Hwang In Cheol, Park Sang Min, Yun Young Ho, Kim Kyoung Kon
Gachon University Gil Medical Center, Incheon, Korea.
Seoul National University College of Medicine, Seoul, Korea
Asia Pac J Public Health. 2015 Mar;27(2):NP681-90. doi: 10.1177/1010539513496138. Epub 2013 Oct 4.
Few studies performed so far have weighed the health-related quality of life (HRQoL) of cancer survivors against that of cardiovascular disease (CVD) survivors. This study was based on data obtained from the Third Korean National Health and Nutrition Examination Survey. Of adults with available EuroQoL (EQ) information, a total 23 370 individuals (658 CVD survivors, 389 cancer survivors, and 22 323 controls) remained in the final analysis. Cancer survivors have the lowest HRQoL scales among the 3 groups, independent of age. The HRQoL of young cancer survivors was as impaired as that of older cancer survivors, whereas the HRQoL of CVD survivors and controls decreased with increasing age. Cancer survivors also have more problems in all domains of EQ-5D, especially domains of pain/discomfort and anxiety/depression. The study suggests that cancer survivors should receive more intensive attention to develop means of identifying them and to improve their quality of life.
迄今为止,很少有研究将癌症幸存者与心血管疾病(CVD)幸存者的健康相关生活质量(HRQoL)进行权衡比较。本研究基于从韩国第三次全国健康与营养检查调查中获得的数据。在有可用欧洲五维健康量表(EQ)信息的成年人中,最终分析纳入了总共23370人(658名CVD幸存者、389名癌症幸存者和22323名对照)。在这三组人群中,癌症幸存者的HRQoL量表得分最低,且不受年龄影响。年轻癌症幸存者的HRQoL受损程度与老年癌症幸存者相同,而CVD幸存者和对照的HRQoL则随着年龄增长而下降。癌症幸存者在EQ-5D的所有领域也存在更多问题,尤其是疼痛/不适和焦虑/抑郁领域。该研究表明,应给予癌症幸存者更多的关注,以制定识别他们的方法并改善他们的生活质量。