Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal Cancer
In advanced rectal cancer, neoadjuvant radiochemotherapy and total mesorectal excision lead to long overall survival. The quality of life (QOL) of the patients is clearly related to the prognosis. Our question was whether the prognosis can be represented with only one question or one score from the...
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MDPI AG
2022-01-01
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| Online Access: | https://www.mdpi.com/2227-9032/10/1/141 |
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| author | Tim Fitz Christopher Sörgel Sandra Rutzner Markus Hecht Rainer Fietkau Luitpold V. Distel |
| author_facet | Tim Fitz Christopher Sörgel Sandra Rutzner Markus Hecht Rainer Fietkau Luitpold V. Distel |
| author_sort | Tim Fitz |
| collection | DOAJ |
| description | In advanced rectal cancer, neoadjuvant radiochemotherapy and total mesorectal excision lead to long overall survival. The quality of life (QOL) of the patients is clearly related to the prognosis. Our question was whether the prognosis can be represented with only one question or one score from the QOL questionnaires. 360 consecutively recruited patients diagnosed with advanced rectal cancer were questioned during radiochemotherapy and a follow-up of 8 years. The questionnaires QLQ-C30 and QLQ-CR38 were used; 10 functional and 17 symptom scores were calculated. The functional score “physical function” and the symptom scores “fatigue”, “nausea and vomiting”, “pain” and “appetite loss” were highly prognostic (<i>p</i> < 0.001) for overall survival. “Physical function” was highly prognostic at all time points up to 1 year after starting therapy (<i>p</i> ≤ 0.001). The baseline “physical function” score divided the cohort into a favorable group with an 8-year overall survival rate of 70.4% versus an unfavorable group with 47.5%. In the multivariable analysis, baseline “physical function”, age and distant metastases were independent predictors of overall survival. The score “physical function” is a powerful unrelated risk factor for overall survival in patients with rectal cancer. Future analyses should study whether increased “physical function” after diagnosis could improve survival. |
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| id | doaj.art-4fb4ed033dc347b78a2bd7c98d6647a3 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T01:22:49Z |
| publishDate | 2022-01-01 |
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| spelling | doaj.art-4fb4ed033dc347b78a2bd7c98d6647a32023-11-23T13:56:23ZengMDPI AGHealthcare2227-90322022-01-0110114110.3390/healthcare10010141Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal CancerTim Fitz0Christopher Sörgel1Sandra Rutzner2Markus Hecht3Rainer Fietkau4Luitpold V. Distel5Department of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, GermanyIn advanced rectal cancer, neoadjuvant radiochemotherapy and total mesorectal excision lead to long overall survival. The quality of life (QOL) of the patients is clearly related to the prognosis. Our question was whether the prognosis can be represented with only one question or one score from the QOL questionnaires. 360 consecutively recruited patients diagnosed with advanced rectal cancer were questioned during radiochemotherapy and a follow-up of 8 years. The questionnaires QLQ-C30 and QLQ-CR38 were used; 10 functional and 17 symptom scores were calculated. The functional score “physical function” and the symptom scores “fatigue”, “nausea and vomiting”, “pain” and “appetite loss” were highly prognostic (<i>p</i> < 0.001) for overall survival. “Physical function” was highly prognostic at all time points up to 1 year after starting therapy (<i>p</i> ≤ 0.001). The baseline “physical function” score divided the cohort into a favorable group with an 8-year overall survival rate of 70.4% versus an unfavorable group with 47.5%. In the multivariable analysis, baseline “physical function”, age and distant metastases were independent predictors of overall survival. The score “physical function” is a powerful unrelated risk factor for overall survival in patients with rectal cancer. Future analyses should study whether increased “physical function” after diagnosis could improve survival.https://www.mdpi.com/2227-9032/10/1/141rectal cancerphysical functionradiochemotherapyquality of lifeage |
| spellingShingle | Tim Fitz Christopher Sörgel Sandra Rutzner Markus Hecht Rainer Fietkau Luitpold V. Distel Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal Cancer Healthcare rectal cancer physical function radiochemotherapy quality of life age |
| title | Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal Cancer |
| title_full | Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal Cancer |
| title_fullStr | Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal Cancer |
| title_full_unstemmed | Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal Cancer |
| title_short | Baseline Quality of Life of Physical Function Is Highly Relevant for Overall Survival in Advanced Rectal Cancer |
| title_sort | baseline quality of life of physical function is highly relevant for overall survival in advanced rectal cancer |
| topic | rectal cancer physical function radiochemotherapy quality of life age |
| url | https://www.mdpi.com/2227-9032/10/1/141 |
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