Current Dyspnea Among Long-Term Survivors of Early-Stage Non-small Cell Lung Cancer
Open accessAbstract
Introduction Dyspnea is common among lung cancer patients. As most studies of dyspnea have reviewed patients with active cancer or immediately after treatment, its prevalence during the longer-term period once treatment has been completed is not well characterized. This study quantifies the prevalence of dyspnea among lung cancer survivors and identifies potential correlates that may be amenable to intervention.Methods Cross-sectional survey of 342 patients with disease-free, stage I, non-small cell lung cancer, assessed 1 to 6 years after surgical resection. Dyspnea was quantified using the Baseline Dyspnea Index. Any moderate/strenuous physical activity was measured using the Godin Leisure-Time Exercise Questionnaire. Mood disorder symptoms were assessed using the Hospital Anxiety and Depression Scale. Multiple regression analyses were used to examine demographic, medical, and health-related correlates of dyspnea.Results Mean age was 68.9 years. Average predicted preoperative forced expiratory volume in 1 second was 89.0%. Current dyspnea, defined by a Baseline Dyspnea Index score of 9 or less, existed among 205 (60%) individuals. For 133 (65%) of these patients, dyspnea was absent preoperatively. Multivariate correlates of current dyspnea included preoperative dyspnea (odds ratio [OR] = 5.31), preoperative diffusing capacity (OR = 0.98), lack of moderate/strenuous physical activity (OR = 0.41), and the presence of clinically significant depression symptoms (OR = 4.10).Conclusions Dyspnea is common 1 to 6 years after lung cancer resection, and is associated with the presence of preoperative dyspnea, reduced diffusing capacity, clinically significant depression symptoms, and lack of physical activity. Further research is needed to test whether strategies that identify and treat patients with these conditions attenuate dyspnea among lung cancer survivors.
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Physical activity can treat dyspnea caused by lung cancer after resection.
“In contrast (right panel of Fig 1), physical activity can treat against lung cancer-induced dyspnea, a common side effect 1 to 6 years after lung cancer resection (179) (Right panel Fig. 1).”
From Lack of Exercise Is a Major Cause of Chronic Diseases (2012) · cites this paper as [179]
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- Authors
- Feinstein, M. B., Krebs, P., Coups, E. J., Park, B. J., Steingart, R. M., Burkhalter, J., Logue, A., & Ostroff, J. S.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Rutgers Cancer Institute (US)
- Corresponding author
- Feinstein, Marc B.
- ORCID
- Venue
- Journal of Thoracic Oncology
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 5
- Issue
- 8
- Pages
- 1221-1226
- ISSN
- 1556-0864 (ISSN-L)
- PMC
- PMC4515574
- OpenAlex
- W2015242621
- Cited by
- 56
- References
- 25
- Citations by year
- 2025: 3 · 2024: 7 · 2023: 4 · 2022: 9 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 4 · 2012: 5
- FWCI
- 1.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Thoracic Oncology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (K07CA133100, R03CA115212, P30CA008748, T32CA009461)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- dyspnea, non-small cell lung cancer, lung cancer survivors, early-stage lung cancer, lung resection, Baseline Dyspnea Index, physical activity, depression, diffusing capacity for carbon monoxide, long-term outcomes
- MeSH terms
- Adult, Aged, Carcinoma, Non-Small-Cell Lung, Cross-Sectional Studies, Dyspnea, Female, Follow-Up Studies, Forced Expiratory Volume, Health Status Indicators, Humans, Lung Neoplasms, Male, Middle Aged, Neoplasm Staging, Prognosis, Respiratory Function Tests, Time Factors, Survival Rate, Survivors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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