Zdravstveni glasnik, Vol. 12 No. 1, 2026.
Izvorni znanstveni članak
HEALTH-RELATED QUALITY OF LIFE IN LUNG CANCER PATIENTS ACCORDING TO TYPE OF TREATMENT
Sandra Karabatić
; Klinički bolnički centar Zagreb, Kišpatićeva 12, 10 000 Zagreb, Hrvatska & Hrvatsko katoličko sveučilište, Ilica 244, 10 000 Zagreb, Hrvatska & Veleučilište Ivanić-Grad, Moslavačka 11, 10 310 Ivanić-Grad, Hrvatska
*
Ilda Bećirević
; Poliklinika Rotim, Miramarska cesta 24, 10 000 Zagreb, Hrvatska
Božica Lovrić
; Opća županijska bolnica Požega, Osječka 107, 34 000 Požega, Hrvatska & Fakultet za dentalnu medicinu i zdravstvo, Sveučilište Josipa Jurja Strossmayera u Osijeku, Crkvena 21, 31 000 Osijek, Hrvatska & Veleučilište Ivanić-Grad, Moslavačka 11, 10 310 Ivanić-Grad, Hrvatska
Tihomir Jovanović
; Fakultet za dentalnu medicinu i zdravstvo, Sveučilište Josipa Jurja Strossmayera u Osijeku, Crkvena 21, 31 000 Osijek, Hrvatska & Opća županijska bolnica Pakrac i bolnica hrvatskih veterana, Bolnička 74, 34 550 Pakrac, Hrvatska & Medicinski fakultet, Sveučilište Josipa Jurja Strossmayera u Osijeku, Josipa Huttlera 4, 31 000 Osijek, Hrvatska
* Dopisni autor.
Sažetak
Background: Lung cancer remains one of the leading causes of cancer-related morbidity and mortality worldwide, while quality of life has become an essential outcome measure in contemporary oncological care.
Aim: To assess the impact of different systemic treatment modalities on the quality of life of patients with lung cancer.
Methods: This prospective study was conducted between January and June 2022 at the Department for Lung and Mediastinal Tumors, Clinic for Pulmonary Diseases Jordanovac, University Hospital Centre Zagreb, Croatia. A total of 162 patients undergoing chemotherapy, immunotherapy, targeted therapy, or combined therapy following surgery were included. Quality of life was assessed using the EORTC QLQ-C30 questionnaire at baseline and two months after treatment initiation. Statistical analyses included the Wilcoxon signed-rank test and Kruskal–Wallis test.
Results: Global health status significantly improved two months after treatment initiation (P = 0.03), while fatigue (P = 0.04) and dyspnea (P = 0.04) decreased compared with baseline values. Financial difficulties increased significantly during treatment (P = 0.009). Patients receiving chemotherapy reported significantly poorer emotional (P = 0.002) and social functioning (P = 0.02) than those receiving immunotherapy. Cognitive functioning was significantly higher in patients treated with immunotherapy compared with chemotherapy or combined therapy (P = 0.001). Overall functioning (P = 0.01) and symptom burden (P = 0.005) were most favorable among patients receiving immunotherapy.
Conclusion: Treatment modality significantly affects quality of life in patients with lung cancer, with immunotherapy demonstrating the most favorable functional and symptomatic outcomes.
Ključne riječi
Lung Neoplasms; Quality of Life; Immunotherapy; Chemotherapy; Targeted Therapy
Hrčak ID:
347490
URI
Datum izdavanja:
29.5.2026.
Posjeta: 0 *