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通过欧洲癌症研究与治疗组织核心问卷(EORTC QLQ-C30)和欧洲癌症研究与治疗组织骨髓瘤特异性问卷(EORTC QLQ-MY20)评估克罗地亚普通人群和多发性骨髓瘤患者的健康相关生活质量。

Health-related quality of life in Croatian general population and multiple myeloma patients assessed by the EORTC QLQ-C30 and EORTC QLQ-MY20 questionnaires.

作者信息

Ficko Sanja Ledinski, Pejsa Vlatko, Zadnik Vesna

机构信息

University of Applied Health Sciences, Department of Nursing, Zagreb, Croatia.

University of Ljubljana, Interdisciplinary Doctoral Study of Biomedicine, Ljubljana, Slovenia.

出版信息

Radiol Oncol. 2019 Sep 24;53(3):337-347. doi: 10.2478/raon-2019-0047.

Abstract

Background The impact of disease and treatment on the patient's overall well-being and functioning is a topic of growing interest in clinical research and practice. The aim of this study is to obtain reference data on quality of life of Croatian general population. Further, we aim to assess the impact of the disease and its primary systemic treatment on their health related quality of life (HrQoL) in multiple myeloma (MM) patients. Patients and methods Participants for the first part of the study were randomly selected from adult Croatian population. In the clinical part of the study MM patients were included as prospectively diagnosed within two years in two major Croatian haematological centres. The EORTC QLQ-C30 in both trials and QLQ-MY20 in MM patients only were applied for HrQoL assessment. Results Gender, age and place of residence have great impact on quality of life scores in Croatian population. The MM patients at the time of diagnosis have lower QLQ-C30 scores for global quality of life, functional and symptom scale scores, as well as single items. The type of disease followed by the choice of therapy options are important HrQoL determinants. Conclusions The norm values available now for Croatian population will help to interpret HrQoL for clinicians and aid in planning cancer care interventions. This study identified treatment effect consistent with those from other observational studies and provided new data on HrQoL across two different treatment choices for MM patients.

摘要

背景 疾病和治疗对患者整体幸福感及功能的影响是临床研究和实践中日益受到关注的话题。本研究的目的是获取克罗地亚普通人群生活质量的参考数据。此外,我们旨在评估疾病及其主要全身治疗对多发性骨髓瘤(MM)患者健康相关生活质量(HrQoL)的影响。

患者与方法 研究第一部分的参与者是从克罗地亚成年人群中随机选取的。在研究的临床部分,MM患者为在克罗地亚两个主要血液学中心两年内前瞻性诊断出的患者。两项试验均应用EORTC QLQ-C30,仅MM患者应用QLQ-MY20进行HrQoL评估。

结果 性别、年龄和居住地点对克罗地亚人群的生活质量得分有很大影响。MM患者在诊断时,其全球生活质量、功能和症状量表得分以及单项得分的QLQ-C30分数较低。疾病类型以及治疗方案的选择是重要的HrQoL决定因素。

结论 目前可得的克罗地亚人群标准值将有助于临床医生解读HrQoL,并有助于规划癌症护理干预措施。本研究确定的治疗效果与其他观察性研究一致,并为MM患者两种不同治疗选择的HrQoL提供了新数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a25/6765165/94fb06119681/raon-53-337-g001.jpg

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