학술논문

12-Month Trajectories of Health-Related Quality of Life Following Hospitalization in German Cancer Centers-A Secondary Data Analysis.
Document Type
Academic Journal
Author
Eichler M; Medical Faculty, National Center for Tumor Diseases (NCT/UCC), Technical University Dresden, 01307 Dresden, Germany.; Hönig K; Department of Psychosomatic Medicine and Psychotherapy, Comprehensive Cancer Center Ulm (CCCU), Ulm University Hospital, 89070 Ulm, Germany.; Bergelt C; Hamburg Hubertus Wald-University Cancer Center (CCC), University Clinic Centre, 20251 Hamburg, Germany.; Faller H; Department Medical Psychology and Psychotherapy, Comprehensive Cancer Center Mainfranken, University of Würzburg, 97080 Würzburg, Germany.; Maatouk I; Department Internal Medicine and Psychosomatics, University Clinic Centre Heidelberg, 69120 Heidelberg, Germany.; Section of Psychosomatic Medicine, Psychotherapy and Psychooncology, Department of Internal Medicine II, Julius-Maximilian University Würzburg, 97080 Würzburg, Germany.; Hornemann B; Medical Faculty, National Center for Tumor Diseases (NCT/UCC), Technical University Dresden, 01307 Dresden, Germany.; Stein B; Department of Psychosomatic Medicine and Psychotherapy, General Hospital Nuremberg, Paracelsus Medical University, 90419 Nuremberg, Germany.; Teufel M; Department Psychosomatic Medicine and Psychotherapy, Comprehensive Cancer Center Essen (WTZ) and LVR University Hospital, University of Duisburg-Essen, 45122 Essen, Germany.; Goerling U; Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität and Berlin Institute of Health, 10117 Berlin, Germany.; Erim Y; Department Psychosomatic Medicine, University Clinic Centre Erlangen, 91054 Erlangen, Germany.; Geiser F; Department Psychosomatic Medicine, University Clinic Centre Bonn, 53127 Bonn, Germany.; Niecke A; Faculty of Medicine & University Hospital, Department Psychosomatics and Psychotherapy, University of Cologne, 50937 Köln, Germany.; Senf B; University Cancer Center, University Clinic Centre Frankfurt, 60590 Frankfurt, Germany.; Protestant College of Darmstadt, University of Applied Sciences, 64293 Darmstadt, Germany.; Weis J; Faculty of Medicine and Medical Center University of Freiburg, Department Self-Help Research, Comprehensive Cancer Center, 79106 Freiburg, Germany.
Source
Publisher: MDPI Country of Publication: Switzerland NLM ID: 9502503 Publication Model: Electronic Cited Medium: Internet ISSN: 1718-7729 (Electronic) Linking ISSN: 11980052 NLM ISO Abbreviation: Curr Oncol Subsets: MEDLINE
Subject
Language
English
Abstract
Patient-reported outcomes (PROs) offer a diverse array of potential applications within medical research and clinical practice. In comparative research, they can serve as tools for delineating the trajectories of health-related quality of life (HRQoL) across various cancer types. We undertook a secondary data analysis of a cohort of 1498 hospitalized cancer patients from 13 German cancer centers. We assessed the Physical and Mental Component Scores (PCS and MCS) of the 12-Item Short-Form Health Survey at baseline (t0), 6 (t1), and 12 months (t2), using multivariable generalized linear regression models. At baseline, the mean PCS and MCS values for all cancer patients were 37.1 and 44.3 points, respectively. We observed a significant improvement in PCS at t2 and in MCS at t1. The most substantial and significant improvements were noted among patients with gynecological cancers. We found a number of significant differences between cancer types at baseline, t1, and t2, with skin cancer patients performing best across all time points and lung cancer patients performing the worst. MCS trajectories showed less pronounced changes and differences between cancer types. Comparative analyses of HRQoL scores across different cancer types may serve as a valuable tool for enhancing health literacy, both among the general public and among cancer patients themselves.
Competing Interests: The authors have no relevant financial or non-financial interests to disclose.