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- Title
Assessment of dyspnea, ADL, and QOL in the perioperative period in lung cancer patients treated with minimally invasive surgery.
- Authors
Zhang Linwan; Kazuya Kondo; Takae Bando; Naoya Kawakita; Hiroaki Toba; Yoshie Imai; Hiromitsu Takizawa
- Abstract
Objective: Patients with lung cancer generally undergo minimally invasive surgery, such as video-assisted thoracoscopic surgery (VATS). This study examined the changes in health conditions and symptoms of patients with lung cancer using the European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire (EORTC QLQ) C-30 questionnaires after surgery. Methods: This was a longitudinal descriptive study. One hundred and three patients with lung cancer who underwent lung resection at Tokushima University Hospital between 2012 and 2021 were eligible. They completed EORTC QLQ-C30, QLQ-LC13, the Cancer Dyspnea scale (CDS), and pulmonary-ADL (P-ADL) before and 1, 3, and 6 months after surgery. Results: Regarding functional scale scores, impairments in physical and role functions persisted for 6 months after surgery. In symptom scale scores, fatigue, pain, dyspnea, and appetite loss continued for 6 months after surgery. In CDS, sense of effort, discomfort, and total dyspnea scale scores were elevated for 6 months after surgery. In P-ADL, most ADL were impaired 1 month after surgery, but recovered by 3 months. The dyspnea index of ADL was lower for 6 months after surgery. Conclusions: Impairments in health conditions and symptoms persisted for 6 months after surgery despite its minimally invasive nature.
- Subjects
DYSPNEA; LUNG cancer; CANCER treatment; CHEST endoscopic surgery; QUESTIONNAIRES
- Publication
Journal of Medical Investigation, 2023, Vol 70, Issue 3/4, p388
- ISSN
1343-1420
- Publication type
Article
- DOI
10.2152/jmi.70.388