Xu Richard Huan, Dong Dong
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Cancers (Basel). 2022 Jan 25;14(3):607. doi: 10.3390/cancers14030607.
To assess the difference between lymphoma survivors' self- and proxy-reported health-related quality of life (HRQoL) and its association with socioeconomic and health statuses. The data used in this study were obtained from a nationwide cross-sectional online survey in 2019. Information about participants' demographics, health status and HRQoL were collected. The propensity-score matching (PSM) method was used to control the effect of potential confounders on selection bias. A chi-squared test, one-way analysis of variance, and multiple linear regression models were used to assess the relationship between HRQoL and response type adjusted to respondents' background characteristics. Out of the total 4400 participants, data of 2350 ones were elicited for analysis after PSM process. Patients' self-reported outcomes indicated a slightly better physical, role and emotional functioning than proxy-reported outcomes. Regression analysis showed that patients, who were older, unemployed, and who received surgery, were more likely to report a lower HRQoL. Further analysis demonstrated that proxy-reported patients who had completed treatment were more likely to report a higher HRQoL than those who were being treated. Our study demonstrates that the agreement between self- and proxy-reported HRQoL is low in patients with lymphoma and the heterogeneities of HRQoL among patients with different types of aggressive NHL (Non-Hodgkin's lymphoma) is large. Differences in self- and proxy-reported HRQoL should be considered by oncologists when selecting and deciding the optimal care plan for lymphoma survivors.
评估淋巴瘤幸存者自我报告与代理报告的健康相关生活质量(HRQoL)之间的差异及其与社会经济和健康状况的关联。本研究使用的数据来自2019年全国性的横断面在线调查。收集了参与者的人口统计学信息、健康状况和HRQoL信息。倾向得分匹配(PSM)方法用于控制潜在混杂因素对选择偏倚的影响。采用卡方检验、单因素方差分析和多元线性回归模型来评估HRQoL与根据受访者背景特征调整后的回答类型之间的关系。在总共4400名参与者中,经过PSM过程后,提取了2350人的数据进行分析。患者自我报告的结果显示,其身体、角色和情感功能略优于代理报告的结果。回归分析表明,年龄较大、失业且接受过手术的患者更有可能报告较低的HRQoL。进一步分析表明,完成治疗的代理报告患者比正在接受治疗的患者更有可能报告较高的HRQoL。我们的研究表明,淋巴瘤患者自我报告与代理报告的HRQoL之间的一致性较低,不同类型侵袭性非霍奇金淋巴瘤(NHL)患者的HRQoL异质性较大。肿瘤学家在为淋巴瘤幸存者选择和决定最佳护理方案时,应考虑自我报告与代理报告的HRQoL之间的差异。
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