Physical and Psychosocial Issues in Lung Cancer Survivors

Sarna, Linda; Grannis, Frederic W.; Coscarelli, Anne

doi:10.1007/0-387-31056-8_108

Cited by 3 publications

(5 citation statements)

References 117 publications

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“…This is likely attributable to the typically high prevalence of acute post-treatment symptoms such as pain, dyspnea, and fatigue (3). It was encouraging, however, that survivors’ current level of moderate and strenuous intensity activities did not differ from levels reported for the pre-diagnosis period.…”

Section: Discussionmentioning

confidence: 99%

“…The current study examined these key issues and fills an important knowledge gap in lung cancer survivorship research, which as a whole is underrepresented within the burgeoning survivorship literature (3). Results suggest that physical activity among lung cancer survivors is particularly low during the early post-treatment period.…”

Section: Discussionmentioning

confidence: 99%

“…During the acute post-operative period, lung cancer survivors commonly experience symptoms such as pain, dyspnea, and fatigue, and impairments in multiple quality of life (QOL) domains are evident (3). Although for many individuals, particularly those who remain free of disease, these acute symptoms and impairments gradually improve, deficits in psychological well-being, physical functioning, and role functioning may persist for several years (4).…”

mentioning

confidence: 99%

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Physical Activity among Lung Cancer Survivors: Changes across the Cancer Trajectory and Associations with Quality of Life

Coups¹,

Park²,

Feinstein

et al. 2009

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Regular physical activity may offer benefits to lung cancer survivors, many of whom experience quality-of-life (QOL) impairments. However, little is know about lung cancer survivors' engagement in physical activity across the cancer trajectory. The current study addressed this research gap and also examined the association between lung cancer survivors' physical activity and their QOL. Methods: The study participants were 175 individuals who completed surgical treatment for early-stage nonsmall cell lung cancer 1 to 6 years previously. Participants completed a one-time survey regarding their current QOL and their engagement in physical activities currently, during the 6 months after treatment, and during the 6 months before diagnosis. Results: Participants' reported engagement in both moderate and strenuous intensity activities was lower during the post-treatment period compared

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Physical Activity among Lung Cancer Survivors: Changes across the Cancer Trajectory and Associations with Quality of Life

Coups¹,

Park²,

Feinstein

et al. 2009

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…Lung cancer patients often experience comorbid medical conditions such as cardiovascular disease, chronic obstructive pulmonary disease, hypertension, and other malignancies [29], and most patients also frequently experience impairing symptoms such as pain, fatigue, dyspnea, and decreased QOL [30]. Preliminary physical activity level research with early-stage lung cancer survivors has shown benefits in mood, fatigue, and dyspnea from physical activity [31], and a relationship between symptom burden, physical fitness, and QOL has been suggested [32,33], indicating that physical activity may have important impact also for lung cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

Physical activity level and quality of life in long term lung cancer survivors

et al. 2012

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Purpose Lung cancer is associated with a multitude of challenges, and lung cancer survivors report significantly lower quality of life (QOL) than other cancer survivors. Methods This study aimed to examine the relationship between physical activity level and QOL in a large sample of long term lung cancer survivors (N = 1937). Average age at diagnosis was 65 years, 92% were Caucasian, and 51% male. Surveys were completed at lung cancer diagnosis and then average 4.2 years post-diagnosis. Results Most survivors reported having a sedentary lifestyle at both timepoints. However, 256 survivors reported a change in physical activity level from diagnosis to follow-up. Decreased physical activity (n = 140) was associated with decreased overall, mental, physical, emotional, social, and spiritual QOL (all ps < .001) and decreased symptom control as seen in reported pain, dry coughing, coughing with phlegm, shortness of breath, and level of fatigue (all ps < .05). In contrast, increased physical activity (n = 116) was associated with improved QOL (all ps < .05), and improved symptom control as seen in frequency and severity of pain (p < .01). For all participants, those engaging in regular physical activity (30 min or more per day, at least five days per week) reported significantly higher QOL scores (all ps < .001), and better symptom control than more sedentary survivors. Conclusions Results indicate a significant association between change in physical activity and QOL and symptom control for long term lung cancer survivors, and research exploring interventions designed to improve activity level for lung cancer survivors is further warranted.

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“…Previous studies have noted that post-treatment deficits in HQOL among lung cancer survivors persist throughout survivorship [5–12], yet various methodological shortcomings of prior work limit the conclusions drawn to date. Prior studies have used relatively small samples and typically collected data either only within the first year after treatment or more than five years post-treatment [13]. Most important, few studies have compared lung cancer survivors' HQOL to relevant comparison groups (for an exception, see reference [6]), limiting the ability to control for the confounding effects of smoking history or comorbid conditions (such as chronic lung disease) on HQOL outcomes.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life among early-stage, non-small cell, lung cancer survivors

et al. 2011

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Background Limited data are available about the physical and mental functioning of individuals diagnosed and treated for early stage lung cancer. To develop post-treatment guidelines and targeted resources for the growing number of lung cancer survivors, clinically relevant information about longer-term health-related quality of life (HQOL) is needed. The current study examines lung cancer survivors' HQOL and identifies associations between HQOL and demographic, disease and psychosocial risk factors. Methods A total of 359 individuals diagnosed and surgically treated for Stage IA or IB non-small cell lung cancer completed a post-treatment survey via mail or telephone that included the SF-36v2 as well as demographic, medical, psychological and physical symptom indices. To better understand the impact of lung cancer treatment, we examined age- and gender-adjusted differences in HQOL as compared to a demographically matched sample of older adults, most with a significant smoking history, who participated in a lung cancer screening trial. Risk factors for impairments in HQOL were also identified. Results Compared to the screening sample, lung cancer survivors reported lower physical health scores, but did not differ in terms of mental health status. Dyspnea and distressed mood were most associated with HQOL impairments. Conclusions Early stage lung cancer survivors are likely to experience mild impairment in physical functioning. They may benefit from management of distressed mood and referral to physical activity and pulmonary rehabilitation programs to promote HQOL outcomes.

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Physical and Psychosocial Issues in Lung Cancer Survivors

Cited by 3 publications

References 117 publications

Physical Activity among Lung Cancer Survivors: Changes across the Cancer Trajectory and Associations with Quality of Life

Physical Activity among Lung Cancer Survivors: Changes across the Cancer Trajectory and Associations with Quality of Life

Physical activity level and quality of life in long term lung cancer survivors

Health-related quality of life among early-stage, non-small cell, lung cancer survivors

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