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      Improving Social Support to Increase QoL in Lung Cancer Patients

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          Abstract

          Lung cancer is the most common cause of cancer deaths in the world. According to the World Health Organization, over 2 million new lung cancer cases were reported worldwide in 2018, and there were 1.76 million deaths from the disease. Due to its non-specific symptoms, the disease is usually detected at an advanced stage, which gives few treatment options and a short survival rate after diagnosis. That is why improving QoL in the last months of a patient’s life is enormously important. The purpose of this study was to analyse original papers in order to determine whether an increase in social support is important in improving QoL for lung cancer patients. Both the direct influence of social support on QoL and indirect influences such as stigma or depression, etc. were taken into consideration. We conducted a review of 22 papers published in English in the period 2005–2020, which were selected using the following keywords: lung cancer, social support, quality of life. Evidence was found for the connections between the improvement of social support and an increase in the QoL of lung cancer patients. It is crucial, and worth whatever effort is required, to increase social support for lung cancer patients, as it is one of the most important factors in improving QoL. According to the studies, a good QoL and minimalised symptoms of the disease are much more important for lung cancer patients than the length of their life.

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          Most cited references45

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          Marital status and survival in patients with cancer.

          To examine the impact of marital status on stage at diagnosis, use of definitive therapy, and cancer-specific mortality among each of the 10 leading causes of cancer-related death in the United States.
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            Associations of social networks with cancer mortality: a meta-analysis.

            This meta-analysis integrates results of 87 studies on the associations of perceived social support, network size, and marital status with cancer survival. In controlled studies, having high levels of perceived social support, larger social network, and being married were associated with decreases in relative risk for mortality of 25%, 20%, and 12%, respectively. Moderator analyses revealed that never married patients had higher mortality rates than widowed and divorced/separated patients. Associations of social network with mortality were stronger in younger patients, and associations of marital status with mortality were stronger in studies with shorter time intervals, and in early-stage cancer. Relationships varied by cancer site, with stronger associations of social support observed in studies of patients with leukemia and lymphomas and stronger associations of network size observed in studies of breast cancer. Further randomized intervention studies are needed to test causal hypotheses about the role of social support and social network for cancer mortality. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
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              Is Open Access

              Quality of life of patients with lung cancer

              Lung cancer is the major cause of oncologic-related death worldwide. Due to delayed diagnosis, 5-year survival rate accounts for only 15%. Treatment includes surgery, adjuvant chemotherapy, and radiation therapy; however, it is burdened by many side effects. Progress of the disease, severity of its symptoms, and side effects decrease significantly the quality of life (QoL) in those patients. The level of self-assessed QoL helps in predicting survival, which is especially important among patients receiving palliative care. Patients assess their functioning in five dimensions (physical, psychological, cognitive, social, and life roles), severity of symptoms, financial problems, and overall QoL. The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies. It is affected by the severity and the number of symptoms such as fatigue, loss of appetite, dyspnea, cough, pain, and blood in sputum, which are specific for lung tumors. Fatigue and respiratory problems reduce psychological dimension of QoL, while sleep problems reduce cognitive functioning. Physical dimension (related to growing disability) decreases in most of the patients. Also, most of them are unable to play their family and social roles. The disease is a frequent reason of irritation, distress, and depression. Management of the disease symptoms may improve QoL. Controlling the level of fatigue, pulmonary rehabilitation, and social and spiritual support are recommended. Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients.

                Author and article information

                Journal
                Cancer Manag Res
                Cancer Manag Res
                cmar
                cancmanres
                Cancer Management and Research
                Dove
                1179-1322
                11 March 2021
                2021
                : 13
                : 2319-2327
                Affiliations
                [1 ]Student Research Group No 180, Faculty of Medicine, Wroclaw Medical University , Wrocław, Poland
                [2 ]Division of Oncology and Palliative Care, Department of Clinical Nursing, Faculty of Health Science, Wrocław Medical University , Wrocław, Poland
                [3 ]Department of Surgery, 4th Military Teaching Hospital , Wrocław, Poland
                Author notes
                Correspondence: Mariusz Chabowski Department of Surgery, 4th Military Teaching Hospital , 5 Weigla Street, Wroclaw, 50-981, PolandTel +48 261 660 247Fax +48 261 660 245 Email mariusz.chabowski@gmail.com
                Author information
                http://orcid.org/0000-0001-9831-8719
                http://orcid.org/0000-0003-0046-7391
                http://orcid.org/0000-0001-8017-9730
                http://orcid.org/0000-0002-9232-4525
                Article
                278087
                10.2147/CMAR.S278087
                7959197
                33732024
                1cf48171-5079-4f04-abe1-8857e4965d2d
                © 2021 Hofman et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 22 December 2020
                : 01 March 2021
                Page count
                Figures: 0, Tables: 1, References: 46, Pages: 9
                Funding
                Funded by: no financial support for this research and the authorship of this article;
                The authors received no financial support for this research and the authorship of this article.
                Categories
                Review

                Oncology & Radiotherapy
                quality of life,lung cancer,social support,stigma,depression
                Oncology & Radiotherapy
                quality of life, lung cancer, social support, stigma, depression

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