Abstract
Purpose
Quality of life and symptomatology in patients with malignancies admitted to comprehensive cancer centres are rarely investigated. Thus, this study aimed to investigate symptomatology and health-related quality of life of inpatients with cancer.
Methods
A prospective, cross-sectional study was carried out on two occasions 5 weeks apart in haematology and oncology departments at a comprehensive cancer centre. Assessment included demographic data, WHO performance status (PS), EORTC QLQ-C30 and pain scales of brief pain inventory. Comparisons were analysed using Wilcoxon two-sample test, rank tests and Fisher’s exact test.
Results
One hundred twenty-four patients were analysed, mean age = 59 years (SD = 13.7), 42 % admitted to haematological department; lung cancer was the most frequent diagnosis (15 %). Low health-related quality of life and severe symptom burden, especially fatigue and appetite loss, were observed among the inpatients. In addition, role and social functions appeared to be more impaired in haematology patients than in those admitted to oncology (P = 0.0372 and 0.0167, respectively). On the other hand, pain and constipation were more severely affected in oncology patients (P = 0.0194 and 0.0064, respectively).
Conclusions
Patients in the wards of haematology and oncology had pronounced symptomatology and low quality of life. A more systematic focus on the amelioration of problems with functioning and symptoms among inpatients with malignant diseases is warranted.
Similar content being viewed by others
References
Halyard MY (2011) The use of real-time patient-reported outcomes and quality-of-life data in oncology clinical practice. Expert Rev Pharmacoecon Outcomes Res 11(5):561–570
Verelst SG, Termorshuizen F, Uyl-de Groot CA, Dutch-Belgium Hemato-Oncology Cooperative Group (HOVON) et al (2011) Effect of thalidomide with melphalan and prednisone on health-related quality of life (HRQoL) in elderly patients with newly diagnosed multiple myeloma: a prospective analysis in a randomized trial. Ann Hematol 90(12):1427–1439
Johnsen AT, Petersen MA, Pedersen L, Groenvold M (2009) Symptoms and problems in a nationally representative sample of advanced cancer patients. Palliat Med 23(6):491–501
Johnsen AT, Tholstrup D, Petersen MA, Pedersen L, Groenvold M (2009) Health-related quality of life in a nationally representative sample of haematological patients. Eur J Haematol 83(2):139–148
Manitta V, Zordan R, Cole-Sinclair M, Nandurkar H, Philip J (2011) The symptom burden of patients with hematological malignancy: a cross-sectional observational study. J Pain Symptom Manage 42(3):432–442
Temel JS, Greer JA, Muzikansky A et al (2010) Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 363(8):733–742
Oken MM, Creech RH, Tormey DC et al (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5(6):649–655
Aaronson NK, Ahmedzai S, Bergman B et al, European Organisation for Research and Treatment of Cancer Study Group on Quality of Life (1993) The European Organisation for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85(5):365–376
Caraceni A, Portenoy RK (1999) An international survey of cancer pain characteristics and syndromes. IASP Task Force on Cancer Pain. International Association for the Study of Pain. Pain 82:263–274
Klepstad P, Loge JH, Borchgrevink PC, Mendoza TR, Cleeland CS, Kaasa S (2002) The Norwegian brief pain inventory questionnaire: translation and validation in cancer pain patients. J Pain Symptom Manage 24(5):517–525
Fayers PM, Aaronson NK, Bjordal K, Groenvold M, Curran D, Bottomley A, on behalf of the EORTC Quality of Life Group (2001) The EORTC QLQ-C30 scoring manual, 3rd edn. European Organisation for Research and Treatment of Cancer, Brussels
Strömgren AS, Goldschmidt D, Groenvold M et al (2002) Self-assessment in cancer patients referred to palliative care: a study of feasibility and symptom epidemiology. Cancer 94(2):512–520
Smith TJ, Temin S, Alesi ER et al (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30(8):880–887
de Santiago A, Portela MA, Ramos L et al (2012) A new palliative care consultation team at the oncology department of a university hospital: an assessment of initial efficiency and effectiveness. Support Care Cancer 20(9):2199–2203
Lo RS, Ding A, Chung TK, Woo J (1999) Prospective study of symptom control in 133 cases of palliative care inpatients in Shatin Hospital. Palliat Med 13(4):335–340
Wan C, Meng Q, Yang Z, Tu X, Feng C, Tang X, Zhang C (2008) Validation of the simplified Chinese version of EORTC QLQ-C30 from the measurements of five types of inpatients with cancer. Ann Oncol 19(12):2053–2060
Alshemmari S, Ezzat H, Samir Z, Sajnani K, Alsirafy S (2010) Symptom burden in hospitalized patients with cancer in Kuwait and the need for palliative care. Am J Hosp Palliat Care 27(7):446–449
Halawi R, Aldin ES, Baydoun A, Dbouk H, Nahleh Z, Nasser Z, Tfayli A (2012) Physical symptom profile for adult cancer inpatients at a Lebanese cancer unit. Eur J Intern Med 23(8):e185–e189
van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, Schouten HC, van Kleef M, Patijn J (2009) Quality of life and non-pain symptoms in patients with cancer. J Pain Symptom Manage 38(2):216–233
Scott NW, Fayers PM, Aaronson NK et al, on behalf of the EORTC Quality of Life Group (2008) EORTC QLQ-C30 reference values. EORTC Quality of Life Group Publications, Brussels
Nourissat A, Vasson MP, Merrouche Y et al (2008) Relationship between nutritional status and quality of life in patients with cancer. Eur J Cancer 44(9):1238–1242
Paice JA (2011) Chronic treatment-related pain in cancer survivors. Pain 152(3 Suppl):S84–S89
Kurita GP, Tange UB, Farholt H et al (2013) Pain characteristics and management of inpatients admitted to a comprehensive cancer centre: a cross-sectional study. Acta Anaesthesiol Scand 57(4):518–525
Portenoy RK, Thaler HT, Kornblith AB et al (1994) Symptom prevalence, characteristics and distress in a cancer population. Qual Life Res 3(3):183–189
Barbera L, Seow H, Howell D et al (2010) Symptom burden and performance status in a population-based cohort of ambulatory cancer patients. Cancer 116(24):5767–5776
Frick E, Tyroller M, Panzer M (2007) Anxiety, depression and quality of life of cancer patients undergoing radiation therapy: a cross-sectional study in a community hospital outpatient centre. Eur J Cancer Care (Engl) 16(2):130–136
Conflict of interest
The authors have no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Strömgren, A.S., Niemann, C.U., Tange, U.B. et al. Quality of life and symptoms in patients with malignant diseases admitted to a comprehensive cancer centre. Support Care Cancer 22, 1843–1849 (2014). https://doi.org/10.1007/s00520-014-2149-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00520-014-2149-8