EFFECTS OF ANXIETY, DEPRESSION, AND FATIGUE ON QUALITY OF LIFE IN EARLY ESOPHAGEAL CANCER PATIENTS FOLLOWING ENDOSCOPIC SUBMUCOSAL DISSECTION
Tóm tắt
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Abstract
Background: Emotional problems such as anxiety, depression, and fatigue may affect the quality of life (QoL) of cancer patients. However, there are no related studies investigating the effects of emotional problems on the QoL of early esophageal cancer (EC) patients receiving endoscopic submucosal dissection (ESD).
Methods: This is a prospective observational study enrolling 75 early EC patients. Demographic and clinical characteristics of enrolled patients were recorded. QoL was assessed according to the European Organization for Research and Treatment of Cancer QoL (EORTC QLQ-C30). The Beck Anxiety Scale and the Beck Depression Scale were used to measure the severity of anxiety symptoms and depression intensity, respectively. Fatigue was assessed according to the symptom subscale of the EORTC QLQ-C30. Multivariable logistic regression models were constructed to determine the causes of emotional problems.
Results: Of the enrolled early EC patients, 21, 15, and seven had symptoms of mild, moderate and anxiety, respectively. Also, 15, 19, and two patients had symptoms of mild, moderate, and severe, respectively. In total, 27 patients frequently felt fatigue. The multivariable logistic regression model revealed that the financial capacity to pay for treatment had an important effect on the prevalence of anxiety and depression symptoms in enrolled patients (both P values < 0.001). Age, gender, education status, and tumor size also played a role in emotional problems. Mean while, fatigue was found to be related only to age and gender. The mean score for QoL was (76,9 ± 15,2). After adjusting for confounding factors using the multivariable linear regression model, moderate or severe symptoms of anxiety, depression, and fatigue, older age, and insufficient capacity to pay were identified as independent risk factors for reduced QoL.
Conclusions: Emotional distress is a significant problem for early EC patients receiving ESD treatment as it may affect their QoL.
Từ khóa
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Keywords
Anxiety; depression; fatigue; quality of life (QoL); endoscopic submucosal dissection (ESD); early esophageal cancer (early EC), Quality of life, eosophageal cancer, Thai Nguyen Oncology.
Tài liệu tham khảo (References)
- Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.
- A Cancer J Clin 2018; 68: 394-424.
- Li H, Fang W, Yu Z, et al. Chinese expert consensus on mediastinal lymph node dissection in esophagectomy for esophageal cancer (2017 edition). J Thorac Dis 2018; 10: 2481-9.
- Zhang H, Yang Y, Shang Q, et al. Predictive value of preoperative weight loss on survival of elderly patients undergoing surgery for esophageal squamous cell carcinoma. Transl Cancer Res 2019;8:2752-8.
- Darling GE. Quality of life in patients with esophageal cancer. Thorac Surg Clin 2013; 23: 569-75.
- Kim SG, Ji SM, Lee NR, et al. Quality of Life after Endoscopic Submucosal Dissection for Early Gastric Cancer: A Prospective Multicenter Cohort Study. Gut Liver 2017; 11: 87-92.
