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Fear of cancer recurrence and its predictors among patients with non-small cell lung cancer (NSCLC)

Fear of cancer recurrence and its predictors among patients with non-small cell lung cancer (NSCLC) PurposeFear of cancer recurrence (FCR) is a multidimensional phenomenon among cancer survivors. This cross-sectional study aimed to identify the prevalence of FCR and its predictors among survivors of non-small cell lung cancer (NSCLC) in Korea.MethodsParticipants who finished NSCLC treatment one or more months prior completed the Korean version of Fear of Cancer Recurrence Inventory-Short Form (K-FCRI-SF) and the European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) at single tertiary hospital in Korea. Multivariate-adjusted logistic regression and stepwise backward selection were used to determine the potential predictors of FCR.ResultsOf the total 949 participants (mean age 63.4 ± 8.8 years, 44.3% women), 55.8% had high FCR. Female (adjusted odds ratio [aOR] 1.44, 95% confidence interval [CI] 1.06–1.95), pathologic stage III (aOR 1.97, 95% CI 1.18–3.30), poor overall quality of life (aOR 1.42, 95% CI 1.03–1.95), poor emotional functioning (aOR 3.91, 95% CI 2.64–5.81), poor social functioning (aOR 1.87, 95% CI 1.31–2.68), and severe dyspnea (aOR 2.91, 95% CI 1.03–8.21) were independent predictors of high FCR. Old age (≥ 70 years) was included in the final model (aOR 0.74, 95% CI 0.51–1.06) but did not show clinical significance.ConclusionsOur study demonstrated that high FCR was prevalent in NSCLC patients in Korea. To prevent this, we suggest screening and early detection of FCR based on sex, pathologic stage, quality of life, emotional and social functioning, and dyspnea.Implications for cancer survivorsScreening and early detection of FCR based on sex, pathologic stage, quality of life, emotional and social functioning, and dyspnea is suggested. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cancer Survivorship: Research and Practice Springer Journals

Fear of cancer recurrence and its predictors among patients with non-small cell lung cancer (NSCLC)

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Publisher
Springer Journals
Copyright
Copyright © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
ISSN
1932-2259
eISSN
1932-2267
DOI
10.1007/s11764-023-01419-9
Publisher site
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Abstract

PurposeFear of cancer recurrence (FCR) is a multidimensional phenomenon among cancer survivors. This cross-sectional study aimed to identify the prevalence of FCR and its predictors among survivors of non-small cell lung cancer (NSCLC) in Korea.MethodsParticipants who finished NSCLC treatment one or more months prior completed the Korean version of Fear of Cancer Recurrence Inventory-Short Form (K-FCRI-SF) and the European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) at single tertiary hospital in Korea. Multivariate-adjusted logistic regression and stepwise backward selection were used to determine the potential predictors of FCR.ResultsOf the total 949 participants (mean age 63.4 ± 8.8 years, 44.3% women), 55.8% had high FCR. Female (adjusted odds ratio [aOR] 1.44, 95% confidence interval [CI] 1.06–1.95), pathologic stage III (aOR 1.97, 95% CI 1.18–3.30), poor overall quality of life (aOR 1.42, 95% CI 1.03–1.95), poor emotional functioning (aOR 3.91, 95% CI 2.64–5.81), poor social functioning (aOR 1.87, 95% CI 1.31–2.68), and severe dyspnea (aOR 2.91, 95% CI 1.03–8.21) were independent predictors of high FCR. Old age (≥ 70 years) was included in the final model (aOR 0.74, 95% CI 0.51–1.06) but did not show clinical significance.ConclusionsOur study demonstrated that high FCR was prevalent in NSCLC patients in Korea. To prevent this, we suggest screening and early detection of FCR based on sex, pathologic stage, quality of life, emotional and social functioning, and dyspnea.Implications for cancer survivorsScreening and early detection of FCR based on sex, pathologic stage, quality of life, emotional and social functioning, and dyspnea is suggested.

Journal

Journal of Cancer Survivorship: Research and Practice – Springer Journals

Published: Jun 23, 2023

Keywords: Fear of cancer recurrence; Predictor; Lung cancer; Prevalence; Korea

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