scholarly journals The Symptom Burden and Quality of Life in Cancer Patients in the Gaza Strip, Palestine: A Cross-Sectional Study

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262512
Author(s):  
Yousuf ElMokhallalati ◽  
Enas Alaloul ◽  
Mohammed Shatat ◽  
Tasneem Shneewra ◽  
Saad El Massri ◽  
...  

Objectives Cancer is the second leading cause of death in the Gaza Strip, Palestine, but there is an absence of evidence systematically assessing symptom burden and quality of life (QoL) using validated tools. Our objective was to assess associations between socio-demographic and disease-related characteristics, symptom burden and QoL in a sample of cancer patients accessing outpatient services in the Gaza Strip. Design A cross-sectional, descriptive survey using interviews and medical record review involving patients with cancer accessing oncology outpatient services at Al Rantisi Hospital and European Gaza Hospital (EGH) in the Gaza Strip was employed. Socio-demographic and disease-related data, the Lebanese version of the Memorial Symptom Assessment Scale (MSAS-Leb), and the Arabic version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30) were collected. Multiple linear regression was used to judge the relative influence of determinants of QoL. Results Of 414 cancer patients approached, 385 patients consented to participation. The majority were women (64.7%) with a mean age of 52 years (SD = 16.7). Common cancer diagnoses were breast (32.2%), haematological (17.9%) and colorectal (9.1%). The median number of symptoms was 10 (IQR 1.5–18.5). Mean overall QoL was 70.5 (SD 19.9) with common physical and psychological symptoms identified. A higher burden of symptoms was associated with marital status, education and income. Limited access to both opioids and psychological support were reported. Conclusions A high symptom burden was identified in outpatients with cancer. Increasing provision and access to supportive care for physical and psychological symptoms should be prioritised alongside exploring routine assessment of symptom burden and QoL.

Author(s):  
Thị Hồng Chuyên Nguyễn

ASSESSING THE RELATIONSHIP OF NUTRITIONAL STATUS TO THE QUALITY OF LIFE OF CANCER PATIENTS RECEIVING CHEMOTHERAPY AT THE ONCOLOGY DEPARTMENT OF HUE COLLEGE OF MEDICINE AND PHARMACY Background: Cancer is the second leading cause of death globally as well as in Vietnam. Chemotherapy is a systemic treatment with chemical drugs. Chemotherapy often causes many problems related to physical, mental and toxicity, which have an effect on the quality of life and nutritional status of patients. While malnutrition has been shown to be common in cancer patients, its impacts on the patient's quality of life have not been adequately studied, especially in Vietnam. Objective: To evaluate the quality of life of cancer patients receiving chemotherapy. To determine the relationship of nutritional status to the quality of life in these patients. Methods: A cross-sectional study was conducted on 82 patients with cancer during a chemotherapytreatment at the Department of Oncology, Hue College of Medicine and Pharmacy from February 2018 to February 2019. Assessing the quality of life by the Quality of Life Questionnaire of the European Organizationfor Research and Treatment of Cancer (EORTC QLQ-C30). Descriptive statistics and test Chi-square and Fisher exact were performed to analyze the quality of life parameters and the relationship between nutritional status and quality of life. Results: A total of 82 subjects were included in this study, 51 subjects (62.20%) were males and 31 subjects (37.80%) were females, the mean age was 58.98 ± 12.52. The most common type of cancer is gastrointestinal cancer (37.80%), the highest stage of cancer is stage 4 (56.10%), symptomatic chemotherapy accounts for the highest rate with 53.70% and the average number of chemotherapy cycles is 4.00 ± 3.68. The study shows that the meanglobal health status is 50.00 ± 16.89, the best quality of life score is in the field of cognitive function with 83.33 points, the worst quality of life score is in the symptoms field of insomnia and in the financial difficulties with 66.67 points. Results from Chi-square and Fisher Exact analysis test revealed a statistically significant association between the risk of malnutrition according to SGA classification and the role functioning offunctional scales (p <0.05). Conclusions: The quality of life of cancer patients is generally good. The nutritional status affects the quality of life in the field of role function. Keywords: Quality of life, cancer, chemotherapy.


The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S32
Author(s):  
Nasser Ibrahim Abu-El-Noor ◽  
Ashraf Yaqoub Ajedi ◽  
Mysoon Khalil Abu-El-Noor

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Mahlagha Dehghan ◽  
Moazame Jazinizade ◽  
Alireza Malakoutikhah ◽  
Ali Madadimahani ◽  
Mohammad Hossein Iranmanesh ◽  
...  

Background. Cancer is one of the major health problems worldwide, which in addition to physical disorders, causes stress and anxiety in patients and affects the quality of life of cancer patients. Mindfulness can affect stress and improve the quality of life. This research explained the correlation between stress, quality of life, and mindfulness. Materials and Methods. Two hundred five cancer patients participated in this cross-sectional study. Patients completed the EORTC Quality of Life Questionnaire Core 30 (EORTC QLQ-C30), the Mindfulness Attention and Awareness Scale (MAAS), and Perceived Stress Scale (PSS). Results. Perceived stress and mindfulness predict nearly 39% of the changes of QOL in cancer patients. In addition, perceived stress was negatively associated with mindfulness and quality of life P < 0.05 . Mindfulness was positively correlated with quality of life P < 0.05 . Mindfulness played a mediating role in the relationship between perceived stress and quality of life (standardized β = −0.13; SE = 0.07, 95% confidence interval = −0.28 to −0.01; P value = 0.04). Conclusion. In the present study, the variables of mindfulness and perceived stress affected the quality of life of cancer patients. Mindfulness can affect the quality of life of cancer patients directly and indirectly. These results emphasize the importance of mindfulness in the lives of cancer patients.


The Lancet ◽  
2019 ◽  
Vol 393 ◽  
pp. S5
Author(s):  
Enas Alaloul ◽  
Mohamedraed Elshami ◽  
Esraa Khader ◽  
Huda Abu Nemer ◽  
Alaa Alhelu ◽  
...  

2020 ◽  
Author(s):  
Yousuf ElMokhallalati ◽  
Enas Alaloul ◽  
Mohammed Shatat ◽  
Tasneem Shneewra ◽  
Saad El Massri ◽  
...  

2020 ◽  
Vol 20 (3) ◽  
pp. 990
Author(s):  
Debbie Nomiko

Breast cancer is a disease that occurs due to excessive growth or uncontrolled development of cells or breast tissue. Quality of life is an important goal in the treatment of cancer, and concerns about physical, psychological, body image disorders. The purpose of this study is to find out the factors related to the quality of life of breast cancer patients at Raden Mattaher Jambi Hospital in 2019. Research uses a coelative descriptive research design with a cross sectional approach. The research population is breast cancer patients who are treating at Raden Mattaher Jambi Hospital. Sampling is done on a sampling quota. Data collection instruments use the respondent's characteristic data questionnaire, coping mechanism, and quality of life questionnaire using the EORTC-QLQ 30 format. The data was analyzed univariate and bivariate with the Kai-Squared test (CI 95%). The results of the study obtained the average age of respondents was 51.8 years, the majority were elementary and high school educated with a proportion of 35.7%, and most did not work as many as 35 people (62.5%). The results of bivariate analysis that there is a relationship between the length of the cancer and the mechanism of coffee and the quality of life of breast cancer patients in Raden Mattaher Jambi Hospital. It is hoped that hospitals can facilitate the interaction activities of cancer patients through the formation of groups for cancer patients so that they can share experiences and information in terms of improving quality of life. For nursing research, it is hoped that this research can be the basic data in carrying out the next research.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 113s-113s
Author(s):  
C. Sundaramoorthy ◽  
V. Pooja ◽  
V. Surendran

Background: Oral cancer is one of the most common cancers seen in India which accounts for about 30% of all type cancers, with ranking as the top most among male. Due to advancements in diagnostic and treatment modalities, the survivorship of oral cancer patients has increased significantly during the last decade. Yet, the treatment of cancer accompanies symptom burden and psychosocial problems that impacts the quality of life of the patients. Aim: To assess the symptom burden among oral cancer patients during and post cancer treatment. Methods: A cross-sectional investigation was conducted to assess the symptom burden of 100 oral cancer patients (age range= 18-65 years, mean age=49.76) from a regional cancer institute (WIA), Chennai, India. Among them, 59 patients were under treatment and 41 had completed the treatment. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30) and QLQ-H & N 35 module were used. The dependent t-test was used to compare two groups and Spearman correlation coefficients were used to assess the relationship between symptoms and demographic variables. Results: Significant difference was observed in the levels of pain and insomnia on symptoms scale of QLQ-C 30 between patients receiving and completed treatment ( P < 0.05). Similarly, pain score on QLQ-HN 35 differed significantly between the patients on and after treatment ( P < 0.05). In the QLQ-HN 35 module, dry mouth, opening mouth, sticky saliva, pain and tooth problems ranked as most worsening symptoms among oral cancer patients. However, in the QLQ-C 30, financial difficulties, fatigue and pain were ranked as the most worsening symptoms among oral cancer patients. Scores were significantly associated with a number of demographic variables such as age, gender, education, disease stage, time since diagnosis and treatment ( P < 0.05). Conclusion: Oral cancer patients experience numerous worsening symptoms during as well as, posttreatment. This study emphasis the importance of assessing the symptom burden of the patients throughout the course of and completion of treatment as effective management could be implemented.


2020 ◽  
Vol 4 (3) ◽  
pp. 78-83
Author(s):  
Noorhidayah Noorhidayah ◽  
Hesti Prawita Widiastuti ◽  
Umi Kalsum

Introduction: In these days, one of the terrifying cancers for women throughout the world is breast cancer. The treatment of cancer should be holistic. Patients need family support to create a good quality of life. The purpose of this study was to determine the relationship between family support and quality of life in breast cancer patients at the Chemotherapy Unit of Abdul Wahab Sjahranie Hospital Samarinda. Methods: Quantitative research with analytical study and cross-sectional design. Sampling was done with a total sample of 76 respondents. The instruments used in this research were family support standards and the Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) for quality of life. The data were analyzed using the Chi-Square test. Results: The p-value was 0.003, OR = 4.090, indicating that there was a relationship between family support and quality of life in breast cancer patients. Conclusion: There is a relationship between family support and quality of life in breast cancer patients. It is expected that the hospital can proceed in providing health education and motivation to breast cancer patients and their families related to the importance of family support for the quality of life of breast cancer patients. Keywords: family support; breast cancer; quality of life


2021 ◽  
Vol 19 (1) ◽  
pp. 26-31
Author(s):  
Shiva Ram Khatiwoda ◽  
Raja Ram Dhungana ◽  
Vishnu Prasad Sapkota ◽  
Sarswoti Singh

Background: Information on health-related quality of life of the patients enables healthcare providers to understand patients’ concerns and guides to introduce appropriate treatment care. This study assessed the health-related quality of life of the cancer patients attending a tertiary hospital in Nepal.Methods: A cross-sectional study was conducted among 294 cancer patients receiving treatment service from Bhaktapur Cancer Hospital between November 2016 and February 2017. We used the European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 to record the scores in different domains of health-related quality of life. The scores were compared across different socio-economic characteristics using non-parametric tests. Results: Majority of the participants were female (57.5%), of age 50 years and above (64.7%) and had either lung or breast or cervical cancer (49.32%). Participants’ median scores of the global health status (overall health) and quality of life, functionality, and symptoms were 83.3, 52.7 and 31.9 respectively. Among functionality, lower mean scores were of role (45.40) and social (53.17) functioning. Among symptoms and single items, higher mean scores were of appetite loss (49.88), fatigue (46.67), insomnia (43.99), and financial difficulty (68.02). The overall health and quality of life varied significantly with different characteristics of the participants.Conclusions: Participants reported a higher score of overall health and quality of life that reflects subjective satisfactory condition. Improving respective functionality and relieving symptoms and difficulty could enhance health-related quality of life in respective domains.Keywords: Cancer; EORTC QLQ-C30; health-related quality of life


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