longer period of time by the same patients, it can be useful in tracing the effectiveness of palliative care as measured by the patient's quality of life. Key words: palliative care, health-related quality of life, questionnaire study, pancreas adenocarcinoma. Summary ISSN 1734-3402, eISSN 2449-8580this is an open access article distributed under the terms of the creative commons attribution-Noncommercial-sharealike 4.0 international (cc By-Nc-sa 4.0). license (http://creativecommons.org/licenses/by-nc-sa/4.0/). Błaszczyk F, susło R, Nowak P, Beck B, Drobnik J. eoRtc QlQ-15 Pal questionnaire as tool for determining the quality of life of patients with pancreas adenocarcinoma -preliminary study.

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“…Czas, w jakim osoba przystosuje się do sytuacji, zależy od rozmaitych czynników związanych z podatnością na stres. Zachodzące zmiany związane z chorobą mogą stanowić trudność w radzeniu sobie w sytuacjach dnia codziennego, lecz mogą mieć również charakter pozytywny i prowadzić do przewartościowania dotychczasowego życia [1,[6][7][8]. Radzenie sobie z sytuacją trudną nie jest trwałą cechą osobowości, lecz konstelacją procesów poznawczych i zachowań, które są reakcją na sytuacje stresowe.…”

Section: Wstępunclassified

Coping with cancer by young adults vs. importance of support from the nursing team

Cepuch¹,

Bereś²

2016

psy

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Wstęp: Trudna sytuacja skłania pacjentów onkologicznych do wyboru różnych strategii radzenia sobie i powoduje, że potrzebują oni szczególnego wsparcia. Sieć wsparcia to także grono profesjonalistów, którzy towarzyszą chorym w procesie terapeutycznym. Cel pracy: Ocena wsparcia otrzymywanego od zespołu pielęgniarskiego w opinii pacjentów z chorobą nowotworową oraz przystosowania tych pacjentów do choroby poprzez wybór strategii radzenia sobie. Materiał i metody: Badaniami objęto 53 osoby obojga płci z rozpoznaniem choroby nowotworowej w przedziale wiekowym od 18. do 35. roku życia. W badaniu zastosowano kwestionariusze ankiet: skalę Mini-MAC, polską wersję Berlińskiej Skali Wsparcia Społecznego (Berlin Social Support Scale-BSSS) oraz kwestionariusz demograficzno-epidemiologiczny. Wyniki i wnioski: W całej grupie badanych najczęściej wybierana była strategia ducha walki (M = 23,2) i styl konstruktywny radzenia sobie (M = 44,6). Wśród kobiet średnie wartości odnoszące się do spostrzeganego dostępnego wsparcia i aktualnie otrzymywanego wsparcia były nieco mniejsze, a w przypadku podskal zapotrzebowanie na wsparcie i poszukiwanie wsparcia były wyższe niż u mężczyzn. Wykazano statystycznie istotne różnice w strategii pozytywnego przewartościowania (p = 0,0435) w odniesieniu do starszej podgrupy wiekowej. U pacjentów z chorobą trwającą ponad rok najwięcej związków z czasem trwania choroby miały pary podskal z BSSS oraz strategie stylu konstruktywnego skali Mini-MAC. Wsparcie udzielane przez zespół pielęgniarski można uznać za jeden z istotnych czynników determinujących wybór strategii radzenia sobie pacjentów z chorobą nowotworową.

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Assessment of change of quality of life in hospitalized terminally ill cancer patients

Cited by 8 publications

References 17 publications

Quality of life among cancer inpatients 80 years and older: a systematic review

Quality of life among cancer inpatients 80 years and older: a systematic review

EORTC QLQ-15 PAL questionnaire as tool for determining the quality of life of patients with pancreas adenocarcinoma – preliminary study

Coping with cancer by young adults vs. importance of support from the nursing team

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