Quality of life and associated factors in patients with hematological cancer according to EORTC QLQ-C30

Authors

  • Mariana de Souza Vieira a Programa de Pós-graduação em Nutrição e Saúde, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1468 – Maruípe, Vitória, Espírito Santo, CEP: 29040-090, Brasil;
  • Lorraine Pires Avancini b Departamento Integrado de Educação e Saúde, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1468 – Maruípe, Vitória, Espírito Santo, CEP: 29040-090, Brasil;
  • Laís Freitas da Costa b Departamento Integrado de Educação e Saúde, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1468 – Maruípe, Vitória, Espírito Santo, CEP: 29040-090, Brasil;
  • Glenda Blaser Petarli c Hospital Universitário Cassiano Antonio Moraes, Vitória, ES 29043-260, Brasil;
  • Taísa Sabrina Silva Pereira d Universidad de las Américas Puebla, San Andrés Cholula, Puebla. C.P. 72810, México.
  • José Luiz Marques Rocha a Programa de Pós-graduação em Nutrição e Saúde, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1468 – Maruípe, Vitória, Espírito Santo, CEP: 29040-090, Brasil; b Departamento Integrado de Educação e Saúde, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1468 – Maruípe, Vitória, Espírito Santo, CEP: 29040-090, Brasil;
  • Valdete Regina Guandalini a Programa de Pós-graduação em Nutrição e Saúde, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1468 – Maruípe, Vitória, Espírito Santo, CEP: 29040-090, Brasil; b Departamento Integrado de Educação e Saúde, Universidade Federal do Espírito Santo, Avenida Marechal Campos, 1468 – Maruípe, Vitória, Espírito Santo, CEP: 29040-090, Brasil;

DOI:

https://doi.org/10.36311/jhgd.v32.12788

Keywords:

Malnutrition, Cancer, Nutritional Assessment, Functional Performance, Cognition

Abstract

Introduction: Hematological cancers account for 9% of all cancers and their progression and treatment directly affect quality of life (QoL).

Objective: This study assessed QoL and associated factors in patients with hematological cancer according to the EORTC QLQ-C30.

Methods: Cross-sectional study carried out from August 2017 to June 2019. We included adults and the elderly of both sexes, with hematological cancer, undergoing oral or venous chemotherapy. Nutritional status was assessed by the Patient-Generated Subjective Global Assessment (PG-SGA) and QoL by EORTC QLQ-C30.

Results: Fifty-one patients aged in average 60.0 ± 15 years were evaluated. Of these, 51.0% were women, 80.4% were non-white, 37.3% had B lymphoid cell neoplasia, 60.8% had been diagnosed for ≤ 3 years, 77.1% were on chemotherapy, and 64.7% were well- nourished. The scores for global health status and functional scales were high and for symptoms and single items they were low, indicating good QoL and functionality and low symptomatology. After multivariate linear regression, the time of diagnosis ≤ 3 years was associated with functional performance (p <0.05) and malnutrition was associated with cognitive function (p <0.05) and with symptoms of fatigue, nausea and vomiting, and insomnia (p <0.05).

Conclusions: The patients evaluated had good quality of life and functionality, few symptoms, and were well-nourished. Time of diagnosis and malnutrition were associated with the role functioning and cognitive functioning domains, and with symptoms, fatigue, nausea and vomiting, and insomnia.

Downloads

Download data is not yet available.

References

Barajas-Galindo DE, Vidal-Casariego A, Calleja-Fernández A, Hernández-Moreno A, Pintor de la Maza B, Pedraza-Lorenzo M, et al. Appetite disorders in cancer patients: Impact on nutritional status and quality of life. Appetite. 2017; 114: 23-27. doi: 10.1016/j.appet.2017.03.020

Kang J, Chen W, Sun W, Ge R, Li H, Ma E, Su Q, Cheng F, Hong J, Zhang Y, Lei C, Wang X, Jin A, Liu W. Health-related quality of life of cancer patients with peripherally inserted central catheter: a pilot study. J Vasc Access. 2019; 18: 5. doi: 10.5301/jva.5000762

International Agency for Research on Cancer. Cancer today. Lyon: WHO, 2020. Disponível em: https://gco.iarc.fr/today/home Acesso em: oct 25, 2021

Yilmaz M, Atilla FD, Sahin F, Saydam G. The effect of malnutrition on mortality in hospitalized patients with hematologic malignancy. Supportive Care Cancer. 2019; doi: 10.1007/s00520-019-04952-5.

Kohler N, Mehnert A, Gotze H. Psychological distress, chronic conditions and quality of life in elderly hematologic cancer patients: study protocol of a prospective study. BMC Cancer. 2017; 17: 700. doi: https://doi.org/10.1186/s12885-017-3662-1

National Cancer Institute José Alencar Gomes da Silva. Brazilian Oncology Nutrition Survey. [accessed July 02, 2019] Available in: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//inquerito-brasileiro-nutricao-oncologica.pdf

Pimentel, FL. Quality of life and oncology. 1st ed. Coimbra: Almedina; 2006.

Machado SM, Sawada NO. Quality of life assessment of cancer patients undergoing adjuvant chemotherapy. Text Context Nursing, v. 17, no. 4, p. 750-7, 2008.

Luger E, Haider S, Kapan A, Schindler K, Lackinger C, Dorner TE. Association between nutritional status and quality of life in (pre)frail community-dwelling older persons. The Journal of Frailty & Aging. v. 5, no. 3, p. 141-148, 2016.

Campos JADB, Silva WR, Spexoto MCB, Serrano SV, Marôco J. Clinical, dietary and demographic characteristics that affect the quality of life of cancer patients. Einstein (São Paulo). 2018; 16: 4. doi: 10.31744/einstein_journal/2018AO4368

Roopchand-Martin S, Rajkumar F, Creary Yan S. Quality of life of cancer patients living in Trinidad and Tobago. Qual Life Res. 2019; 28:7. doi: 10.1007/s11136-019-02151-7

Hinz A, Mehnert A, Dégi C, Reissmann DR, Schotte D, Schulte T. The relationship between global and specific components of quality of life, assessed with the EORTC QLQC30 in a sample of 2019 cancer patients. Eur J Cancer Care. 2017; 26: 2. doi: 10.1111/ecc.12416

Kramer B, Wenzel A, Boerger M, Lippert B, Feist K, Petrasch R, et al. Long-Term Quality of Life and Nutritional Status of Patients with Head and Neck Cancer. Nutr Cancer. 2019; 71:3; doi: https://doi.org/10.1080/01635581.2018.1506492

National Cancer Institute José Alencar Gomes da Silva (INCA). National Consensus on Oncological Nutrition. [accessed in May 15, 2019] Available in: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//consenso-nutricao-oncologica-vol-ii-2-ed-2016.pdf

Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization 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. 1993; 85: 5. doi: 10.1093/jnci/85.5.365

Silveira A, Gonçalves J, Sequeira T, Ribeiro C, Lopes C, Monteiro E, et al. Quality of life assessment in patients with head and neck cancer: Validation model of the Portuguese electronic version of EORTC-QLQ C30 and EORTC-H & N35. Acta Med Port. 2011; 24: 347-54.

World Health Organization. Health Topics: Ageing and Life Course. World Health Organization; 2017. Accessed July 20, 2020. Available: http://www.who.int/topics/ageing/en/

Gonzalez MC, Borges LR, Silveira DH, Assunção MCF, Orlandi SP. Validation of the Portuguese version of the subjective global assessment produced by the patient. Rev Bras Nutr Clin. 2010; 25:2.

Franceschini J, Jardim JR, Fernandes ALG, Jamnik S, Santoro IL. Reproducibility of the Brazilian Portuguese version of the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire together with its specific module for lung cancer. J Bras Pneumol. 2010; 36: 5. doi: https://doi.org/10.1590/S1806-37132010000500011

Anderson DE, Bhatt VR, Schimid K, Holstein SA, Lunning M, Berger AM, et al. Neurophysiological evidence of impaired attention and working memory in untreated hematologic cancer patients. 2019; 130: 8. doi: 10.1016/j.clinph.2019.04.714

Santos IM, Mendes L, Carolino E, Santos CA. Nutritional Status, Functional Status, and Quality of Life – What is the Impact and Relationship on Cancer Patients? Nutrition and Cancer. 2020; 1–14. doi: 10.1080/01635581.2020.1839520

Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC, Deutz NEP et al. ESPEN expert group recommendations for action against cancer-related malnutrition. Clinical Nutrition. 2017; 36(5), 1187–1196. doi:10.1016/j.clnu.2017.06.017

Viana ECRdM, Oliveira IdS, Rechinelli AB, Marques IL, Souza VFd, Spexoto MCB, et al. Malnutrition and nutrition impact symptoms (NIS) in surgical patients with cancer. PLoS ONE. 2020; 15(12): e0241305. https://doi.org/10.1371/journal.pone.0241305

Brazilian Medical Association. Federal Council of Medicine. Project Guidelines: Nutritional Therapy in Oncology. [accessed in 10 Jun 2019] Available in: https://diretrizes.amb.org.br/_BibliotecaAntiga/terapia_nutricional_na_oncologia.pdf

Walker WH, Borniger JC. Molecular Mechanisms of Cancer-Induced Sleep Disruption. Int J Mol. Sci. 2019; 20: 11. DOI: https://doi.org/10.3390/ijms20112780

Liu L, Mills PJ, Rissling M, Fiorentino L, Natarajan L, Dimsdale JE, Sadler GR, Parker BA, Ancoli-Israel S. Fatigue and sleep quality are associated with changes in inflammatory markers in breast cancer patients undergoing chemotherapy. Brain Behav Immun. 2012 Jul;26(5):706-13. doi: 10.1016/j.bbi.2012.02.001

Salvetti MG, Machado CSP, Donato SCT, Silva AM. Prevalence of symptoms and quality of life of câncer patients. Rev Bras Enferm. 2020;73(2):e20180287. doi: http://dx.doi.org/10.1590/0034-7167-2018-0287

Ross TL, DeFazio A, Friedlander M, Grant P, Nagle CM, Williams M., et al. & OPAL Study Group. Insomnia and its association with quality of life in women with ovarian cancer. Gynecol Oncol. 2020; 158:3. doi: 10.1016/j.ygyno.2020.06.500

Published

2022-10-31

Issue

Section

ORIGINAL ARTICLES