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恶性 IDH 野生型胶质瘤患者及其照护者的健康相关生活质量和治疗满意度。

Health-Related Quality of Life and Treatment Satisfaction of Patients with Malignant IDH Wild-Type Gliomas and Their Caregivers.

机构信息

Department of Neurology and Wilhelm Sander-NeuroOncology Unit, Regensburg University Hospital, 93053 Regensburg, Germany.

Center for Quality Assurance and Health Services Research, University of Regensburg, 93053 Regensburg, Germany.

出版信息

Curr Oncol. 2024 Oct 14;31(10):6155-6170. doi: 10.3390/curroncol31100459.

Abstract

(1) Background: Clinical aspects like sex, age, Karnofsky Performance Scale (KPS) and psychosocial distress can affect the health-related quality of life (HR-QoL) and treatment satisfaction of patients with malignant isocitrate dehydrogenase wild-type (IDHwt) gliomas and caregivers. (2) Methods: We prospectively investigated the HR-QoL and patient/caregiver treatment satisfaction in a cross-sectional study with univariable and multiple regression analyses. Questionnaires were applied to investigate the HR-QoL (EORTC QLQ-C30, QLQ-BN20) and treatment satisfaction (EORTC PATSAT-C33). (3) Results: A cohort of 61 patients was investigated. A higher KPS was significantly associated with a better HR-QoL regarding the functional scales of the EORTC QLQ-C30 ( < 0.004) and a lower symptom burden regarding the EORTC QLQ-BN20 ( < 0.001). The patient treatment satisfaction was significantly poorer in the patients older than 60 years in the domain of family involvement ( = 0.010). None of the investigated aspects showed a significant impact on the treatment satisfaction of caregivers. (4) Conclusions: We demonstrated that in patients with IDHwt gliomas, the KPS was the most important predictor for a better HR-QoL in functional domains. Data on the HR-QoL and treatment satisfaction in patients with IDHwt gliomas and their caregivers are rare; therefore, further efforts should be made to improve supportive care in this highly distressed cohort.

摘要

(1)背景:性别、年龄、卡氏功能状态量表(KPS)和心理社会困扰等临床方面会影响恶性异柠檬酸脱氢酶野生型(IDHwt)胶质瘤患者及其照顾者的健康相关生活质量(HR-QoL)和治疗满意度。(2)方法:我们通过单变量和多变量回归分析,前瞻性地调查了横断面研究中的 HR-QoL 和患者/照顾者的治疗满意度。采用问卷调查来调查 HR-QoL(EORTC QLQ-C30、QLQ-BN20)和治疗满意度(EORTC PATSAT-C33)。(3)结果:共调查了 61 例患者。KPS 较高与 EORTC QLQ-C30 的功能量表(<0.004)和 EORTC QLQ-BN20 的症状负担(<0.001)较好相关。年龄大于 60 岁的患者在家庭参与方面的治疗满意度显著降低(=0.010)。在所调查的各方面中,均未发现对照顾者治疗满意度有显著影响。(4)结论:我们表明,在 IDHwt 胶质瘤患者中,KPS 是功能领域更好的 HR-QoL 的最重要预测因素。IDHwt 胶质瘤患者及其照顾者的 HR-QoL 和治疗满意度数据较为罕见;因此,应进一步努力改善这一高度困扰患者群体的支持性护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5618/11506037/1c11f046a768/curroncol-31-00459-g001.jpg

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