Employment status and health related quality of life among Hodgkin-lymphoma survivors’– results based on data from a major treatment center in Hungary

Health and Quality of Life Outcomes

Research

Anna Illés¹  Karolina Kósa²  Ferenc Magyari³  Zsófia Miltényi³  Árpád Illés³  Zsófia Simon³  Roland Berecz⁴ 

[1] Department of Anaesthesiology and Intensive Care Faculty of Medicine, University of Debrecen, Debrecen, Hungary;Department of Behavioural Sciences, Faculty of Public Health, University of Debrecen, Debrecen, Hungary;Department of Hematology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;Department of Psychiatry, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;

关键词: Hodgkin-lymphoma;    Employment;    HRQoL;    Survivorship;    Long-term side effects;   

DOI  :  10.1186/s12955-017-0758-x

 received in 2017-03-28, accepted in 2017-09-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundDue to risk and response adapted treatment strategies, more than 80% of newly diagnosed classical Hodgkin lymphoma (HL) patients can be cured, and become long-term survivors. However, a high proportion of survivors suffer from treatment-related long-term side effects such as secondary malignancy, organ failure, persistent fatigue and psychological distress. The aim of this study was to evaluate psychological distress and its risk factors among our HL survivors.MethodsOne hundred sixty-three (50% female) adult HL survivors were contacted between January 1, 2012 and march 31, 2015 in our outpatient centre. The patients were asked to complete a standardized, validated, self-administered Hungarian questionnaire with demographic questions and the following scales: Hospital anxiety and depression scale (HADS14), general health questionnaire (GHQ12), sense of coherence (SOC13) perceived stress scale (PSS4), dysfunctional attitude scale (DAS17). Disease and treatment data were acquired from hospital records.ResultsMajority of HL survivors are in early adulthood, our most important goal should be to return them to normal life after their lymphoma is cured. The employment status at the time of survey seemed to be crucial so patients were divided into either active (n = 93) or inactive (n = 47) group. Retired survivors (n = 19) were excluded from the subgroup analysis. Psychological distress was significantly lower in active patients. Multiple logistic regression analysis showed significant differences between the inactive and active subgroups, such as age at diagnosis (≥30 years or below, p = 0.001), education level (below college vs. college, p = 0.032) and treatment related long-term side effects (yes vs. no, p < 0.001). Predictors for treatment-related long-term side effects are female gender (p = 0.011), chemotherapy protocol (ABVD vs. other, p < 0.001).ConclusionsOur data suggest that employment status and treatment-related long-term side effects play a critical role in the health related quality of life outcome among Hungarian HL survivors.

【 授权许可】

CC BY   
© The Author(s). 2017