Assessment of Quality of Life in Turkish Multiple Myeloma Patients by Using EORTC-QLQ-C30
Amaç: Multipl miyelomlu (MM) hastalarda hastalığa ve farklı tedavi modalitelerine bağlı gelişen depresyon, anksiyete ve hayat kalitesindeki değişiklikleri değerlendirdik; ve bu bozukluklarla kişisel ve demografik özellikler, hastalığın tipi ve evresi arasındaki ilişkiyi araştırdık. Materyal ve Metot: Merkezimizde takip edilen 50 MM hastası alındı. Bütün hastalar EORTC-QLQC30u, miyelom modülünü (EORTC QLQ-MY20), Genel Sağlık Sorgulamasını (GSS) ve Hastane Anksi-yete ve Depresyon Skalasını (HADS) cevapladılar. Bulgular: øyi ve kötü ECOG performans skalası olan hastalar arasında EORTC-QLQ-C30un fonksiyonel skalası (p
(Türk multipl miyelomlu hastalarda EORTC-QLQ-C30 kullanılarak hayat kalitesinin değerlendirilmesi)
Background: We evaluated depression, anxiety, and changes in quality of life (QoL) due to disease itself and its various treatment modalities in multiple myeloma (MM) patients; and determined the association between these disorders and features like personal and demographic characteristics, type and stage of disease. Materials and Methods: Fifty MM patients followed up at our center were included. All patients answered EORTC-QLQ-C30, and its myeloma module (EORTC QLQMY20), General Health Questionnaire (GHQ), and Hospital Anxiety and Depression Scale (HADS). Results: Patients with ECOG good or poor performance status differed significantly regarding EORTC-QLQ-C30 functional scale (p<0.005), symptom scale (p<0.01), global QoL (p<0.001), and EORTC-QLQ-MY20 scores (p<0.001). Patients with or without depression differed significantly in EORTC-QLQ-C30 scores (p<0.05), global QoL scores (p<0.001), and EORTC-QLQ-MY20 scores (p<0.05). Depression was seen to be an independent factor associated with global QoL. Conclusions: Performance status, anxiety and depresssion were observed to influence performance status in our MM patients. Factors which have the most negative impact on QoL are depression and side effects related to MM treatment.
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