A cross sectional analysis from a single institution's experience of psychosocial distress and health-related quality of life in the primary brain tumor population

作者：Randazzo Dina M^*; McSherry Frances; Herndon James E II; Affronti Mary Lou; Lipp Eric S; Flahiff Charlene; Miller Elizabeth; Woodring Sarah; Freeman Maria; Healy Patrick; Minchew Janet; Boulton Susan; Desjardins Annick; Vlahovic Gordana; Friedman Henry S; Keir Stephen; Peters Katherine B

来源：Journal of Neuro-Oncology, 2017, 134(2): 363-369.

DOI：10.1007/s11060-017-2535-4

• Brain
• Cancer
• Psychosocial
• Distress
• HRQoL

Primary brain tumor patients experience high levels of distress. The purpose of this cross-sectional, retrospective study is to evaluate the level and different sources of psychosocial distress and how these pertain to health-related quality of life (HRQoL). The Primary and Recurrent Glioma registry at Duke's The Preston Robert Tisch Brain Tumor Center was queried retrospectively for demographic and clinical information on patients seen between December 2013 and February 2014. Data also included the National Comprehensive Cancer Network's Distress Thermometer (NCCN-DT), Functional Assessment of Cancer Therapy-Brain Cancer (FACT-Br), and Functional Assessment of Chronic Illness Therapy- Fatigue (FACIT-F). 829 subjects completed questionnaires. 54% were male; 96% completed the NCCN-DT; 33.3% had a DT score ae<yen>4 (moderate/severe distress). Women reported DT ae<yen> 4 more often than men (38.6 vs 29.0%; p = 0.005). Patients within 1 year of diagnosis reported DT ae<yen> 4 more often than those 1+ years after diagnosis (38.8 vs 30.9%; p = 0.034). 73.0% reported physical problems; the most frequent being fatigue (43.2%) and memory/concentration (40.9%). 42.0% complained of emotional problems with worry (29.4%) and nervousness (22.4%) being the most common. Patients who reported at least one practical, family, emotional or physical problem had significantly lower HRQoL scores (p < 0.001). Primary brain tumor patients experience memory dysfunction, fatigue, nervousness, worry, and financial concerns, which have a negative effect on the patient's HRQoL. By identifying and addressing these stressors, it may be possible to improve patient HRQoL.

• 出版日期2017-9