Ryo Koide1,2, Ami Kikuchi1,2, Masahiro Miyajima3, Taijiro Mishina3, Yuki Takahashi3, Miho Okawa3, Izumi Sawada1, Junko Nakajima3, Atsushi Watanabe3, Toru Mizuguchi4,5. 1. Department of Nursing I, Sapporo Medical University Postgraduate School of Health Science, S-1, W-17, Chuo-Ku, Sapporo, Hokkaido, 060-8556, Japan. 2. Department of Nursing, Division of Surgical Science, Sapporo Medical University Postgraduate School of Health Science, S-1, W-17, Chuo-Ku, Sapporo, Hokkaido, 060-8556, Japan. 3. Department of Thoracic Surgery, Sapporo Medical University Postgraduate School of Medicine, S-1, W-16, Chuo-Ku, Sapporo, Hokkaido, 060-8543, Japan. 4. Department of Nursing I, Sapporo Medical University Postgraduate School of Health Science, S-1, W-17, Chuo-Ku, Sapporo, Hokkaido, 060-8556, Japan. tmizu@sapmed.ac.jp. 5. Department of Nursing, Division of Surgical Science, Sapporo Medical University Postgraduate School of Health Science, S-1, W-17, Chuo-Ku, Sapporo, Hokkaido, 060-8556, Japan. tmizu@sapmed.ac.jp.
Abstract
OBJECTIVES: Aim of this study was to elucidate an alteration of quality of life (QOL) score before and after video-assisted thoracoscopic surgery (VATS) for non-small cell lung cancer (NSCLC) patients using the 5-level EuroQol-5D questionnaire (EQ-5D-5L). We also investigated how the preoperative QOL scores affected the postoperative clinical outcome prospectively. METHODS: Between July 2018 and December 2018, 24 consecutive NSCLC patients who underwent VATS were recruited. The EQ-5D-5L for Japanese was used with face-to-face interviews to estimate the utility values of QOL. RESULTS: QOL scores were significantly declined after surgery (0.81 ± 0.19 vs. 0.74 ± 0.11: P = 0.049). The levels of EQ-5D-5L questionnaire were not significantly different before and after surgery except Q4 (pain control). The levels of Q4 were significantly worsened after surgery (1.33 ± 0.56 vs. 1.88 ± 0.61, P < 0.001). Operation time and bleeding in the preoperative low-QOL score group (N = 13) was longer (215.4 ± 52.3 min. vs. 173.5 ± 42.3 min., respectively: P = 0.045) and more (116.2 ± 152.7 ml vs. 22.7 ± 20.1 ml, respectively: P = 0.049) than those in the high-QOL score group (N = 11). CONCLUSIONS: QOL survey for lung cancer patients using EQ-5D-5L is simple and useful to identify the issue facing at the medical team. Preoperative low QOL score could be a predicting factor for the longer operation time and more bleeding.
OBJECTIVES: Aim of this study was to elucidate an alteration of quality of life (QOL) score before and after video-assisted thoracoscopic surgery (VATS) for non-small cell lung cancer (NSCLC) patients using the 5-level EuroQol-5D questionnaire (EQ-5D-5L). We also investigated how the preoperative QOL scores affected the postoperative clinical outcome prospectively. METHODS: Between July 2018 and December 2018, 24 consecutive NSCLCpatients who underwent VATS were recruited. The EQ-5D-5L for Japanese was used with face-to-face interviews to estimate the utility values of QOL. RESULTS: QOL scores were significantly declined after surgery (0.81 ± 0.19 vs. 0.74 ± 0.11: P = 0.049). The levels of EQ-5D-5L questionnaire were not significantly different before and after surgery except Q4 (pain control). The levels of Q4 were significantly worsened after surgery (1.33 ± 0.56 vs. 1.88 ± 0.61, P < 0.001). Operation time and bleeding in the preoperative low-QOL score group (N = 13) was longer (215.4 ± 52.3 min. vs. 173.5 ± 42.3 min., respectively: P = 0.045) and more (116.2 ± 152.7 ml vs. 22.7 ± 20.1 ml, respectively: P = 0.049) than those in the high-QOL score group (N = 11). CONCLUSIONS: QOL survey for lung cancerpatients using EQ-5D-5L is simple and useful to identify the issue facing at the medical team. Preoperative low QOL score could be a predicting factor for the longer operation time and more bleeding.
Entities:
Keywords:
EuroQol; Lung surgery; Pain; Quality of life; VATS
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