Article

Estudio longitudinal de los parámetros de calidad de vida en pacientes oncológicos

Psicooncología: investigación y clínica biopsicosocial en oncología, ISSN 1696-7240, Nº. 2-3, 2004 (Ejemplar dedicado a: Control de Síntomas en Cáncer), pags. 191-204 01/2004;
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ABSTRACT Purpose. To realize a longitudinal quality of life evaluation in a representative sample of cancer patients by means of different instruments (semi-structured interviews, standarized questionnaires (Karnofsky Performance Status, HAD and QL-CA-AFex), registers) and by different observers (patients and doctors). Method. 101 new patients in the cancer department of Cabueñes hospital were selected consecutively. Quality of life was assessed at seven time points: baseline, start of treatment,second cycle of treatment, third cycle of treatment,end of treatment, three and six months after treatment. Results. Descriptive data and variations in quality of life over time are showed. Conclusions. Comparison of quality of life reports informed by different methods and different observers showed some discrepancies. Results showed that there are relevant parameters in each moment of illness that contributes especially to patients¿ quality of life. Objetivo. Realizar una evaluación longitudinal de los parámetros de calidad de vida en una muestra representativa de pacientes oncológicos utilizando distintos métodos (entrevistas semiestructuradas, cuestionarios estandarizados (escala de Karnofsky, HAD y QL-CAAFex), registros y distintas fuentes de información (pacientes y médicos). Método. Se seleccionaron de forma consecutiva 101 pacientes a su llegada a la Unidad de Oncología Medica del Hospital de Cabueñes. Los parámetros de calidad de vida fueron evaluados en siete ocasiones: primera visita, antes de iniciar el tratamiento, segundo ciclo de tratamiento, tercer ciclo, último ciclo, y tres y seis meses después de finalizar el tratamiento. Resultados. Se presentan los datos descriptivos y la evolución de los parámetros de calidad de vida desde el inicio de la enfermedad y a lo largo del tiempo. Conclusiones. Las valoraciones de la calidad de vida informadas por distintas fuentes de información y por distintos métodos dio lugar a algunas discrepancias. Los resultados indicaron que en cada fase o momento de la enfermedad existen unos parámetros específicos que son los que resultan relevantes para el paciente cuando valora su calidad de vida.

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