Symptom recovery after thoracic surgery: Measuring patient-reported outcomes with the MD Anderson Symptom Inventory

Fagundes, Christopher P.; Shi, Qiuling; Vaporciyan, Ara A.; Rice, David C.; Popat, Keyuri; Cleeland, Charles S.; Wang, Xin Shelley

doi:10.1016/j.jtcvs.2015.05.057

Cited by 97 publications

(82 citation statements)

References 31 publications

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“…We have shown that postdischarge symptom burden was easily captured by an IVR system presenting MDASI symptom-severity items to patients at home (2). We have also demonstrated the MDASI’s sensitivity to important differences in symptom severity by the type of procedures presented here (open thoracotomy vs VATS) (19). …”

Section: Discussionmentioning

confidence: 73%

“…We have previously reported on the utility of symptom-severity measurement from repeated administration of the MD Anderson Symptom Inventory (MDASI) after thoracic surgery (19). Here, we hypothesized that MDASI interference, as a measure of daily functioning, would be sensitive to differences in the recovery trajectory related to surgery type (open thoracotomy vs. VATS).…”

Section: Introductionmentioning

confidence: 99%

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Patient-Reported Symptom Interference as a Measure of Postsurgery Functional Recovery in Lung Cancer

Shi

Wang

Vaporciyan

et al. 2016

Journal of Pain and Symptom Management

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Context Few empirical studies have combined the patient’s perspective (patient-reported outcomes, or PROs) with clinical outcomes (risk for complications, length of hospital stay, return to planned treatment) to assess the effectiveness of treatment after thoracic surgery for early-stage non-small cell lung cancer (NSCLC). Objectives Quantitatively measure PROs to assess functional recovery postsurgery. Methods Treatment-naïve patients (N=72) with NSCLC who underwent either open thoracotomy or video-assisted thoracoscopic surgery (VATS) used the MD Anderson Symptom Inventory (MDASI) to report symptom interference with general activity, work, walking, mood, relations with others, and enjoyment of life for 3 months postsurgery. Functional recovery was defined as interference scores returning to presurgery levels. The MDASI’s sensitivity to change in functional recovery over time was evaluated via its ability to distinguish between surgical techniques. Results Interference scores increased sharply by day 3 postsurgery (all P<0.001), then returned to baseline levels via different trajectories. Patients who had unscheduled clinic visits during the study period reported higher scores on all 6 MDASI interference items (all P<0.05). Compared with the open-thoracotomy group, the VATS group returned more quickly to baseline interference levels for walking (18 vs 43 days), mood (8 vs 19 days), relations with others (4 vs 16 days) and enjoyment of life (15 vs 41 days) (all P<0.05). Conclusion Repeated measurement of MDASI interference characterized functional recovery after thoracic surgery for NSCLC and was sensitive to VATS’ ability to enhance postoperative recovery. Further study of the clinical applicability of measuring recovery outcomes using PRO-based functional assessment is warranted.

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Section: Discussionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Patient-Reported Symptom Interference as a Measure of Postsurgery Functional Recovery in Lung Cancer

Shi

Wang

Vaporciyan

et al. 2016

Journal of Pain and Symptom Management

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“…Enhanced recovery after surgery pathways have increasingly been applied to treat many patients who have undergone thoracic surgery, and symptomatic recovery after thoracic surgery has become increasingly important to assess quality of care and guide patient management . A cough, one of the most common respiratory symptoms after surgery, is an important determinant of quality of life .…”

Section: Introductionmentioning

confidence: 99%

Validation of the Mandarin Chinese version of the Leicester Cough Questionnaire in non‐small cell lung cancer patients after surgery

Lin

Che

2018

Thoracic Cancer

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BackgroundThere are no validated and reliable cough‐specific instruments to assess health‐related quality of life with respect to postoperative cough in non‐small cell lung cancer (NSCLC) patients. We used the Leicester Cough Questionnaire in Mandarin‐Chinese (LCQ‐MC) and investigated the validity, reliability, and repeatability of this instrument.MethodsA total of 130 NSCLC patients (average age 58.75 ± 9.43 years, 65 men, 65 women) completed the LCQ‐MC, cough Visual Analogue Scale (VAS), Cough Symptom Score (CSS), Hospital Anxiety and Depression Scale (HADS), and Medical Outcomes Study 36‐item Short‐Form Health Survey (SF‐36). Forty patients completed the LCQ‐MC again one week later. Concurrent validity, internal consistency, and repeatability were assessed.ResultsAnalyses of concurrent validity showed significant correlations between the LCQ‐MC and the cough VAS (r = −0.488 to −0.660) and CSS (r = −0.495 to −0.601). The corresponding domains of the LCQ‐MC and the SF‐36 exhibited moderate correlations (r = 0.421–0.432). However, there was no significant correlation between the LCQ‐MC and the HADS (P > 0.05). Internal consistency was acceptable (Cronbach's α of 0.74–0.90). Test‐retest reliability was high (intraclass correlation coefficients of 0.89–0.95).ConclusionThe LCQ‐MC is a reliable, valid instrument for assessing postoperative cough in NSCLC patients.

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“…The longitudinal PRO assessments were used to define the postoperative symptom recovery trajectory in patients undergoing thoracic surgery for lung cancer [35]. By using the MD Anderson Symptom Inventory [35], the most-severe postoperative symptoms were fatigue, pain, shortness of breath, disturbed sleep, and drowsiness. The median time to return to mild symptom severity for these 5 symptoms was shorter than the time to return to the baseline severity with fatigue taking longer.…”

Section: Discussionmentioning

confidence: 99%

“…The median time to return to mild symptom severity for these 5 symptoms was shorter than the time to return to the baseline severity with fatigue taking longer. It is an effective strategy for evaluating the perioperative care in order to assess symptoms from the patient's perspective throughout the postoperative recovery period [35]. It is a sensitive tool for detecting symptomatic recovery to use the symptom inventory with an expected relationship among the surgical procedure type, preoperative performance status, and comorbid conditions [35].…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes of Surgery of Non-Small Cell Lung Cancer: Evaluation Based on the Questionnaires of Anti-Aging Quality of Life and the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire

Ayabe¹,

Tomita²,

Nose³

et al. 2017

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Background: Patient-reported outcomes of the quality of life (QOL) after an open thoracotomy have not been studied. To determine the physical and mental changes in surgical patients is very important for medical staffs. The surgical patient's satisfaction and overall healthy changes were evaluated by the patient-self assessment questionnaires. Materials and Methods: From July 2007 to April 2008, 26 patients with non-small cell lung cancer (NSCLC) underwent surgical resection. The outcome of the QOL was evaluated by using two kinds of questionnaire surveys from the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the anti-aging QOL assessment (AA-QOL). The EORTC QLQ-C30 consisted of five domains (physical, role, cognitive, emotional, and social functionings) and global QOL. The AA-QOL contained 51 items; 30 physical and 21 mental symptoms regarding the elderly and the aging population. The patients replied to the two questionnaires at two different times, i.e., at pre-surgery (baseline) and at post-surgery (2 weeks after the operation). The obtained data of these scores were averaged and compared between the two points of the pre-surgery and post-surgery. Results: Regarding the outcomes of the EORTC QLQ-C30, the physical and social functioning became significantly worse after the surgery. In contrast, the global QOL significantly became better after the surgery. For the symptom at post-surgery, three of which were "nausea and vomiting", "pain", and "appetite loss", became significantly worse compared to those at pre-surgery. Regarding the outcomes of How to cite this paper: Ayabe, T., Tomita, M., Nose, N., Asada, T. and Nakamura, K. 204the AA-QOL, the physical symptoms (muscular pain/stiffness, palpitations, dyspnea, no feeling of good health, anorexia, and coughing and sputum) became significantly worse after the surgery. Regarding the mental symptoms, there were no significant differences. Conclusions: Regarding the outcomes based on the changes in the QOL after surgery, the physical symptoms became worse compared to the mental symptoms. To clarify the perioperative healthy changes of the QOL reported by patients with lung cancers is very important for multidisciplinary teamwork, which should play a role in providing the appropriate care and treatment and useful information for a preoperative patient's decision making of receiving surgical treatment.

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Symptom recovery after thoracic surgery: Measuring patient-reported outcomes with the MD Anderson Symptom Inventory

Cited by 97 publications

References 31 publications

Patient-Reported Symptom Interference as a Measure of Postsurgery Functional Recovery in Lung Cancer

Patient-Reported Symptom Interference as a Measure of Postsurgery Functional Recovery in Lung Cancer

Validation of the Mandarin Chinese version of the Leicester Cough Questionnaire in non‐small cell lung cancer patients after surgery

Patient-Reported Outcomes of Surgery of Non-Small Cell Lung Cancer: Evaluation Based on the Questionnaires of Anti-Aging Quality of Life and the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire

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