Post-operative smoking status in lung and head and neck cancer patients: association with depressive symptomatology, pain, and fatigue.
Post-operative smoking status in lung and head and neck cancer patients: association with depressive symptomatology, pain, and fatigue.
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DOI：
10.1002/pon.3682
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发表时间：
2015-09
期刊：
影响因子：
3.6
通讯作者：
Simmons, Vani Nath
中科院分区：
文献类型：
--
作者：
Bloom, Erika Litvin;Oliver, Jason A.;Sutton, Steven K.;Brandon, Thomas H.;Jacobsen, Paul B.;Simmons, Vani Nath
据估计，35%-50%的肺癌和头颈癌患者在确诊时正在吸烟；大多数人试图戒烟，但仍有相当比例的人重新吸烟。随着癌症治疗的进步，人们越来越关注持续吸烟对生存期生活质量的影响。目前的研究调查了手术治疗后戒烟是否与更好的生活质量有关。研究对象为134名接受手术治疗的头颈部或肺癌患者。在手术时(基线)和术后2、4、6和12个月评估吸烟状况和生活质量指数(抑郁症状、疲劳和疼痛)。使用广义估计方程式方法进行分析。一系列模型检验了吸烟状态与术后生活质量的相关性，同时调整了人口统计学、临床变量以及基线吸烟状态和生活质量。术后持续禁欲与较低水平的抑郁症状和疲劳感相关；然而，在调整了基线疲劳感和收入后，与疲劳感的关系变得不显著。吸烟状况和疼痛之间没有明显的关系。越来越多的文献表明，戒烟与对生活质量的有害影响无关，而可能有有益的影响，特别是在抑郁症状方面。这些信息可以用来激励癌症患者戒烟和继续戒烟，并增加提供者在建议戒烟时的舒适度。
An estimated 35–50% of lung and head/neck cancer patients are smoking at diagnosis; most try to quit, however a substantial proportion resumes smoking. As cancer treatments improve, attention to the effects of continued smoking on quality of life in the survivorship period is increasing. The current study examines if smoking abstinence following surgical treatment is associated with better quality of life. Participants were 134 patients with head/neck or lung cancer who received surgical treatment. Smoking status and indices of quality of life (depressive symptoms, fatigue, and pain) were assessed at the time of surgery (baseline) and at 2, 4, 6, and 12 months post-surgery. Analyses were performed using a Generalized Estimating Equations approach. A series of models examined the correlation between smoking status and post-surgery quality of life while adjusting for demographics, clinical variables, and baseline smoking status and quality of life. Continuous post-surgery abstinence was associated with lower levels of depressive symptoms and fatigue; however, the relationship with fatigue became non-significant after adjusting for baseline fatigue and income. There was no significant relationship observed between smoking status and pain. Findings add to a growing literature showing that smoking cessation is not associated with detrimental effects on quality of life and may have beneficial effects, particularly with regard to depressive symptoms. Such information can be used to motivate smoking cessation and continued abstinence among cancer patients and increase provider comfort in recommending cessation.
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影响因子：
9.6
作者：
Dresler, CM;Bailey, M;Cooper, JD
通讯作者：
Cooper, JD
影响因子：
6.2
作者：
Park ER;Japuntich SJ;Rigotti NA;Traeger L;He Y;Wallace RB;Malin JL;Zallen JP;Keating NL
通讯作者：
Keating NL
早期肺癌诊断后戒烟对预后的影响：荟萃分析的观察性研究系统评价。
DOI：
10.1136/bmj.b5569
发表时间：
2010-01-21
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Parsons A;Daley A;Begh R;Aveyard P
通讯作者：
Aveyard P
影响因子：
2
作者：
Bernaards, Coen A.;Belin, Thomas R.;Schafer, Joseph L.
通讯作者：
Schafer, Joseph L.
影响因子：
5.3
作者：
Cooley, Mary E.;Sarna, Linda;Kotlerman, Jenny;Lukanich, Jeanne M.;Jaklitsch, Michael;Green, Sarah B.;Bueno, Raphael
通讯作者：
Bueno, Raphael