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General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 12, pp 1056–1061 | Cite as

Quality assessment using EQ-5D-5L after lung surgery for non-small cell lung cancer (NSCLC) patients

  • Ryo Koide
  • Ami Kikuchi
  • Masahiro Miyajima
  • Taijiro Mishina
  • Yuki Takahashi
  • Miho Okawa
  • Izumi Sawada
  • Junko Nakajima
  • Atsushi Watanabe
  • Toru MizuguchiEmail author
Original Article
  • 159 Downloads

Abstract

Objectives

Aim of this study was to elucidate an alteration of quality of life (QOL) score before and after video-assisted thoracoscopic surgery (VATS) for non-small cell lung cancer (NSCLC) patients using the 5-level EuroQol-5D questionnaire (EQ-5D-5L). We also investigated how the preoperative QOL scores affected the postoperative clinical outcome prospectively.

Methods

Between July 2018 and December 2018, 24 consecutive NSCLC patients who underwent VATS were recruited. The EQ-5D-5L for Japanese was used with face-to-face interviews to estimate the utility values of QOL.

Results

QOL scores were significantly declined after surgery (0.81 ± 0.19 vs. 0.74 ± 0.11: P = 0.049). The levels of EQ-5D-5L questionnaire were not significantly different before and after surgery except Q4 (pain control). The levels of Q4 were significantly worsened after surgery (1.33 ± 0.56 vs. 1.88 ± 0.61, P < 0.001). Operation time and bleeding in the preoperative low-QOL score group (N = 13) was longer (215.4 ± 52.3 min. vs. 173.5 ± 42.3 min., respectively: P = 0.045) and more (116.2 ± 152.7 ml vs. 22.7 ± 20.1 ml, respectively: P = 0.049) than those in the high-QOL score group (N = 11).

Conclusions

QOL survey for lung cancer patients using EQ-5D-5L is simple and useful to identify the issue facing at the medical team. Preoperative low QOL score could be a predicting factor for the longer operation time and more bleeding.

Keywords

Lung surgery EuroQol Pain Quality of life VATS 

Notes

Acknowledgements

Supported by Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology, Japan, no. 17K10672 to T. Mizuguchi. Part of the study was also supported by Astellas Pharma Inc. (Tokyo, Japan), Daiichi Sankyo Company (Tokyo, Japan), Shionogi & Co. (Osaka, Japan), Sapporo Doto Hospital (Sapporo, Japan), Noguchi Hospital (Otaru, Japan), Doki-kai Tomakomai Hospital (Tomakomai, Japan), Tsuchida Hospital (Sapporo, Japan) and Ikuta Hospital (Shiraoi, Japan).

Compliance with ethical standards

Conflict of interest

Ryo Koide and other co-authors have no conflict of interest.

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Copyright information

© The Japanese Association for Thoracic Surgery 2019

Authors and Affiliations

  1. 1.Department of Nursing ISapporo Medical University Postgraduate School of Health ScienceSapporoJapan
  2. 2.Department of Nursing, Division of Surgical ScienceSapporo Medical University Postgraduate School of Health ScienceSapporoJapan
  3. 3.Department of Thoracic SurgerySapporo Medical University Postgraduate School of MedicineSapporoJapan

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