Racial Disparities in Health-Related Quality of Life After Lung Cancer Surgery: Findings From the Cancer Care Outcomes Research and Surveillance Consortium.

作者: Hermine Poghosyan , Shannon Stock , Lisa Kennedy Sheldon , Jerry Cromwell , Mary E. Cooley

DOI: 10.1097/JTO.0000000000000629

关键词: Outcomes researchPsychological interventionMedicineLung cancer surgeryHealth careMedical recordYoung adultInternal medicineCohort studyQuality of lifePhysical 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.

参考文章(44)
Jiali Ye, Elvan Daniels, Stephanie Lynn Garrett, Ruth Shim, Health-related quality of life in elderly black and white patients with cancer: results from Medicare managed care population. Ethnicity & Disease. ,vol. 22, pp. 302- 307 ,(2012)
Kimberly S. Johnson, Katja I. Elbert-Avila, James A. Tulsky, The influence of spiritual beliefs and practices on the treatment preferences of African Americans: a review of the literature. Journal of the American Geriatrics Society. ,vol. 53, pp. 711- 719 ,(2005) , 10.1111/J.1532-5415.2005.53224.X
Rebecca Siegel, Elizabeth Ward, Otis Brawley, Ahmedin Jemal, Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA: A Cancer Journal for Clinicians. ,vol. 61, pp. 212- 236 ,(2011) , 10.3322/CAAC.20121
Lynne I. Wagner, David Spiegel, Timothy Pearman, Using the Science of Psychosocial Care to Implement the New American College of Surgeons Commission on Cancer Distress Screening Standard Journal of The National Comprehensive Cancer Network. ,vol. 11, pp. 214- 221 ,(2013) , 10.6004/JNCCN.2013.0028
Renée Manser, Gavin Wright, David Hart, Graham Byrnes, Don Campbell, Zoe Wainer, Sera Tort, Surgery for local and locally advanced non-small cell lung cancer Cochrane Database of Systematic Reviews. ,(2005) , 10.1002/14651858.CD004699.PUB2
Axel Möller, Ulrik Sartipy, Predictors of Postoperative Quality of Life after Surgery for Lung Cancer Journal of Thoracic Oncology. ,vol. 7, pp. 406- 411 ,(2012) , 10.1097/JTO.0B013E3182398E82
Elyse R. Park, Sandra J. Japuntich, Lara Traeger, Sheila Cannon, Hannah Pajolek, Disparities Between Blacks and Whites in Tobacco and Lung Cancer Treatment Oncologist. ,vol. 16, pp. 1428- 1434 ,(2011) , 10.1634/THEONCOLOGIST.2011-0114
Axel Möller, Ulrik Sartipy, Associations between changes in quality of life and survival after lung cancer surgery. Journal of Thoracic Oncology. ,vol. 7, pp. 183- 187 ,(2012) , 10.1097/JTO.0B013E3182340ABB
Jamie S. Ostroff, Paul Krebs, Elliot J. Coups, Jack E. Burkhalter, Marc B. Feinstein, Richard M. Steingart, Amy E. Logue, Bernard J. Park, Health-related quality of life among early-stage, non-small cell, lung cancer survivors Lung Cancer. ,vol. 71, pp. 103- 108 ,(2011) , 10.1016/J.LUNGCAN.2010.04.011