Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713

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Assessment of the quality of life of patients with lung cancer using the Medical Outcomes Study 36-item Short-Form Health Survey

Avaliação da qualidade de vida em pacientes com câncer de pulmão através da aplicação do questionário Medical Outcomes Study 36-item Short-Form Health Survey

Juliana Franceschini, Alecssandra Aparecida dos Santos, Inás El Mouallem, Sergio Jamnik, César Uehara, Ana Luisa Godoy Fernandes, Ilka Lopes Santoro

J Bras Pneumol.2008;34(6):387-393

Abstract PDF PT PDF EN Portuguese Text

Objective: To assess the quality of life of patients with lung cancer and to compare it with that of individuals without cancer. Methods: The Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) was administered to 57 patients diagnosed with lung cancer, treated at the Lung Cancer Outpatient Clinic of the Hospital São Paulo, and to a control group of 57 individuals recruited from the Extra Penha workout group. The Mann-Whitney test was used to compare the groups, domain by domain. The first model of logistic regression was adjusted for male gender, nonsurgical treatment, Karnofsky performance status and smoking, which were included as predictors. The second model was adjusted for each SF-36 domain in order to identify increases in the proportions of patients in stage IIIB or IV. Results: The lung cancer group and the control group presented the following mean scores, respectively, for the SF-36 domains: role limitations due to physical health problems, 29.39 ± 36.94 and 82.89 ± 28.80; role limitations due to emotional problems, 42.78 ± 44.78 and 86.55 ± 28.77; physical function, 56.49 ± 28.39 and 89.00 ± 13.80; vitality, 61.61 ± 23.82 and 79.12 ± 17.68; bodily pain, 62.72 ± 28.72 and 81.54 ± 19.07; general health, 62.51 ± 25.57 and 84.47 ± 13.47; emotional well-being, 68.28 ± 23.46 and 82.63 ± 17.44; and social functioning, 72.87 ± 29.20 and 91.67 ± 17.44. The logistic regression model showed that role limitations due to physical health problems, physical function and emotional well-being were predictors of stages IIIB and IV. Conclusions: The patients with lung cancer had a poorer quality of life, especially regarding physical aspects, than did the control subjects.

 


Keywords: Lung neoplasms; Quality of life; Health status.

 


Maximal respiratory pressures and vital capacity: comparison mouthpiece and face-mask evaluation methods

Pressões respiratórias máximas e capacidade vital: comparação entre avaliações através de bocal e de máscara facial

Julio Flavio Fiore Junior, Denise de Morais Paisani, Juliana Franceschini, Luciana Dias Chiavegato, Sonia Maria Faresin

J Bras Pneumol.2004;30(6):515-520

Abstract PDF PT PDF EN

Background: Measurement of maximal respiratory pressures and vital capacity are essential in evaluating respiratory function. However, methodological variations may interfere with the interpretation of results. Objective: To compare values obtained using mouthpiece and face-mask evaluation methods in the measurement of maximal respiratory pressures and vital capacity. Method: We studied 30 patients (16 male), with a mean age of 55.9 ± 15.7, in the preoperative phase of abdominal surgery. Maximal inspiratory pressure and maximal expiratory pressure, as well as vital capacity, were evaluated using either a rigid flanged mouthpiece or a face mask, in randomized order. Results: Evaluation with a face mask did not significantly alter vital capacity and maximal inspiratory pressure values, although maximal expiratory pressure values were significantly lower than when measured using a rigid mouthpiece. During measurement of maximal expiratory pressure, air leakage from around the mask was observed in 60% of cases. When maximal expiratory pressure measurements in which there was no such leakage were considered in isolation, face-mask values were higher than those obtained with the moutpiece. Conclusion: With a face mask, maximal inspiratory pressure and vital capacity can be accurately evaluated. Maximal expiratory pressure can also be adequately evaluated using a face mask, provided that air leakage from the mask edges can be avoided. However, such leakage and the consequent reduction in the values obtained are common and limit the use of this method of evaluation.

 


Keywords: Respiratory function tests. Maximal voluntary ventilation. Respiratory muscles.

 


Low-dose CT screening for lung cancer in Brazil: a study protocol

Rastreamento de câncer de pulmão por meio de TC de baixa dosagem no Brasil: protocolo de pesquisa

Ricardo Sales dos Santos, Juliana Franceschini, Fernando Uliana Kay, Rodrigo Caruso Chate, Altair da Silva Costa Júnior, Fernando Nunes Galvão de Oliveira, André Luiz Cavalcante Trajano, José Rodrigues Pereira, Jose Ernesto Succi, Roberto Saad Junior

J Bras Pneumol.2014;40(2):-

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Relationship between the magnitude of symptoms and the quality of life:a cluster analysis of lung cancer patients in Brazil

Relação entre a magnitude de sintomas e a qualidade de vida: análise de agrupamentos depacientes com câncer de pulmão no Brasil

Juliana Franceschini, José Roberto Jardim, Ana Luisa Godoy Fernandes,Sérgio Jamnik, Ilka Lopes Santoro

J Bras Pneumol.2013;39(1):23-31

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Objective: Lung cancer patients often experience profound physical and psychosocial changes as a result of disease progression or treatment side effects. Fatigue, pain, dyspnea, depression, and sleep disturbances appear to be the most common symptoms in such patients. The objective of the present study was to examine the prevalence of symptoms in lung cancer patients in order to identify subgroups (clusters) of patients, grouped according to the magnitude of the symptoms, as well as to compare the quality of life among the identified subgroups. Methods: A cross-sectional study involving agglomerative hierarchical clustering. A total of 50 lung cancer patients were evaluated in terms of their demographic characteristics and their scores on three quality of life questionnaires, namely the 30-item European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30), the Functional Assessment of Cancer Therapy-Lung, and the Medical Outcomes Study 36-item Short-form Survey. The cluster analysis took into account the magnitude of the most prevalent symptoms as assessed by the EORTC QLQ-C30 symptom scale scores; those symptoms were fatigue, pain, dyspnea, and insomnia. Results: Three clusters (subgroups)_of patients were identified on the basis of the magnitude of the four most prevalent symptoms. The three subgroups of patients were as follows: patients with mild symptoms (n = 30; 60%); patients with moderate symptoms (n = 14; 28%); and patients with severe symptoms (n = 6; 12%). The subgroup of patients with severe symptoms had the worst quality of life, as assessed by the total scores and by the integrated domains of all three instruments. Conclusions: This study highlights the importance of symptom cluster assessment as an important tool to assess the quality of life of patients with chronic diseases, such as lung cancer.

 



Reproducibility of the Brazilian Portuguese version of the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire used in conjunction with its lung cancerspecific module

Reprodutibilidade da versão em português do Brasil do European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire em conjunto com seu módulo específico para câncer de pulmão*

Juliana Franceschini, José Roberto Jardim, Ana Luisa Godoy Fernandes, Sérgio Jamnik, Ilka Lopes Santoro

J Bras Pneumol.2010;36(5):595-602

Abstract PDF PT PDF EN Portuguese Text

Objective: The assessment of the quality of life in patients with lung cancer has become one of the main goals in current clinical trials. To assess the quality of life of these patients, the most widely used instrument is the 30-item European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) in conjunction with its supplemental 13-item lung cancer-specific module (QLQ-LC13). The objective of this study was to assess the reproducibility of the Brazilian Portuguese version of these questionnaires. Methods: A prospective study involving 30 stable outpatients with lung cancer who completed the instruments on the first day of the study and two weeks later. Results: The test-retest reproducibility using the intraclass correlation coefficient for the EORTC QLQ-C30 and the QLQ-LC13 ranged from 0.64 to 1.00 and from 0.64 to 0.95, respectively. No correlations were found between the domains of the instruments and clinical parameters. Conclusions: Our findings show that these instruments were reproducible in this sample of patients with lung cancer in Brazil.

 


Keywords: Lung neoplasms; Reproducibility of results; Quality of life.

 


Family caregiver burden: the burden of caring for lung cancer patients according to the cancer stage and patient quality of life

Sobrecarga do cuidador familiar: a sobrecarga de cuidar de pacientes com câncer de pulmão, de acordo com o estágio do câncer e a qualidade de vida do paciente

Eliana Lourenço Borges1, Juliana Franceschini1, Luiza Helena Degani Costa1, Ana Luisa Godoy Fernandes1, Sérgio Jamnik1, Ilka Lopes Santoro1

J Bras Pneumol.2017;43(1):18-23

Abstract PDF PT PDF EN Portuguese Text

Objective: Patients with lung cancer experience different feelings and reactions, based on their family, social, cultural, and religious backgrounds, which are a source of great distress, not only for the patients but also for their family caregivers. This study aimed to evaluate the impact that lung cancer stage and quality of life (QoL) of lung cancer patients have on caregiver burden. Methods: This was a prospective cross-sectional study. Consecutive patient-caregiver dyads were selected and asked to complete the Hospital Anxiety and Depression Scale and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). Family caregivers also completed the Caregiver Burden Scale. Group-based modeling was used in order to identify patients with early- or advanced-stage cancer (IA to IIIA vs. IIIB to IV) plus non-impaired or impaired QoL (SF-36 total score > 50 vs. ≤ 50). Patient-caregiver dyads were stratified into four groups: early-stage cancer+non-impaired QoL; advanced-stage cancer+non-impaired QoL; early-stage cancer+impaired QoL; and advanced-stage cancer+impaired QoL. Results: We included 91 patient-caregiver dyads. The majority of the patients were male and heavy smokers. Family caregivers were younger and predominantly female. The burden, QoL, level of anxiety, and level of depression of caregivers were more affected by the QoL of the patients than by their lung cancer stage. The family caregivers of the patients with impaired QoL showed a higher median burden than did those of the patients with non-impaired QoL, regardless of disease stage. Conclusions: Caregiver burden is more affected by patient QoL than by lung cancer stage.

 


Keywords: Lung neoplasms; Quality of life; Caregivers; Anxiety; Depression; Cost of illness.

 


 

 


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