Quality of life in patients with advanced lung cancer treated at home and at a palliative care unit

Am J Hosp Palliat Care. 2012 Aug;29(5):379-87. doi: 10.1177/1049909111426135. Epub 2011 Nov 3.

Abstract

Background: To assess quality of life (QOL) in patients with advanced lung cancer.

Patients and methods: A prospective study of 78 patients cared at home and at a palliative care unit (PCU) with 2 QOL assessments was conducted.

Results: Fifty patients completed the study. In the EORTC QLQ-C30 role, cognitive, social functioning, global QOL, fatigue, pain, dyspnea, and appetite deteriorated; nausea/vomiting improved; dyspnea was more intense in the case of in-home patients. In the EORTC QLQ-LC13 hemoptysis improved; pain in other parts was more intense in the PCU patients. Pain (Visual Analogue scale) was more intense in the PCU patients; the level of activity (Karnofsky) decreased in the case of patients treated at home.

Conclusions: QOL deteriorated with few differences between home and the PCU patients.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Female
  • Home Care Services*
  • Hospitalization*
  • Humans
  • Lung Neoplasms / epidemiology
  • Lung Neoplasms / psychology*
  • Lung Neoplasms / therapy
  • Male
  • Mental Health
  • Middle Aged
  • Palliative Care / organization & administration*
  • Palliative Care / psychology
  • Prospective Studies
  • Quality of Life*