Equity of use of specialist palliative care by age: cross-sectional study of lung cancer patients

Background: Lung cancer is one of the commonest cancer worldwide and also in India. Being a chronic disease, it is expected to result in disability during the course of the illness. Disability in turn results in deterioration of mental health and leads to poor quality of life. The present study intended to assess the degree of disability among lung cancer patients and to find out the covariates of the same.Methods: An institution based cross-sectional study had been conducted over a period of six months among lung cancer patients attending a tertiary care centre. Exit interview had been conducted with a pretested schedule after taking informed consent. Disability had been assessed by WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). Data were entered and analysed in SPSS 20.0 version.Results: A total of 210 patients were recruited in this study. Half of the study population were suffering from higher level of disability. Multivariate analysis revealed degree of disability was higher among the patients who were financially dependent to others, had advanced stage of the disease and when time since diagnosis was more than one month.Conclusions: Holistic approach needs to be taken up to address this alarming issue of disability and its consequences among lung cancer patients. The approach should include various rehabilitative measures, social security schemes by the government and active involvement of non-governmental organisations.

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A cross sectional study to determine the prevalence of cough and its impact in patients with lung cancer: a patient unmet need

BMC Cancer ◽

10.1186/s12885-019-6451-1 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 2

Author(s):

Amélie Harle ◽

Alex Molassiotis ◽

Oliver Buffin ◽

Jack Burnham ◽

Jaclyn Smith ◽

...

Keyword(s):

Lung Cancer ◽

Cancer Patients ◽

Smoking Status ◽

Unmet Need ◽

Cross Sectional Study ◽

Common Symptom ◽

Sectional Study ◽

Cross Sectional ◽

Lung Cancer Patients ◽

The Impact

Abstract Background There is absence of literature related to cough prevalence and its characteristics in lung cancer patients, with information deriving only from broader symptoms occurrence studies. The aims of this study were to provide a snapshot of the prevalence of all-cause-cough in lung cancer patients and to characterise cough in terms of its impact and severity. Methods A cross-sectional study recruiting consecutive lung cancer patients over a pre-defined period of time and using cough-specific validated tools in a tertiary referral centre in the UK, including a cough severity VAS and the Manchester Cough in Lung Cancer scale (MCLCS). Results Data was collected from 202 patients. All-cause cough prevalence was 57% (through VAS) both in the screened (N = 223) and research (N = 202) population or 67% (through the MCLCS), and cough severity was moderate at a mean of 32 mm (in a 100 mm VAS). Age, sex, smoking status, lung cancer histology, stage and comorbidities were not associated with cough prevalence. The only variable associated with lower cough reports was being ‘on anticancer treatment’; fewer patients on treatment reported a cough (40%) compared to those off treatment (54%) (p = 0.04). The impact of cough (as measured by MCLCS) was also significant (mean score = 22). About 18% of patients felt moderate/severe distress from their cough and about 15% often or always reported disturbed sleep due to coughing. Half the patients felt their cough warranted treatment. Conclusions Cough is a common symptom in lung cancer with considerable impact on patients’ lives. Cough presence and severity should regularly be assessed in clinical practice. There is an urgent need to focus on developing more potent antitussive treatments and improve the management of this complex and distressing symptom.

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Psychological Characteristics of Lung Cancer Patients During the 2019 Novel Coronavirus Outbreak: A Cross-Sectional and Longitudinal Study Based on a Propensity Score-Matched Population

10.21203/rs.3.rs-932424/v1 ◽

2021 ◽

Author(s):

Kai Qian ◽

Yi Deng ◽

Yun Chen ◽

Hao Peng ◽

Li-Hong Jiang

Keyword(s):

Lung Cancer ◽

Longitudinal Study ◽

Propensity Score ◽

Cancer Patients ◽

Cross Sectional Study ◽

Education Level ◽

Psychological Characteristics ◽

Sectional Study ◽

Cross Sectional ◽

Lung Cancer Patients

Abstract Objective: This study sought to reveale the psychological characteristics of lung cancer patients at different time points of the COVID-19 epidemic. Methods: This cross-sectional study used data from two different regional medical centers. 128 pairs of lung cancer (LC) patients and non-lung cancer subjects (NLC) were selected through propensity score matching (PSM) analysis. For the longitudinal study, the anxiety and distress state before and during the COVID-19 pandemic were surveyed through a dedicated questionnaire. Results: A total of 135 LC patients and 165 healthy individuals were included in this cross-sectional study. After PSM analysis, 128 pairs of LC patients and NLC were matched and compared in this analysis. During the uptrend period of COVID-19 epidemic, there were significant differences in anxiety between LC patients and NLC (P=0.005). For LC patients, the proportions of severe distress differed significantly between the uptrend and the decline period (22.05% vs 11.90%, P=0.032). In two-way repeated ANOVA analysis, no significant main effect for group or group × condition interaction effect has been founded. The distress of LC patients is mainly manifested as worry. Logistic regression showed that gender (OR=41.48, 95% CI: 9.74-17.97), age (OR=0.20, 95% CI: 0.08-0.50), and education level (OR=4.82, 95% CI: 1.98-11.69) were correlated with “worry” and contributed significantly to the model. Conclusions: This study revealed that lung cancer patients had significant anxiety and distress during the uptrend period of the COVID-19 epidemic. The distress states of LC patients mainly manifested as worry, which was associated with age, gender, and education level.

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A cross-sectional study examining the expression of splice variants K-RAS4A and K-RAS4B in advanced non-small-cell lung cancer patients

Lung Cancer ◽

10.1016/j.lungcan.2017.12.005 ◽

2018 ◽

Vol 116 ◽

pp. 7-14

Author(s):

Veronica Aran ◽

Pedro Masson Domingues ◽

Fabiane Carvalho de Macedo ◽

Carlos Augusto Moreira de Sousa ◽

Tatiane Caldas Montella ◽

...

Keyword(s):

Lung Cancer ◽

Small Cell Lung Cancer ◽

Cancer Patients ◽

Splice Variants ◽

Cross Sectional Study ◽

Small Cell ◽

Sectional Study ◽

Small Cell Lung ◽

Cross Sectional ◽

Lung Cancer Patients

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Factors Influencing Social Isolation and Loneliness Among Lung Cancer Patients: A Cross-sectional Study

Anticancer Research ◽

10.21873/anticanres.14744 ◽

2020 ◽

Vol 40 (12) ◽

pp. 7141-7145

Author(s):

NANAMI ASHI ◽

YUKI KATAOKA ◽

TOMOYASU TAKEMURA ◽

CHIGUSA SHIRAKAWA ◽

KOYA OKAZAKI ◽

...

Keyword(s):

Lung Cancer ◽

Cancer Patients ◽

Social Isolation ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Lung Cancer Patients ◽

Factors Influencing

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A cross-sectional study of vitamin intake in postoperative non-small cell lung cancer patients

Journal of Surgical Oncology ◽

10.1002/(sici)1096-9098(199808)68:4<231::aid-jso5>3.0.co;2-5 ◽

1998 ◽

Vol 68 (4) ◽

pp. 231-236 ◽

Cited By ~ 6

Author(s):

Aminah Jatoi ◽

Benedict D.T. Daly ◽

Gertrude Kramer ◽

Joel B. Mason

Keyword(s):

Lung Cancer ◽

Small Cell Lung Cancer ◽

Cancer Patients ◽

Cross Sectional Study ◽

Small Cell ◽

Sectional Study ◽

Small Cell Lung ◽

Cross Sectional ◽

Lung Cancer Patients ◽

Vitamin Intake

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Assessment of quality of life and its determinants among caregivers of lung cancer patients: a cross sectional study in a tertiary care centre of Kolkata, West Bengal, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20195511 ◽

2019 ◽

Vol 7 (12) ◽

pp. 4524

Author(s):

Jayita Pal ◽

Avradip Santra

Keyword(s):

Quality Of Life ◽

Lung Cancer ◽

Cancer Patients ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Lung Cancer Patients ◽

Incidence And Mortality

Background: Lung cancer is the commonest cancer worldwide considering its incidence and mortality. It not only affects the life of the patient, but also has significant impact on the life of the primary caregivers too. The study aimed to assess the Quality of Life (QOL) among caregivers of lung cancer patients and to find out its determinants.Methods: It was an institution based cross-sectional study conducted in a tertiary care center of Kolkata with the help of a predesigned, pretested, structured, standardized questionnaire where 210 patient-caregiver dyads were included by complete enumeration method to assess quality of life of the caregivers and its possible predictors.Results: Half of the caregivers experienced poor quality of life (overall QOL score ≤ median score) as assessed by QOLLTI-F (Quality of Life in Life-Threatening Illness-Family Carer Version). Multivariate analyses suggested that gender, religion, area of residence, financial burden, stage and type of lung carcinoma, disability and depression among the patients were important determinants of quality of life of the caregivers.Conclusions: Comprehensive care covering different domains like financial risk protection, psycho-social assistance through governmental and also different non-governmental initiatives, self-help groups are the needs of the hour to address this important public health issue as caregiver’s life is equally important as that of the patient and they are highly interdependent.

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