Long-term lung cancer survivors have permanently decreased quality of life after surgery
Abstract
Background Retrospective evaluation of the long-term health-related quality of life (HRQoL) among survivors after non-small-cell lung cancer (NSCLC) surgery.Patients and methods A total of 586 patients underwent surgery for NSCLC in Helsinki University Central Hospital between January 2000 and June 2009. Two validated quality-of-life questionnaires, the 15D and the EORTC QLQ-C30 with its lung cancer-specific module, QLQ-LC13, were sent to the 276 patients alive in June 2011. Response rate was 83.3%. Results of the 15D were compared with those of an age- and gender-standardized general population.Results Median follow-up was 5 years. Compared with a general population, our patients had a significantly lower 15D total score, representing their total HRQoL and scores for dimensions of mobility, breathing, usual activities, depression, distress, and vitality. The patients, however, scored significantly higher on vision, hearing, and mental function.Conclusions NSCLC survivors may suffer postoperatively from permanently reduced long-term HRQoL compared to an age- and gender-matched general population. This is essential patient information as more patients are surviving longer.
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Patients often suffer an abrupt increase in unpleasant symptoms, impaired functional status, and poor QOL after surgery.
“patients often suffer from an abrupt increase in unpleasant symptoms, impaired functional status, and poor quality of life (QOL) after surgery.2, 3”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [3]
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- Authors
- Rauma, V., Sintonen, H., Räsänen, J. V., Salo, J. A., & Ilonen, I. K.
- Affiliations
- Helsinki University Hospital (FI)
- University of Helsinki (FI)
- Corresponding author
- Ilonen, Ilkka K.
- Venue
- Clinical Lung Cancer
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 16
- Issue
- 1
- Pages
- 40-45
- ISSN
- 1525-7304 (ISSN-L)
- OpenAlex
- W2030517068
- Cited by
- 57
- References
- 29
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 7 · 2022: 1 · 2021: 2 · 2020: 8 · 2019: 3 · 2018: 3 · 2017: 8 · 2016: 8 · 2015: 2
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Lung Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- non-small cell lung cancer, lung cancer surgery, health-related quality of life, long-term survivors, postoperative outcomes, 15D, EORTC QLQ-C30, QLQ-LC13, mobility (physical function), breathing, depression, vitality
- MeSH terms
- Aged, Carcinoma, Non-Small-Cell Lung, Depression, Female, Finland, Follow-Up Studies, Humans, Lung Neoplasms, Male, Middle Aged, Neoplasm Staging, Quality of Life, Surveys and Questionnaires, Retrospective Studies, Survival Analysis, Survivors, Thoracic Surgical Procedures
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