A Clinical study of Predicting Role of Cancer-related Fatigue for the post-surgery Prognosis in Patients with non-small Cell Lung Cancer_West China Medical Journal

Authors：

LI Juan ¹ , SHI Rui ² , YU Ping ¹ , WEN Yan ¹ ,  HE Jintao. ¹

1.Department of Lung Tumor, Sichuan Cancer Hospital; 2. Department of Orthopedics, West China Hospital; Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HE Jintao., Email: dr.lijuan@gmail.com

Keywords：

非小细胞肺癌; 癌症相关性乏力; TNM分期; 总生存期

DOI：

10.7507/1002-0179.20130443

Video：

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目的　评估非小细胞肺癌患者中癌症相关性乏力的发生情况及其与患者临床病理特征和生存期之间的相互关系。方法　应用简明疲劳量表中文版评估2008年12月－2009年12月间收治的72例初治肺癌患者，入组患者均完成根治性手术及术后生存随访。结果　72例早期非小细胞肺癌患者中，无乏力9例（12.5%），轻度乏力48例（66.7%），中度乏力15例（20.8%），重度乏力0例（0%），乏力总体发生率为87.5%。乏力指数与患者的年龄、性别、吸烟史均无相关性，与患者的体力状况评分（ECOG PS）、TNM分期呈正相关，与中位生存期呈负相关，均有统计学意义（P＜0.05）。结论　癌症相关性乏力作为非小细胞肺癌患者中普遍存在的一种症状，不仅能够反映患者当时的主观感受和生活状况，还可能是判断患者术后病理分期及最终总生存期的预测因素。

Citation： LI Juan,SHI Rui,YU Ping,WEN Yan,HE Jintao.. A Clinical study of Predicting Role of Cancer-related Fatigue for the post-surgery Prognosis in Patients with non-small Cell Lung Cancer. West China Medical Journal, 2013, 28(9): 1411-1414. doi: 10.7507/1002-0179.20130443 Copy

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2.	Campos MP, Hassan BJ, Riechelmann R, et al. Cancer-related fatigue: a practical review[J]. Ann Oncol, 2011, 22(6): 1273-1279.
3.	Bunn PA. Worldwide overview of the current status of lung cancer diagnosis and treatment[J]. Arch Pathol Lab Med, 2012, 136(12): 1478-1481.
4.	Wang XS, Hao XS, Wang Y, et al. Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C)[J]. J Pain Symptom Manage, 2004, 27(4): 322-332.
5.	Mock V, Atkinson A, Barsevick A, et al. NCCN practice guidelines for cancer-related fatigue[J]. Oncology (Williston Park), 2000, 14(11A): 151-161.
6.	Detterbeck FC, Boffa DJ, Tanoue LT. The new lung Cancer staging system[J]. Chest, 2009, 136(1): 260-271.
7.	Hoffman AJ, Brintnall RA, Brown JK. Too sick not to exercise:using a 6-week, home-based exercise intervention for cancer-related fatigue self-management for postsurgical non-small cell lung cancer patients[J]. Cancer Nurs, 2013, 36(3): 175-188.
8.	Hung R, Krebs P, Coups EJ, et al. Fatigue and functional impairment in early-stage non-small cell lung cancer survivors[J]. J Pain Symptom Manage, 2011, 41(2): 426-435.
9.	沈婵娟, 曹培国. 肺癌患者癌因性疲乏的影响因素及其与生活质量关系的研究[J]. 中国肿瘤临床与康复, 2010, 17( 01): 87-90.
10.	Blackhall L, Petroni G, Shu J, et al. A pilot study evaluating the safety and efficacy of modafinal for cancer-related fatigue[J]. J Palliat Med, 2009, 12(5): 433-439.
11.	Yang P, Cheville AL, Wampfler JA, et al. Quality of Life and symptom burden among long-term lung cancer survivors[J]. J Thorac Oncol, 2012, 7(1): 64-70.
12.	Dhillon HM, van der Ploeg HP, Bell ML, et al. The impact of physical activity on fatigue and quality of life in lung cancer patients: a randomised controlled trial protocol[J]. BMC Cancer, 2012, 12(12): 572.
13.	Molassiotis A, Lowe M, Blackhall F, et al. A qualitative exploration of a respiratory distress symptom cluster in lung cancer: cough, breathlessness and fatigue[J]. Lung Cancer, 2011, 71(1): 94-102.
14.	Cheville AL, Novotny PJ, Sloan JA, et al. Fatigue, dyspnea, and cough comprise a persistent symptom cluster up to five years after diagnosis with lung cancer[J]. J Pain Symptom Manage, 2011, 42(2): 202-212.
15.	Lin S, Chen Y, Yang L, et al. Pain, fatigue, disturbed sleep and distress comprised a symptom cluster that related to quality of Life and functional status of lung cancer surgery patients[J]. J Clin Nurs, 2013, 22(9-10): 1281-1290.
16.	王季颖, 鲁冰. 晚期非小细胞肺癌患者癌症相关性乏力的临床观察[J]. 肿瘤, 2011, 31(12): 1108-1110.
17.	Paddison JS, Temel JS, Fricchione GL, et al. Using the differential from complete blood counts as a biomarker of fatigue in advanced non-small-cell lung cancer: an exploratory analysis[J]. Palliat Support Care, 2009, 7(2): 213-217.
18.	Cheville AL, Novotny PJ, Sloan JA, et al. The value of a symptom cluster of fatigue, dyspnea, and cough in predicting clinical outcomes in lung cancer survivors[J]. J Pain Symptom Manage, 2011, 42(2): 213-221.

1. 　Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults[J]. Cochrane Database Syst Rev, 2012, 11(11): CD006145.
2. 　Campos MP, Hassan BJ, Riechelmann R, et al. Cancer-related fatigue: a practical review[J]. Ann Oncol, 2011, 22(6): 1273-1279.
3. 　Bunn PA. Worldwide overview of the current status of lung cancer diagnosis and treatment[J]. Arch Pathol Lab Med, 2012, 136(12): 1478-1481.
4. 　Wang XS, Hao XS, Wang Y, et al. Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C)[J]. J Pain Symptom Manage, 2004, 27(4): 322-332.
5. 　Mock V, Atkinson A, Barsevick A, et al. NCCN practice guidelines for cancer-related fatigue[J]. Oncology (Williston Park), 2000, 14(11A): 151-161.
6. 　Detterbeck FC, Boffa DJ, Tanoue LT. The new lung Cancer staging system[J]. Chest, 2009, 136(1): 260-271.
7. 　Hoffman AJ, Brintnall RA, Brown JK. Too sick not to exercise:using a 6-week, home-based exercise intervention for cancer-related fatigue self-management for postsurgical non-small cell lung cancer patients[J]. Cancer Nurs, 2013, 36(3): 175-188.
8. 　Hung R, Krebs P, Coups EJ, et al. Fatigue and functional impairment in early-stage non-small cell lung cancer survivors[J]. J Pain Symptom Manage, 2011, 41(2): 426-435.
9. 　沈婵娟, 曹培国. 肺癌患者癌因性疲乏的影响因素及其与生活质量关系的研究[J]. 中国肿瘤临床与康复, 2010, 17( 01): 87-90.
10. 　Blackhall L, Petroni G, Shu J, et al. A pilot study evaluating the safety and efficacy of modafinal for cancer-related fatigue[J]. J Palliat Med, 2009, 12(5): 433-439.
11. 　Yang P, Cheville AL, Wampfler JA, et al. Quality of Life and symptom burden among long-term lung cancer survivors[J]. J Thorac Oncol, 2012, 7(1): 64-70.
12. 　Dhillon HM, van der Ploeg HP, Bell ML, et al. The impact of physical activity on fatigue and quality of life in lung cancer patients: a randomised controlled trial protocol[J]. BMC Cancer, 2012, 12(12): 572.
13. 　Molassiotis A, Lowe M, Blackhall F, et al. A qualitative exploration of a respiratory distress symptom cluster in lung cancer: cough, breathlessness and fatigue[J]. Lung Cancer, 2011, 71(1): 94-102.
14. 　Cheville AL, Novotny PJ, Sloan JA, et al. Fatigue, dyspnea, and cough comprise a persistent symptom cluster up to five years after diagnosis with lung cancer[J]. J Pain Symptom Manage, 2011, 42(2): 202-212.
15. 　Lin S, Chen Y, Yang L, et al. Pain, fatigue, disturbed sleep and distress comprised a symptom cluster that related to quality of Life and functional status of lung cancer surgery patients[J]. J Clin Nurs, 2013, 22(9-10): 1281-1290.
16. 　王季颖, 鲁冰. 晚期非小细胞肺癌患者癌症相关性乏力的临床观察[J]. 肿瘤, 2011, 31(12): 1108-1110.
17. 　Paddison JS, Temel JS, Fricchione GL, et al. Using the differential from complete blood counts as a biomarker of fatigue in advanced non-small-cell lung cancer: an exploratory analysis[J]. Palliat Support Care, 2009, 7(2): 213-217.
18. 　Cheville AL, Novotny PJ, Sloan JA, et al. The value of a symptom cluster of fatigue, dyspnea, and cough in predicting clinical outcomes in lung cancer survivors[J]. J Pain Symptom Manage, 2011, 42(2): 213-221.

West China Medical Journal

A Clinical study of Predicting Role of Cancer-related Fatigue for the post-surgery Prognosis in Patients with non-small Cell Lung Cancer

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