Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/38494
Type: Artigo
Title: Predictors of quality-of-life improvement following pulmonary resection due to lung cancer
Title Alternative: Preditores de melhora da qualidade de vida após ressecção pulmonar por câncer
Author: Saad, Ivete Alonso Bredda
Toro, Ivan Felizardo Contrera
Botega, Neury José
Abstract: CONTEXT AND OBJECTIVE: There is increasing involvement of health professionals in organizing protocols to determine the impact of lung surgery on functional state and activities of daily living, with the aim of improving quality of life (QoL). The objective of this study was to investigate predictors of QoL improvement among patients undergoing parenchyma resection due to lung cancer. DESIGN AND SETTING: Prospective study, at teaching hospital of Universidade Estadual de Campinas (Unicamp). METHODS: 36 patients with lung cancer diagnosis were assessed before surgery and on the 30th, 90th and 180th days after surgery. The Short-Form Health Survey (SF-36) was used as the dependent variable. The independent variables were the Hospital Anxiety and Depression (HAD) scale, a six-minute walking test (6-MWT), a visual analogue scale for pain, forced vital capacity (FVC), type of surgery and use of radiotherapy and chemotherapy. Generalized estimation equations (GEE) were utilized. RESULTS: The median age for these 20 men and 16 women was 55.5 ± 13.4 years. Both FVC and 6-MWT were predictors of improvement in the physical dimensions of QoL (p = 0.011 and 0.0003, respectively), as was smaller extent of surgical resection (p = 0.04). The social component of QoL had improved by the third postoperative month (p = 0.0005). CONCLUSION: The predictors that affected QoL positively were better FVC and 6-MWT results and less extensive lung resection. Three months after the surgery, an improvement in social life was already seen.
There is increasing involvement of health professionals in organizing protocols to determine the impact of lung surgery on functional state and activities of daily living, with the aim of improving quality of life (QoL). The objective of this study was to investigate predictors of QoL improvement among patients undergoing parenchyma resection due to lung cancer. DESIGN AND SETTING: Prospective study, at teaching hospital of Universidade Estadual de Campinas (Unicamp). METHODS: 36 patients with lung cancer diagnosis were assessed before surgery and on the 30th, 90th and 180th days after surgery. The Short-Form Health Survey (SF-36) was used as the dependent variable. The independent variables were the Hospital Anxiety and Depression (HAD) scale, a six-minute walking test (6-MWT), a visual analogue scale for pain, forced vital capacity (FVC), type of surgery and use of radiotherapy and chemotherapy. Generalized estimation equations (GEE) were utilized. RESULTS: The median age for these 20 men and 16 women was 55.5 ± 13.4 years. Both FVC and 6-MWT were predictors of improvement in the physical dimensions of QoL (p = 0.011 and 0.0003, respectively), as was smaller extent of surgical resection (p = 0.04). The social component of QoL had improved by the third postoperative month (p = 0.0005). CONCLUSION: The predictors that affected QoL positively were better FVC and 6-MWT results and less extensive lung resection. Three months after the surgery, an improvement in social life was already seen
metadata.dc.description.abstractalternative: Há um crescente envolvimento dos profissionais da saúde na organização de protocolos que determinem o impacto da cirurgia torácica sobre o estado funcional e as atividades de vida diária, auxiliando na melhora da qualidade de vida (QV). O objetivo deste estudo foi investigar preditores de melhora na qualidade de vida em pacientes submetidos à ressecção de parênquima pulmonar por meio do questionário Short-Form Health Survey (SF-36). TIPO DE ESTUDO E LOCAL: Estudo prospectivo realizado no Hospital das Clínicas da Universidade Estadual de Campinas, Brasil. MÉTODO: 36 pacientes com câncer de pulmão foram avaliados no pré-operatório e no 30º, 90º e 180º dias do período pós-operatório. O SF-36 foi usado como variável dependente e as variações independentes foram: a escala hospitalar de ansiedade e depressão (HAD), teste de caminhada de seis minutos (TC6), escala analógica visual da dor, capacidade vital forçada (CVF), tipo de cirurgia, radioterapia e ou quimioterapia. Como modelo estatístico utilizaram-se as equações de estimação generalizadas (GEE). RESULTADOS: Foram estudados 20 pacientes do sexo masculino e 16 do feminino, idade mediana de 55.5 anos. A CVF e o TC6 foram preditores de melhora da QV nas dimensões físicas do SF-36 (p = 0,011 e p = 0,0003), bem como o tipo de ressecção cirúrgica (p = 0,04). Após três meses da cirurgia, observou-se melhora do componente social da QV (p = 0,0005). CONCLUSÃO: Os preditores de melhora da QV foram: pacientes com melhores resultados nas medidas da CVF e TC6 e aqueles com menor ressecção cirúrgica. Já no terceiro mês após a cirurgia observou-se melhora no componente social da qualidade de vida
Subject: Questionários
Qualidade de vida
Oncologia
Reabilitação
Country: Brasil
Editor: Associação Paulista de Medicina
Citation: Sao Paulo Medical Journal. Associação Paulista de Medicina - APM, v. 125, n. 1, p. 46-49, 2007.
Rights: Aberto
Identifier DOI: 10.1590/S1516-31802007000100009
Address: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802007000100009
Date Issue: 2007
Appears in Collections:FCM - Artigos e Outros Documentos

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