Trojnar Anna, Knetki-Wróblewska Magdalena, Sobieraj Piotr, Domagała-Kulawik Joanna
Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, 02-091 Warsaw, Poland.
Department of Lung Cancer and Chest Tumors, Maria Skłodowska-Curie National Research Institute of Oncology, 02-781 Warsaw, Poland.
J Clin Med. 2024 Mar 2;13(5):1450. doi: 10.3390/jcm13051450.
(1) There is a difference in the course of lung cancer between women and men. Therefore, there is a need to evaluate various factors in the patient population treated in daily practice. The purpose of this study was to analyze the clinical, sociodemographic and psychological aspects of female lung cancer. To better express the results, we compared women and men. (2) : Consecutive patients with a history of lung cancer treatment admitted to the outpatient oncology clinic (Department of Lung Cancer and Chest Tumours, Maria Skłodowska-Curie National Research Institute of Oncology in Warsaw) and the Department of Internal Medicine, Pulmonary Diseases and Allergy, were enrolled. We conducted analyses of the clinical, psychological and socioeconomic factors of women with lung cancer treated in everyday practice, including a comparison with a group of men. Demographic data were collected from a self-administered questionnaire. We used the Perceived Stress Scale (PSS-10) and Acceptance of Illness Scale (AIS) questionnaires for psychological evaluation. (3) : A total of 100 patients with confirmed primary lung cancer with a history of treatment were enrolled in the study (50 women and 50 men). We found a significantly shorter history of smoking in the group of women; at the same time, there were no differences in the reported incidence of COPD. Despite comparable results to men on the psychological questionnaire (PSS-10, AIS), women more often reported a willingness to be supported by a psychologist or psychiatrist due to lung cancer. However, they did not decide to consult them more often than men. Immunotherapy was a significantly less frequently used method in women. (4) : We should be more active in finding out the willingness to consult a psychologist or psychiatrist among women with lung cancer. The diagnosis of COPD should be considered more often among women due to the lack of differences in the reported incidence of COPD between men and women, despite a clear contrast in the number of pack-years.
(1) 女性和男性肺癌的病程存在差异。因此，有必要评估日常临床中所治疗患者群体的各种因素。本研究的目的是分析女性肺癌的临床、社会人口统计学和心理方面。为了更好地呈现结果，我们对女性和男性进行了比较。(2)：纳入了连续收治于门诊肿瘤诊所（华沙玛丽亚·斯克洛多夫斯卡 - 居里国家肿瘤研究所肺癌与胸部肿瘤科）及内科、肺病与过敏科且有肺癌治疗史的患者。我们对日常临床中接受治疗的女性肺癌患者的临床、心理和社会经济因素进行了分析，包括与一组男性进行比较。人口统计学数据通过自填问卷收集。我们使用感知压力量表（PSS - 10）和疾病接受量表（AIS）问卷进行心理评估。(3)：共有100例有确诊原发性肺癌且有治疗史的患者纳入本研究（50例女性和50例男性）。我们发现女性组的吸烟史明显更短；同时，报告的慢性阻塞性肺疾病（COPD）发病率无差异。尽管在心理问卷（PSS - 10，AIS）上女性与男性结果相当，但女性因肺癌更常报告希望得到心理学家或精神科医生的支持。然而，她们决定咨询这些医生的频率并不比男性更高。免疫疗法在女性中使用频率显著更低。(4)：我们应更积极地了解肺癌女性患者咨询心理学家或精神科医生的意愿。尽管男女吸烟包年数有明显差异，但由于报告的COPD发病率在男女之间无差异，所以应更频繁地考虑对女性进行COPD诊断。
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