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接受FOLFOX或XELOX治疗的非转移性结直肠癌患者的生活质量

Quality of life in non-metastasic colorectal cancer patients in FOLFOX or XELOX therapy.

作者信息

Sánchez-Gundín Julia, Fernández-Carballido Ana María, Torres-Suárez Ana Isabel, Barreda-Hernández Dolores

机构信息

Servicio de Farmacia, Hospital Virgen de la Luz, Cuenca. Departamento de Farmacia y Tecnología Alimentaria, Universidad Complutense de Madrid, Madrid.

Departamento de Farmacia y Tecnología Alimentaria, Universidad Complutense de Madrid, Madrid, nstituto de Farmacia Industrial, Universidad Complutense de Madrid, Madrid..

出版信息

Farm Hosp. 2019 Mar 1;43(2):56-60. doi: 10.7399/fh.11156.

DOI:10.7399/fh.11156
PMID:30848178
Abstract

OBJECTIVE

To evaluate and to compare quality of life of patients with non- metastasic colorectal cancer treated either with FOLFOX or with XELOX  scheme.

METHOD

Descriptive prospective study during 24 months (October 2015- October 2017) for patients with non-metastasic colorectal cancer in chemotherapy adyuvant treatment. EORTC QLQ-C30 questionnaire was filled by patients at the beginning and at week 12 of adjuvant treatment. Variables collected: exposure (chemotherapeutic scheme administered), control (demographic data, disease data, treatment data) and response (scores obtained from the questionnaire). The data statistical  analysis was carried out with the SPSS® 15.0 programme.

RESULTS

30 patients were included. Statistically significant differences were  found in emotional role item at the middle of the treatment (FOLFOX 92  points vs. XELOX 82 points; p = 0,036). Patients with FOLFOX presented a  clinically relevant worsening in terms of daily activities, constipation and  insomnia. Patients treated with XELOX a clinically relevant worsening in daily  activities, constipation, fatigue, nausea, vomiting, anorexia and diarrhoea were observed.

CONCLUSIONS

Patients with XELOX scheme referred to have worse  emotionally status in the middle of the adjuvant treatment than patients  treated with FOLFOX scheme and presented a worsening in items fatigue,  nausea, vomiting, anorexia and diarrhoea.

摘要

目的

评估并比较接受FOLFOX或XELOX方案治疗的非转移性结直肠癌患者的生活质量。

方法

对非转移性结直肠癌患者进行为期24个月(2015年10月至2017年10月)的描述性前瞻性研究,这些患者处于化疗辅助治疗阶段。在辅助治疗开始时和第12周,患者填写欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)。收集的变量包括:暴露因素(所给予的化疗方案)、对照因素(人口统计学数据、疾病数据、治疗数据)和反应因素(从问卷中获得的分数)。使用SPSS® 15.0程序进行数据统计分析。

结果

纳入30例患者。在治疗中期,情绪角色项目存在统计学显著差异(FOLFOX方案为92分,XELOX方案为82分;p = 0.036)。接受FOLFOX方案治疗的患者在日常活动、便秘和失眠方面出现了具有临床意义的恶化。接受XELOX方案治疗的患者在日常活动、便秘、疲劳、恶心、呕吐、厌食和腹泻方面出现了具有临床意义的恶化。

结论

接受XELOX方案治疗的患者在辅助治疗中期的情绪状态比接受FOLFOX方案治疗的患者差,并且在疲劳、恶心、呕吐、厌食和腹泻项目上出现了恶化。

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