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老年转移性癌症患者的生活质量评分更差吗?

Do elderly patients with metastatic cancer have worse quality of life scores?

机构信息

Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.

出版信息

Support Care Cancer. 2012 Sep;20(9):2121-7. doi: 10.1007/s00520-011-1322-6. Epub 2011 Nov 12.

DOI:10.1007/s00520-011-1322-6
PMID:22081058
Abstract

PURPOSE

The purpose of this study is to compare self-reported quality of life (QOL) scores in old and young patients with metastatic cancer using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C15-PAL questionnaire.

MATERIALS AND METHODS

Patients receiving palliative radiotherapy (RT) for bone metastases and brain metastases completed the QLQ-C15-PAL questionnaire prior to treatment. Using multiple linear regression analysis, a parametric test, the QLQ-C15-PAL scores were compared using 65 and 70 years as cutoff ages.

RESULTS

A total of 340 patients were referred for palliative RT for bone metastases (n = 190) or brain metastases (n = 150). Physical functioning and appetite were worse in the older group using either 65 or 70 years as the cutoff age. Age-related differences in the QLQ-C15-PAL scores varied as a function of age cutoff used and location of metastatic site irradiated.

CONCLUSION

Based on the (EORTC) QLQ-C15-PAL, elderly advanced cancer patients have a different QOL profile. Similar observations have been reported with the (EORTC) QLQ-C30 questionnaire.

摘要

目的

本研究旨在使用欧洲癌症研究与治疗组织(EORTC)生活质量问卷核心 15 项(QLQ-C15-PAL)比较老年和年轻转移性癌症患者的自我报告生活质量(QOL)评分。

材料和方法

接受姑息性放疗(RT)治疗骨转移和脑转移的患者在治疗前完成了 QLQ-C15-PAL 问卷。使用多元线性回归分析、参数检验,以 65 岁和 70 岁为截止年龄比较 QLQ-C15-PAL 评分。

结果

共有 340 名患者因骨转移(n = 190)或脑转移(n = 150)接受姑息性 RT。使用 65 岁或 70 岁作为截止年龄,老年组的身体功能和食欲较差。与使用的年龄截止值和照射转移部位有关,QLQ-C15-PAL 评分的年龄相关差异因年龄截止值而异。

结论

基于 EORTC QLQ-C15-PAL,老年晚期癌症患者具有不同的 QOL 特征。在 EORTC QLQ-C30 问卷中也有类似的观察结果。

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