To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Health-related quality of life in patients with primary brain tumors during and three months after treatment with proton beam therapy
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Department of Nursing, Umeå University, Sweden; Department of Cancer Centrum, Norrlands University Hospital, Umeå, Sweden.
Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sweden; Regional Cancer Centre West, Western Sweden Healthcare Region, Gothenburg, Sweden.
Department of Immunology, Genetics and Pathology, Section of Oncology, Uppsala University, Uppsala, Sweden.
Show others and affiliations
2021 (English)In: Technical innovations & patient support in radiation oncology, ISSN 2405-6324, Vol. 17, p. 5-17Article in journal (Refereed) Published
Abstract [en]

Background: Proton beam therapy (PBT) is increasingly administered to patients with primary brain tumors. Benefits of new treatments must be weighed against side effects and possible deterioration in health-related quality of life (HRQoL). The aim of this study was to describe and compare HRQoL, including acute symptom experiences and associated factors, in patients with malignant and benign brain tumors treated with PBT.

Materials and Methods: Adult PBT-treated patients with primary brain tumors (n = 266) were studied. HRQoL was assessed with EORTC QLQ-C30, QLQ-BN20, HADS, ISI and MFI before, during and three months after treatment. Associations with demographic and medical factors were explored.

Results: Between baseline and three months post-treatment: HRQoL decreased significantly in the global health/QOL domains physical functioning, role functioning and cognitive functioning in the malignant group, global health/QOL and physical functioning decreased significantly in the benign group, more comorbidity was significantly associated with increased motor dysfunction, leg weakness, headache and future uncertainty. Fatigue and depression were the most frequent symptoms in both groups. Independent predictors of risk factor recognition were age, sex, chemotherapy, comorbidity and education level.

Discussion: Global health/QOL in patient with brain tumors is very complex and multidimensional. Symptoms are interrelated and related to patient, tumor and treatment factors. It is important to identify aspects of HRQoL that may be affected by treatment. These include both benefits, expected to improve HRQoL, and negative changes such as symptom experience and influencing factors. Evidence-based guidelines are needed for symptom management, and for high quality of care for patients experiencing low PBT-related HRQoL.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 17, p. 5-17
Keywords [en]
Health related quality of life, Primary brain tumor, Proton beam therapy, Radiotherapy, Symptom
National Category
Nursing Cancer and Oncology
Identifiers
URN: urn:nbn:se:oru:diva-90143DOI: 10.1016/j.tipsro.2021.01.004PubMedID: 33659718Scopus ID: 2-s2.0-85100660259OAI: oai:DiVA.org:oru-90143DiVA, id: diva2:1534286
Available from: 2021-03-05 Created: 2021-03-05 Last updated: 2021-03-05Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Ohlsson Nevo, Emma

Search in DiVA

By author/editor
Ohlsson Nevo, Emma
By organisation
School of Health SciencesÖrebro University Hospital
NursingCancer and Oncology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 27 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf