Health-related quality of life after surgical treatment in patients with non-small cell lung cancer: a systematic review
Abstract
Introduction Surgical resection currently is the best available treatment to enhance long-term survival after non-small cell lung cancer (NSCLC). With the anticipated growth in the number of NSCLC survivors diagnosed through computed tomography screening, health-related quality of life (HR-QOL) as an endpoint of treatment will become increasingly important. This article is a systematic review of the literature regarding HR-QOL in patients after surgical treatment.Methods Three computerized databases (PubMed, Medline, and CINHAL) were used to identify relevant articles. Inclusion criteria were: empirical studies English language, assessment of HR-QOL after surgical treatment for stage I, II, or III NSCLC, and publication prior to January 2012. Data were abstracted and content analyses were used to synthesize the findings.Results Nineteen out of 337 studies were reviewed. The majority of participants (67%) had stable or improved mental HR-QOL at 6-months after surgery. Compared with the general population, however, NSCLC survivors have poorer mental HR-QOL. Compared to pre-surgical status, participants had worse physical function at 6-months after surgery and had decreased physical function up to 2-years after surgery. Pain, fatigue, dyspnea and coughing were the most prevalent symptoms. Increased levels of dyspnea and fatigue persisted for at least 2-years after surgery. Continued smoking, presence of comorbidities, extensive surgical resection, and use of adjuvant therapy were associated with lower HR-QOL.Conclusions New interventions focused on smoking cessation, improving symptom control and physical function are needed to enhance HR-QOL after lung cancer surgery.
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Because patient and family caregiver QOL likely improves with time after surgery, the current findings cannot definitively show that the observed improvements are due to the intervention alone.
“as patient and family caregiver QOL likely improves with time after surgery2, it is not entirely possible with our current findings to claim definitively that the observed improvements are due to the intervention alone.”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [2]
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 [2]
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- Authors
- Poghosyan, H., Sheldon, L. K., Leveille, S. G., & Cooley, M. E.
- Affiliations
- University of California, Davis (US)
- University of Massachusetts Boston (US)
- Dana-Farber Cancer Institute (US)
- Corresponding author
- Poghosyan, Hermine
- Venue
- Lung Cancer
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 81
- Issue
- 1
- Pages
- 11-26
- ISSN
- 0169-5002 (ISSN-L)
- OpenAlex
- W2081131899
- Cited by
- 198
- References
- 45
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 12 · 2023: 17 · 2022: 20 · 2021: 20 · 2020: 11 · 2019: 22 · 2018: 21 · 2017: 13 · 2016: 18 · 2015: 16 · 2014: 8 · 2013: 1
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lung Cancer (publishedVersion)
- PubMed (publishedVersion)
- Journal of Thoracic Oncology
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › Lung Cancer Research Studies
- Keywords
- non-small cell lung cancer, health-related quality of life, lung cancer surgery, surgical resection, postoperative physical function, dyspnea, fatigue, pain, cough, smoking, comorbidities, adjuvant therapy, lung cancer survivors, CT screening
- MeSH terms
- Age Factors, Carcinoma, Non-Small-Cell Lung, Cough, Dyspnea, Fatigue, Female, Humans, Lung Neoplasms, Male, Mental Health, Pain, Quality of Life, Smoking, Comorbidity, Survivors
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