Women with lung cancer: Quality of life after thoracotomy: A 6-month prospective study

Linda Sarna, Mary E. Cooley, Jean K. Brown, Cynthia C Chernecky, Geraldine Padilla, Leda Danao, Deepalika Chakravarty, David Elashoff

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Background: Data about health-related quality of life (QOL) after surgical treatment for lung cancer are limited. Such information can be valuable in developing appropriate nursing interventions for follow-up care for survivors. Objectives: The purposes of this study were to describe physical and emotional QOL of disease-free female non-small cell lung cancer (NSCLC) survivors and to determine characteristics associated with greater risk for disruptions. Methods: One-hundred-nineteen women surgically treated for NSCLC completed the Short-Form 36 (as a measure of physical and mental QOL) along with health status assessments (including comorbidity, depression, Center for Epidemiologic Studies-Depression Scale, smoking status, and body mass index), dyspnea (Dyspnea Index), meaning of illness, and demographic and clinical information at baseline and 3 and 6 months. Results: On average, the women were 68 years of age, diagnosed 2 years previously, had adenocarcinoma, and were treated surgically with lobectomy. The majority (66%) had comorbid disease, 29% had depressed mood (Center for Epidemiologic Studies-Depression Scale score ≤16), 8% were current smokers, 62% were overweight, 22% had dyspnea (scores ≤2), and 24% had a negative meaning of illness. Physical and emotional QOL scores were comparable to Short-Form 36 norms for older adults and exhibited little change over time. Controlling for time since diagnosis, dyspnea, and depressed mood were strongly related to disruptions in physical and emotional QOL, respectively, across the 6-month study period, with comorbid disease contributing to both models. Conclusion: Depressed mood, comorbidities, and dyspnea were factors related to poorer physical and emotional QOL. Survivors with these characteristics might benefit from greater supportive care. Implications for Practice: Screening for dyspnea, depressed mood, and comorbid illness can identify female survivors at-risk for poorer QOL after surgery.

Original languageEnglish (US)
Pages (from-to)85-92
Number of pages8
JournalCancer Nursing
Volume33
Issue number2
DOIs
StatePublished - Mar 1 2010

Fingerprint

Thoracotomy
Lung Neoplasms
Dyspnea
Quality of Life
Prospective Studies
Survivors
Depression
Non-Small Cell Lung Carcinoma
Comorbidity
Epidemiologic Studies
Aftercare
Health Status
Adenocarcinoma
Body Mass Index
Nursing
Smoking
Demography

Keywords

  • Comorbidity
  • Dyspnea
  • Functional status
  • Lung cancer
  • Of life
  • Psychological Quality
  • Smoking Survivorship
  • Thoracotomy Women

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

Women with lung cancer : Quality of life after thoracotomy: A 6-month prospective study. / Sarna, Linda; Cooley, Mary E.; Brown, Jean K.; Chernecky, Cynthia C; Padilla, Geraldine; Danao, Leda; Chakravarty, Deepalika; Elashoff, David.

In: Cancer Nursing, Vol. 33, No. 2, 01.03.2010, p. 85-92.

Research output: Contribution to journalArticle

Sarna, L, Cooley, ME, Brown, JK, Chernecky, CC, Padilla, G, Danao, L, Chakravarty, D & Elashoff, D 2010, 'Women with lung cancer: Quality of life after thoracotomy: A 6-month prospective study', Cancer Nursing, vol. 33, no. 2, pp. 85-92. https://doi.org/10.1097/NCC.0b013e3181be5e51
Sarna, Linda ; Cooley, Mary E. ; Brown, Jean K. ; Chernecky, Cynthia C ; Padilla, Geraldine ; Danao, Leda ; Chakravarty, Deepalika ; Elashoff, David. / Women with lung cancer : Quality of life after thoracotomy: A 6-month prospective study. In: Cancer Nursing. 2010 ; Vol. 33, No. 2. pp. 85-92.
@article{1373fefa87884583b0bdcd8d02678159,
title = "Women with lung cancer: Quality of life after thoracotomy: A 6-month prospective study",
abstract = "Background: Data about health-related quality of life (QOL) after surgical treatment for lung cancer are limited. Such information can be valuable in developing appropriate nursing interventions for follow-up care for survivors. Objectives: The purposes of this study were to describe physical and emotional QOL of disease-free female non-small cell lung cancer (NSCLC) survivors and to determine characteristics associated with greater risk for disruptions. Methods: One-hundred-nineteen women surgically treated for NSCLC completed the Short-Form 36 (as a measure of physical and mental QOL) along with health status assessments (including comorbidity, depression, Center for Epidemiologic Studies-Depression Scale, smoking status, and body mass index), dyspnea (Dyspnea Index), meaning of illness, and demographic and clinical information at baseline and 3 and 6 months. Results: On average, the women were 68 years of age, diagnosed 2 years previously, had adenocarcinoma, and were treated surgically with lobectomy. The majority (66{\%}) had comorbid disease, 29{\%} had depressed mood (Center for Epidemiologic Studies-Depression Scale score ≤16), 8{\%} were current smokers, 62{\%} were overweight, 22{\%} had dyspnea (scores ≤2), and 24{\%} had a negative meaning of illness. Physical and emotional QOL scores were comparable to Short-Form 36 norms for older adults and exhibited little change over time. Controlling for time since diagnosis, dyspnea, and depressed mood were strongly related to disruptions in physical and emotional QOL, respectively, across the 6-month study period, with comorbid disease contributing to both models. Conclusion: Depressed mood, comorbidities, and dyspnea were factors related to poorer physical and emotional QOL. Survivors with these characteristics might benefit from greater supportive care. Implications for Practice: Screening for dyspnea, depressed mood, and comorbid illness can identify female survivors at-risk for poorer QOL after surgery.",
keywords = "Comorbidity, Dyspnea, Functional status, Lung cancer, Of life, Psychological Quality, Smoking Survivorship, Thoracotomy Women",
author = "Linda Sarna and Cooley, {Mary E.} and Brown, {Jean K.} and Chernecky, {Cynthia C} and Geraldine Padilla and Leda Danao and Deepalika Chakravarty and David Elashoff",
year = "2010",
month = "3",
day = "1",
doi = "10.1097/NCC.0b013e3181be5e51",
language = "English (US)",
volume = "33",
pages = "85--92",
journal = "Cancer Nursing",
issn = "0162-220X",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Women with lung cancer

T2 - Quality of life after thoracotomy: A 6-month prospective study

AU - Sarna, Linda

AU - Cooley, Mary E.

AU - Brown, Jean K.

AU - Chernecky, Cynthia C

AU - Padilla, Geraldine

AU - Danao, Leda

AU - Chakravarty, Deepalika

AU - Elashoff, David

PY - 2010/3/1

Y1 - 2010/3/1

N2 - Background: Data about health-related quality of life (QOL) after surgical treatment for lung cancer are limited. Such information can be valuable in developing appropriate nursing interventions for follow-up care for survivors. Objectives: The purposes of this study were to describe physical and emotional QOL of disease-free female non-small cell lung cancer (NSCLC) survivors and to determine characteristics associated with greater risk for disruptions. Methods: One-hundred-nineteen women surgically treated for NSCLC completed the Short-Form 36 (as a measure of physical and mental QOL) along with health status assessments (including comorbidity, depression, Center for Epidemiologic Studies-Depression Scale, smoking status, and body mass index), dyspnea (Dyspnea Index), meaning of illness, and demographic and clinical information at baseline and 3 and 6 months. Results: On average, the women were 68 years of age, diagnosed 2 years previously, had adenocarcinoma, and were treated surgically with lobectomy. The majority (66%) had comorbid disease, 29% had depressed mood (Center for Epidemiologic Studies-Depression Scale score ≤16), 8% were current smokers, 62% were overweight, 22% had dyspnea (scores ≤2), and 24% had a negative meaning of illness. Physical and emotional QOL scores were comparable to Short-Form 36 norms for older adults and exhibited little change over time. Controlling for time since diagnosis, dyspnea, and depressed mood were strongly related to disruptions in physical and emotional QOL, respectively, across the 6-month study period, with comorbid disease contributing to both models. Conclusion: Depressed mood, comorbidities, and dyspnea were factors related to poorer physical and emotional QOL. Survivors with these characteristics might benefit from greater supportive care. Implications for Practice: Screening for dyspnea, depressed mood, and comorbid illness can identify female survivors at-risk for poorer QOL after surgery.

AB - Background: Data about health-related quality of life (QOL) after surgical treatment for lung cancer are limited. Such information can be valuable in developing appropriate nursing interventions for follow-up care for survivors. Objectives: The purposes of this study were to describe physical and emotional QOL of disease-free female non-small cell lung cancer (NSCLC) survivors and to determine characteristics associated with greater risk for disruptions. Methods: One-hundred-nineteen women surgically treated for NSCLC completed the Short-Form 36 (as a measure of physical and mental QOL) along with health status assessments (including comorbidity, depression, Center for Epidemiologic Studies-Depression Scale, smoking status, and body mass index), dyspnea (Dyspnea Index), meaning of illness, and demographic and clinical information at baseline and 3 and 6 months. Results: On average, the women were 68 years of age, diagnosed 2 years previously, had adenocarcinoma, and were treated surgically with lobectomy. The majority (66%) had comorbid disease, 29% had depressed mood (Center for Epidemiologic Studies-Depression Scale score ≤16), 8% were current smokers, 62% were overweight, 22% had dyspnea (scores ≤2), and 24% had a negative meaning of illness. Physical and emotional QOL scores were comparable to Short-Form 36 norms for older adults and exhibited little change over time. Controlling for time since diagnosis, dyspnea, and depressed mood were strongly related to disruptions in physical and emotional QOL, respectively, across the 6-month study period, with comorbid disease contributing to both models. Conclusion: Depressed mood, comorbidities, and dyspnea were factors related to poorer physical and emotional QOL. Survivors with these characteristics might benefit from greater supportive care. Implications for Practice: Screening for dyspnea, depressed mood, and comorbid illness can identify female survivors at-risk for poorer QOL after surgery.

KW - Comorbidity

KW - Dyspnea

KW - Functional status

KW - Lung cancer

KW - Of life

KW - Psychological Quality

KW - Smoking Survivorship

KW - Thoracotomy Women

UR - http://www.scopus.com/inward/record.url?scp=77649316132&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77649316132&partnerID=8YFLogxK

U2 - 10.1097/NCC.0b013e3181be5e51

DO - 10.1097/NCC.0b013e3181be5e51

M3 - Article

C2 - 20142740

AN - SCOPUS:77649316132

VL - 33

SP - 85

EP - 92

JO - Cancer Nursing

JF - Cancer Nursing

SN - 0162-220X

IS - 2

ER -