Establishment and evaluation of postoperative symptom inventory for patients with lung cancer_Chinese Journal of Evidence-Based Medicine

Authors：

ZHOU Kun ,  CHE Guowei

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;

Corresponding?author：

CHE Guowei, Email: chebeneben2005@163.com

Keywords：

Delphi method; Postoperative symptom inventory; Lung cancer; Surgery

DOI：

10.7507/1672-2531.202004129

Video：

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Objectives To construct a symptom assessment system suitable for surgical lung cancer patients, and to objectively evaluate the types and severity of postoperative symptoms in patients so as to provide evidence-based basis for the treatment of postoperative symptoms of lung cancer patients.Methods Postoperative symptom items of lung cancer were formed according to previous researches, literature review, the current lung cancer symptom assessment tools, and expert interviews. The Delphi method was used to conduct two rounds of expert consultation and a postoperative symptom inventory was established for lung cancer patients.Results Nine first-level symptom items were eventually formed: cough, pain, shortness of breath, fatigue, dizziness, nausea or vomiting, subcutaneous emphysema, insomnia, and constipation. The first round of active coefficient and authority coefficient of experts were 85.0% and 0.88, and the second round were 88.2% and 0.87. The Kendall coordination coefficients of the nine first-level symptom items were 0.47 (P<0.001) and 0.43 (P<0.001), respectively.Conclusions The evaluation system of postoperative symptom items for lung cancer patients is highly recognized by experts and has good consistency.

Citation： ZHOU Kun, CHE Guowei. Establishment and evaluation of postoperative symptom inventory for patients with lung cancer. Chinese Journal of Evidence-Based Medicine, 2020, 20(10): 1157-1163. doi: 10.7507/1672-2531.202004129 Copy

1.	Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
2.	廖虎, 梅建東, 劉成武, 等. 中國三級醫院胸外科學科臨床發展現狀的調查研究. 中華外科雜志, 2018, 56(12): 888-891.
3.	Yang P, Cheville AL, Wampfler JA, et al. Quality of life and symptom burden among long-term lung cancer survivors. J Thorac Oncol, 2012, 7(1): 64-70.
4.	Fagundes CP, Shi Q, Vaporciyan AA, et al. Symptom recovery after thoracic surgery: measuring patient-reported outcomes with the MD Anderson symptom inventory. J Thorac Cardiovasc Surg, 2015, 150(3): 613-619.
5.	Lowery AE, Krebs P, Coups EJ, et al. Impact of symptom burden in post-surgical non-small cell lung cancer survivors. Support Care Cancer, 2014, 22(1): 173-180.
6.	車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 23(3): 211-215.
7.	車國衛, 劉倫旭, 周清華. 加速康復外科從理論到實踐——我們還需要做什么? 中國肺癌雜志, 2017, 20(4): 219-225.
8.	沈誠, 李玨, 李鵬飛, 等. 加速康復外科評價指標: 病人報告結局在胸外科的臨床應用現狀與進展. 中國肺癌雜志, 2019, 22(3): 161-166.
9.	Mendoza TR, Wang XS, Lu C, et al. Measuring the symptom burden of lung cancer: the validity and utility of the lung cancer module of the M D Anderson symptom inventory. Oncologist, 2011, 16(2): 217-227.
10.	Bergman B, Aaronson NK, Ahmedzai S, et al. The EORTC QLQ-LC13: a modular supplement to the EORTC core quality of life questionnaire (QLQ-C30) for use in lung cancer clinical trials. Eur J Cancer, 1994, 30A(5): 635-642.
11.	Hollen PJ, Gralla RJ, Kris MG, et al. Quality of life assessment in individuals with lung cancer: testing the lung cancer symptom scale (LCSS). Eur J Cancer, 1993, 29A(Suppl 1): S51-S58.
12.	Butt Z, Webster K, Eisenstein AR, et al. Quality of life in lung cancer: the validity and cross-cultural applicability of the functional assessment of cancer therapy-lung scale. Hematol Oncol Clin North Am, 2005, 19(2): 389-420.
13.	吳巧媚, 張利娟, 鄭靜霞. 基于Delphi法ICU患者誤吸風險評估體系的構建. 護理學報, 2018, 25(2): 1-6.
14.	李雪, 周誼霞, 李海洋, 等. 基于德爾菲法和優序圖法構建血液透析中心護理服務質量評價體系. 華西醫學, 2019, 34(7): 783-789.
15.	陳艷佳, 任慧玲. 基于德爾菲法的開放獲取期刊評價指標篩選. 中華醫學圖書情報雜志, 2016, 25(5): 15-19.
16.	莫蘭. 斷指再植患者鏡像療法的康復護理方案構建: 德爾菲專家咨詢法. 中國康復醫學雜志, 2017, 32(7): 822-825.
17.	任玲, 何竟. 運用德爾菲法構建腦外傷康復醫學數據庫核心條目. 中國循證醫學雜志, 2019, 19(5): 609-613.
18.	孫振球. 醫學統計學(第4版). 北京: 人民衛生出版社, 2014.
19.	車國衛. 加速康復外科—人文or技術? 中國肺癌雜志, 2018, 21(3): 168-172.
20.	Maessen JM, Dejong CH, Kessels AG, et al. Length of stay: an inappropriate readout of the success of enhanced recovery programs. World J Surg, 2008, 32(6): 971-975.
21.	Neville A, Lee L, Antonescu I, et al. Systematic review of outcomes used to evaluate enhanced recovery after surgery. Br J Surg, 2014, 101(3): 159-170.
22.	邵茜茜, 劉東英. 肺癌患者肺葉切除術后癥狀群調查研究. 護理學報, 2018, 25(18): 1-4.
23.	Choi S, Ryu E. Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer. Eur J Cancer Care, 2016, 27(1): e12508.
24.	Cleeland CS, Wang XS, Shi Q, et al. Automated symptom alerts reduce postoperative symptom severity after cancer surgery: a randomized controlled clinical trial. J Clin Oncol, 2011, 29(8): 994-1000.
25.	Yun YH, Kim YA, Sim JA, et al. Prognostic value of quality of life core in disease-free survivors of surgically-treated lung cancer. BMC Cancer, 2016, 16: 505.
26.	Sloan JA, Zhao X, Novotny PJ, et al. Relationship between deficits in overall quality of life and non-small-cell lung cancer survival. J Clin Oncol, 2012, 30(13): 1498-1504.
27.	Pompili C, Salati M, Refai M, et al. Preoperative quality of life predicts survival following pulmonary resection in stage I non-small-cell lung cancer. Eur J Cardiothorac Surg, 2013, 43(5): 905-910.
28.	王明銘, 李霞, 車國衛, 等. 肺癌患者術后癥狀評估量表的有效性及臨床應用. 中國胸心血管外科臨床雜志, 2017, 24(6): 417-422.
29.	林嶸嘉, 車國衛, 徐志華, 等. 肺癌患者電視胸腔鏡手術后咳嗽的影響因素分析: 單中心前瞻性研究. 中國胸心血管外科臨床雜志, 2017, 24(10): 748-752.
30.	徐志華, 林嶸嘉, 車國衛, 等. 肺術后咳嗽評估——中文版萊斯特咳嗽量表的應用價值. 中國肺癌雜志, 2017, 20(6): 389-394.
31.	林嶸嘉, 車國衛, 徐志華, 等. 中文版萊斯特咳嗽問卷的改良及驗證. 中國肺癌雜志, 2017, 20(7): 468-472.
32.	中國醫師協會麻醉學醫師分會. 促進術后康復的麻醉管理專家共識. 中華麻醉學雜志, 2015, 35(2): 141-148.
33.	楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后16F較28F胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
34.	Cerfolio RJ, Bryant AS, Maniscalco LM. Management of subcutaneous emphysema after pulmonary resection. Ann Thorac Surg, 2008, 85(5): 1759-1763.

1. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
2. 廖虎, 梅建東, 劉成武, 等. 中國三級醫院胸外科學科臨床發展現狀的調查研究. 中華外科雜志, 2018, 56(12): 888-891.
3. Yang P, Cheville AL, Wampfler JA, et al. Quality of life and symptom burden among long-term lung cancer survivors. J Thorac Oncol, 2012, 7(1): 64-70.
4. Fagundes CP, Shi Q, Vaporciyan AA, et al. Symptom recovery after thoracic surgery: measuring patient-reported outcomes with the MD Anderson symptom inventory. J Thorac Cardiovasc Surg, 2015, 150(3): 613-619.
5. Lowery AE, Krebs P, Coups EJ, et al. Impact of symptom burden in post-surgical non-small cell lung cancer survivors. Support Care Cancer, 2014, 22(1): 173-180.
6. 車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 23(3): 211-215.
7. 車國衛, 劉倫旭, 周清華. 加速康復外科從理論到實踐——我們還需要做什么? 中國肺癌雜志, 2017, 20(4): 219-225.
8. 沈誠, 李玨, 李鵬飛, 等. 加速康復外科評價指標: 病人報告結局在胸外科的臨床應用現狀與進展. 中國肺癌雜志, 2019, 22(3): 161-166.
9. Mendoza TR, Wang XS, Lu C, et al. Measuring the symptom burden of lung cancer: the validity and utility of the lung cancer module of the M D Anderson symptom inventory. Oncologist, 2011, 16(2): 217-227.
10. Bergman B, Aaronson NK, Ahmedzai S, et al. The EORTC QLQ-LC13: a modular supplement to the EORTC core quality of life questionnaire (QLQ-C30) for use in lung cancer clinical trials. Eur J Cancer, 1994, 30A(5): 635-642.
11. Hollen PJ, Gralla RJ, Kris MG, et al. Quality of life assessment in individuals with lung cancer: testing the lung cancer symptom scale (LCSS). Eur J Cancer, 1993, 29A(Suppl 1): S51-S58.
12. Butt Z, Webster K, Eisenstein AR, et al. Quality of life in lung cancer: the validity and cross-cultural applicability of the functional assessment of cancer therapy-lung scale. Hematol Oncol Clin North Am, 2005, 19(2): 389-420.
13. 吳巧媚, 張利娟, 鄭靜霞. 基于Delphi法ICU患者誤吸風險評估體系的構建. 護理學報, 2018, 25(2): 1-6.
14. 李雪, 周誼霞, 李海洋, 等. 基于德爾菲法和優序圖法構建血液透析中心護理服務質量評價體系. 華西醫學, 2019, 34(7): 783-789.
15. 陳艷佳, 任慧玲. 基于德爾菲法的開放獲取期刊評價指標篩選. 中華醫學圖書情報雜志, 2016, 25(5): 15-19.
16. 莫蘭. 斷指再植患者鏡像療法的康復護理方案構建: 德爾菲專家咨詢法. 中國康復醫學雜志, 2017, 32(7): 822-825.
17. 任玲, 何竟. 運用德爾菲法構建腦外傷康復醫學數據庫核心條目. 中國循證醫學雜志, 2019, 19(5): 609-613.
18. 孫振球. 醫學統計學(第4版). 北京: 人民衛生出版社, 2014.
19. 車國衛. 加速康復外科—人文or技術? 中國肺癌雜志, 2018, 21(3): 168-172.
20. Maessen JM, Dejong CH, Kessels AG, et al. Length of stay: an inappropriate readout of the success of enhanced recovery programs. World J Surg, 2008, 32(6): 971-975.
21. Neville A, Lee L, Antonescu I, et al. Systematic review of outcomes used to evaluate enhanced recovery after surgery. Br J Surg, 2014, 101(3): 159-170.
22. 邵茜茜, 劉東英. 肺癌患者肺葉切除術后癥狀群調查研究. 護理學報, 2018, 25(18): 1-4.
23. Choi S, Ryu E. Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer. Eur J Cancer Care, 2016, 27(1): e12508.
24. Cleeland CS, Wang XS, Shi Q, et al. Automated symptom alerts reduce postoperative symptom severity after cancer surgery: a randomized controlled clinical trial. J Clin Oncol, 2011, 29(8): 994-1000.
25. Yun YH, Kim YA, Sim JA, et al. Prognostic value of quality of life core in disease-free survivors of surgically-treated lung cancer. BMC Cancer, 2016, 16: 505.
26. Sloan JA, Zhao X, Novotny PJ, et al. Relationship between deficits in overall quality of life and non-small-cell lung cancer survival. J Clin Oncol, 2012, 30(13): 1498-1504.
27. Pompili C, Salati M, Refai M, et al. Preoperative quality of life predicts survival following pulmonary resection in stage I non-small-cell lung cancer. Eur J Cardiothorac Surg, 2013, 43(5): 905-910.
28. 王明銘, 李霞, 車國衛, 等. 肺癌患者術后癥狀評估量表的有效性及臨床應用. 中國胸心血管外科臨床雜志, 2017, 24(6): 417-422.
29. 林嶸嘉, 車國衛, 徐志華, 等. 肺癌患者電視胸腔鏡手術后咳嗽的影響因素分析: 單中心前瞻性研究. 中國胸心血管外科臨床雜志, 2017, 24(10): 748-752.
30. 徐志華, 林嶸嘉, 車國衛, 等. 肺術后咳嗽評估——中文版萊斯特咳嗽量表的應用價值. 中國肺癌雜志, 2017, 20(6): 389-394.
31. 林嶸嘉, 車國衛, 徐志華, 等. 中文版萊斯特咳嗽問卷的改良及驗證. 中國肺癌雜志, 2017, 20(7): 468-472.
32. 中國醫師協會麻醉學醫師分會. 促進術后康復的麻醉管理專家共識. 中華麻醉學雜志, 2015, 35(2): 141-148.
33. 楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后16F較28F胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
34. Cerfolio RJ, Bryant AS, Maniscalco LM. Management of subcutaneous emphysema after pulmonary resection. Ann Thorac Surg, 2008, 85(5): 1759-1763.

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