作者: Hermine Poghosyan , Shannon Stock , Lisa Kennedy Sheldon , Jerry Cromwell , Mary E. Cooley
DOI: 10.1097/JTO.0000000000000629
关键词: Outcomes research 、 Psychological intervention 、 Medicine 、 Lung cancer surgery 、 Health care 、 Medical record 、 Young adult 、 Internal medicine 、 Cohort study 、 Quality of life 、 Physical therapy
摘要: Introduction: This study investigated racial disparities in postsurgical health-related quality of life (HRQOL) among patients with non–small-cell lung cancer (NSCLC). Methods: Data were collected by the Cancer Care Outcomes Research and Surveillance Consortium. Inclusion criteria greater than or equal to 21 years age, NSCLC, receipt surgery. HRQOL data available from patients' surveys, complete medical record abstraction was performed obtain clinical data. assessed physical/mental component summary scores (PCS/MCS) 12-item Short-Form Health Survey at two time points. Mean between surgery initial assessment (time 1) after 4.1 (SD 2.2) months second 2) 12.7 3.8) months. Multivariable linear regression models used examine associations race HRQOL. Results: Of 650 patients, 80.5% White, 8.8% Black, 10.7% other races. At assessment, Blacks reported lower MCS Whites (47.4 versus 52.6, p = 0.002). In multivariable analysis, had compared Whites. No difference found on PCS. Those less high school education MCSs. Older age adjuvant chemotherapy associated gain MCS. Male, college education, comorbidities impaired improved Conclusion: Racial exist postoperative mental Results highlight need for interventions improve health Black younger patients.