Kontakt 2023, 25(4):307-313 | DOI: 10.32725/kont.2023.037

An assessment of quality of life, health, and disability in patients undergoing lung resectionSocial Sciences in Health - Original article

Katka Bobčíková1, *, Petra Macounová2, Radka Bužgová1, Hana Tomášková2, Adéla Staňková2, Tereza Janulková2, Marcel Mitták3, 4, Rastislav Maďar2
1 University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic
2 University of Ostrava, Faculty of Medicine, Department of Epidemiology and Public Health, Ostrava, Czech Republic
3 University of Ostrava, Faculty of Medicine, Department of Surgical Studies, Ostrava, Czech Republic
4 University Hospital Ostrava, Surgical Clinic, Czech Republic

Background: Lung resection can cause changes in patients' functional status, potentially affecting their quality of life. For effective care planning after resection, it is necessary to identify areas of quality of life that require special attention.

Objectives: This prospective study aimed to compare the quality of life, health, and disability before lung resection and three months after it.

Methods: Quality of life, health, and disability were assessed using standardized tools: Short Form-12 version 2, and WHO Disability Assessment Schedule 2.

Results: The research group included 44 patients with a mean age of 65.7 years (min. 37, max. 79) referred for lung resection. Men were more represented in the study group (56.8%) than women. Three months after the surgery, statistically significant deterioration in the quality of life was observed in the domains of Physical functioning (p = 0.016) and Bodily pain (p = 0.044). Where disability was concerned, the overall score also deteriorated (p < 0.001). This was driven predominantly by the domains of Mobility (p < 0.001), Life activities (p < 0.001), and Participation (p = 0.037).

Conclusion: The deterioration in the quality of life in multiple domains three months after lung resection is highly significant. The deterioration in the domains Physical functioning and Bodily pain in the quality of life field, and of Mobility, Life activities, and Participation in the health and disability score identifies these areas as those that need special attention when planning post-surgery care for these patients.

Keywords: Assessment; Disability; Domains; Lung resection; Quality of life
Grants and funding:

This study was supported by project SGS03/LF/2022.

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: June 17, 2023; Revised: August 11, 2023; Accepted: October 10, 2023; Prepublished online: October 23, 2023; Published: December 18, 2023  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Bobčíková K, Macounová P, Bužgová R, Tomášková H, Staňková A, Janulková T, et al.. An assessment of quality of life, health, and disability in patients undergoing lung resection. Kontakt. 2023;25(4):307-313. doi: 10.32725/kont.2023.037.
Download citation

References

  1. Avery KNL, Blazeby JM, Chalmers KA, Batchelor TJP, Casali G, Internullo E, et al. (2020). Impact on Health-Related Quality of Life of Video-Assisted Thoracoscopic Surgery for Lung Cancer. Ann Surg Oncol 27(4): 1259-1271. DOI: 10.1245/s10434-019-08090-4. Go to original source... Go to PubMed...
  2. Balduyck B, Hendriks J, Lauwers P, Sardari Nia P, Van Schil P (2009). Quality of life evolution after lung cancer surgery in septuagenarians: a prospective study. Eur J Cardiothorac Surg 35(6): 1070-1075. DOI: 10.1016/j.ejcts.2009.01.050. Go to original source... Go to PubMed...
  3. Bendixen M, Jørgensen OD, Kronborg C, Andersen C, Licht PB (2016). Postoperative pain and quality of life after lobectomy via video-assisted thoracoscopic surgery or anterolateral thoracotomy for early stage lung cancer: a randomised controlled trial. Lancet Oncol 17(6): 836-844. DOI: 10.1016/S1470-2045(16)00173-X. Go to original source... Go to PubMed...
  4. Blakely AM, Hu H, Wong FL, Raz DJ, Erhunmwunsee L, Sun V, et al. (2021). Deterioration in Health-Related Quality of Life Diminishes Benefit of Lung Cancer Resection in Older Adults. Clin Lung Cancer 22(4): e544-e551. DOI: 10.1016/j.cllc.2020.06.022. Go to original source... Go to PubMed...
  5. Cavalheri V, Burtin C, Formico VR, Nonoyama ML, Jenkins S, Spruit MA, et al. (2019). Exercise training undertaken by people within 12 months of lung resection for non-small celllung cancer. Cochrane Database Syst Rev 6(6): CD009955. DOI: 10.1002/14651858. Go to original source... Go to PubMed...
  6. Cleveland Clinic (2023). Lung resection. [online] [cit. 2023-01-22]. Available from: https://my.clevelandclinic.org/health/treatments/21868-lung-resection
  7. Dunková O, Bužgová R (2012). Quality of life of patients with bronchogenic lung carcinoma before and after chemotherapy. Kontakt 14(1): 14-20. DOI: 10.32725/kont.2012.003. Go to original source...
  8. Fiorelli S, Cioffi L, Menna C, Ibrahim M, De Blasi RA, Rendina EA, Rocco M, et al. (2020). Chronic Pain After Lung Resection: Risk Factors, Neuropathic Pain, and Quality of Life. J Pain Symptom Manage 60(2): 326-335. DOI: 10.1016/j.jpainsymman.2020.03.012. Go to original source... Go to PubMed...
  9. Grant M, Dean G (2011). Evolution of Quality of Life in Oncology and Oncology Nursing. In: King CR, Hinds PS (Eds). Quality of Life: From Nursing and Patient Perspectives. Jones & Bartlett Publishers, pp. 3-30.
  10. Hopkins KG, Ferson PF, Shende MR, Christie NA, Schuchert MJ, Pennathur A (2017). Prospective study of quality of life after lung cancer resection. Ann Transl Med. 5(10): 204. DOI: 10.21037/atm.2017.04.34. Go to original source... Go to PubMed...
  11. Khullar OV, Rajaei MH, Force SD, Binongo JN, Lasanajak Y, Robertson S, et al. (2017). Pilot Study to Integrate Patient Reported Outcomes After Lung Cancer Operations Into The Society of Thoracic Surgeons Database. Ann Thorac Surg 104(1): 245-253. DOI: 10.1016/j.athoracsur.2017.01.110. Go to original source... Go to PubMed...
  12. Li X, Zhu J, Hong C, Zeng L, Deng L, Jin L (2013). Effects of systematic rehabilitation programs on quality of life in patients undergoing lung resection. Mol Clin Oncol 1: 200-208. DOI: 10.3892/mco.2012.31. Go to original source... Go to PubMed...
  13. Ma RC, Yin YY, Liu X, Wang YQ, Xie J (2020). Effect of exercise interventions on quality of life in patients with lung cancer: A systematic review of randomized controlled trials. Oncol Nurs For 47(3): E58-E72. DOI: 10.1188/20.onf.e58-e72. Go to original source... Go to PubMed...
  14. Maruish ME (2012). User's manual for the SF-12v2 Health Survey (3rd ed.). Lincoln, RI: QualityMetric Incorporated.
  15. Marzorati C, Mazzocco K, Monzani D, Pavan F, Casiraghi M, Spaggiari L, et al. (2020). One-Year Quality of Life Trends in Early-Stage Lung Cancer Patients After Lobectomy. Front Psychol 11: 534428. DOI: 10.3389/fpsyg.2020.534428. Go to original source... Go to PubMed...
  16. Pompili C (2015). Quality of life after lung resection for lung cancer. J Thorac Dis 7(Suppl. 2): 138-144. DOI: 10.3978/j.issn.2072-1439.2015.04.40. Go to original source... Go to PubMed...
  17. Pompili C, Salati M, Refai M, Berardi R, Onofri A, Mazzanti P, et al. (2013). Preoperative quality of life predicts survival following pulmonary resection in stage I non-small-cell lung cancer. Eur J Cardiothorac Surg 43(5): 905-910. DOI: 10.1093/ejcts/ezs532. Go to original source... Go to PubMed...
  18. Pompili C, Trevis J, Patella M, Brunelli A, Libretti L, Novoa N, et al. (2021). European Society of Thoracic Surgeons electronic quality of life application after lung resection: field testing in a clinical setting. Interact Cardiovasc Thorac Surg 32(6): 911-920. DOI: 10.1093/icvts/ivab030. Go to original source... Go to PubMed...
  19. Presley CJ, Arrato NA, Janse S, Shields PG, Carbone DP, Wong ML, et al. (2021). Functional Disability Among Older Versus Younger Adults With Advanced Non-Small-Cell Lung Cancer. JCO Oncol Pract 17(6): e848-e858. DOI: 10.1200/OP.20.01004. Go to original source... Go to PubMed...
  20. Saad IAB, Botega NJ, Toro IFC (2007). Predictors of quality-of-life improvement following pulmonary resection due to lung cancer. Sao Paulo Med J 125(1): 46-49. DOI: 10.1590/s1516-31802007000100009. Go to original source... Go to PubMed...
  21. SIGN (2019). Guidelines: Management of chronic pain. [online] [cit. 2023-01-22]. Available from: https://www.medscape.co.uk/viewarticle/management-chronic-pain-2022a100197l
  22. Sim J, Kim YA, Kim JH, Lee JM, Kim MS, Shim YM, et al. (2020). The major effects of health-related quality of life on 5-year survival prediction among lung cancer survivors:applications of machine learning. Sci Rep 10: 10693. DOI: 10.1038/s41598-020-67604-3. Go to original source... Go to PubMed...
  23. Singer ES, Kneuertz PJ, Nishimura J, D'Souza DM, Diefenderfer E, Moffatt-Bruce SD, et al. (2020). Effect of operative approach on quality of life following anatomic lung cancer resection. J Thorac Dis 12(11): 6913-6919. DOI: 10.21037/jtd.2020.01.05. Go to original source... Go to PubMed...
  24. Sommer MS, Trier K, Vibe-Petersen J, Christensen KB, Missel M, Christensen M, et al. (2018). Changes in Health-Related Quality of Life During Rehabilitation in Patients With Operable Lung Cancer: A Feasibility Study (PROLUCA). Integr Cancer Ther 17(2): 388-400. DOI: 10.1177/1534735416668258. Go to original source... Go to PubMed...
  25. Sováriová Soósová M (2016). Determinants of quality of life in the elderly. Centr Eur J Nurs Mid 7(3): 484-493. DOI: 10.15452/CEJNM.2016.07.0019. Go to original source...
  26. Szeliga E, Czenczek-Lewandowska E, Kontek A, Wolan-Nieroda A, Guzik A, Walicka-Cupryś K (2019). Evaluation of the quality of life after surgical removal of lung cancer. Adv Respir Med 87(1): 14-19. DOI: 10.5603/ARM.a2019.0003. Go to original source... Go to PubMed...
  27. Üstün TB, Kostanjesek N, Chatterji S, Rehm J (2010). Measuring health&disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0). World Health Organization. [online] [cit. 2023-01-22]. Available from: https://apps.who.int/iris/handle/10665/43974
  28. Valsangkar N, Fernandez F, Khullar O (2020). Patient reported outcomes: integration into clinical practices. J Thorac Dis 12(11): 6940-6946. DOI: 10.21037/jtd.2020.03.91. Go to original source... Go to PubMed...
  29. Ware J, Jr., Kosinski M, Keller SD (1996). A 12-Item Short-Form Health Survey:construction of scales and preliminary tests of reliability and validity. Med Care 34(3): 220-233. DOI: 10.1097/00005650-199603000-00003. Go to original source... Go to PubMed...
  30. Win T, Sharples L, Wells FC, Ritchie AJ, Munday H, Laroche CM (2005). Effect of lung cancer surgery on quality of life. Thorax 60: 234-238. DOI: 10.1136/thx.2004.031872. Go to original source... Go to PubMed...
  31. World Health Organization (2022). WHOQOL: Measuring Quality of Life. WHO. [online] [cit. 2023-01-22]. Available from: https://www.who.int/tools/whoqol
  32. Zirafa CC, Romano G, Sicolo E, Castaldi A, Davini F, Melfi F (2023). Lung cancer surgery in women: focus on gender-related outcomes - a narrative review. Precis Cancer Med 6: 5. DOI: 10.21037/pcm-22-23. Go to original source...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.