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高危乳腺癌患者自体外周血干细胞移植及大剂量化疗后的生活质量

Quality of Life after Autologous Peripheral Blood Stem Cell Transplantation and High-Dose Chemotherapy in High-Risk Breast Cancer Patients.

作者信息

Zhang Li, Tong Zhongsheng, Li Shufen, Ren Xiubao, Ren Baozhu, Wang Xu, Cao Shui, Wang Chen, He Lihong

机构信息

Medical Department of Breast Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.

出版信息

Breast Care (Basel). 2009;4(6):379-386. doi: 10.1159/000266759. Epub 2009 Dec 28.

DOI:10.1159/000266759
PMID:20877673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2942001/
Abstract

BACKGROUND

As long-term survivors of breast cancer after autologous peripheral blood stem cell transplantation (ASCT) are becoming more numerous, studies addressing the issue of long-term follow-up are necessary. In this study, we report on the quality of life (QOL) after ASCT and high-dose chemotherapy (HDCT). PATIENTS AND METHODS: The QOL questionnaire version 3.0 by the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30 version 3.0) was filled in by patients and healthy controls at 5 time points. After obtaining the results, we analyzed the correlation between QOL and the effect factors. RESULTS: Some functions got significantly worse, and some symptoms got more serious after ASCT and HDCT. However, most of them improved with time and were comparable to the healthy controls after 5 years. QOL was in part related to age, tumor characteristics, educational level, marriage status, and income. CONCLUSIONS: Evaluating QOL allows medical workers to fully understand a patient's state of health, and aid the estimation and selection of clinical treatment methods as well as improve recovery.

摘要

背景

随着自体外周血干细胞移植(ASCT)后乳腺癌长期幸存者数量的不断增加,开展长期随访问题的研究很有必要。在本研究中,我们报告了ASCT和大剂量化疗(HDCT)后的生活质量(QOL)。

患者与方法

欧洲癌症研究与治疗组织的生活质量问卷第3.0版(EORTC QLQ-C30第3.0版)由患者和健康对照在5个时间点填写。得出结果后,我们分析了生活质量与影响因素之间的相关性。

结果

ASCT和HDCT后,一些功能显著变差,一些症状变得更严重。然而,它们中的大多数随时间改善,5年后与健康对照相当。生活质量部分与年龄、肿瘤特征、教育水平、婚姻状况和收入有关。

结论

评估生活质量能让医务人员充分了解患者的健康状况,有助于估计和选择临床治疗方法,并促进康复。

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本文引用的文献

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Economic and clinical impact of multiple myeloma to managed care.多发性骨髓瘤对管理式医疗的经济和临床影响。
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Global quality of life in patients who have undergone the hematopoietic stem cell transplantation: finding from transversal and retrospective study.接受造血干细胞移植患者的全球生活质量:横断面和回顾性研究结果
Exp Oncol. 2005 Sep;27(3):238-42.
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Quality of life in adult hematopoietic cell transplant patients at least 5 yr after treatment: a comparison with healthy controls.成年造血细胞移植患者治疗后至少5年的生活质量:与健康对照的比较。
Eur J Haematol. 2005 Apr;74(4):304-8. doi: 10.1111/j.1600-0609.2004.00402.x.
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Quality of life issues among women undergoing high-dose chemotherapy for breast cancer.
Breast Dis. 2001;14:41-50. doi: 10.3233/bd-2001-14106.
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Long-term health-related quality of life, growth, and spiritual well-being after hematopoietic stem-cell transplantation.造血干细胞移植后的长期健康相关生活质量、生长发育及精神健康状况
J Clin Oncol. 2005 Jan 20;23(3):599-608. doi: 10.1200/JCO.2005.03.189.
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Patient-rated emotional and physical functioning among hematologic cancer patients during hospitalization for stem-cell transplantation.干细胞移植住院期间血液系统癌症患者的患者自评情绪和身体功能状况
Bone Marrow Transplant. 2005 Feb;35(3):307-14. doi: 10.1038/sj.bmt.1704788.