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Sato T, Fujisawa D, Arai D, et al. Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study. Palliat Med. 2021;35(5):943-951doi: 10.1177/02692163211001721.
Sato, T., Fujisawa, D., Arai, D., Nakachi, I., Takeuchi, M., Nukaga, S., Kobayashi, K., Ikemura, S., Terai, H., Yasuda, H., Kawada, I., Sato, Y., Satomi, R., Takahashi, S., Hashiguchi, M. H., Nakamura, M., Oyamada, Y., Terashima, T., Sayama, K., Saito, F., Sakamaki, F., Inoue, T., Naoki, K., Fukunaga, K., & Soejima, K. (2021). Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study. Palliative medicine, 35(5), 943-951. https://doi.org/10.1177/02692163211001721
Sato, Takashi, et al. "Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study." Palliative medicine vol. 35,5 (2021): 943-951. doi: https://doi.org/10.1177/02692163211001721
Sato T, Fujisawa D, Arai D, Nakachi I, Takeuchi M, Nukaga S, Kobayashi K, Ikemura S, Terai H, Yasuda H, Kawada I, Sato Y, Satomi R, Takahashi S, Hashiguchi MH, Nakamura M, Oyamada Y, Terashima T, Sayama K, Saito F, Sakamaki F, Inoue T, Naoki K, Fukunaga K, Soejima K. Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study. Palliat Med. 2021 May;35(5):943-951. doi: 10.1177/02692163211001721. Epub 2021 Mar 24. PMID: 33761790; PMCID: PMC8114458.
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Palliat Med. 2021 May;35(5):943-951. doi: 10.1177/02692163211001721. Epub 2021 Mar 24.

Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study.

Palliative medicine

Takashi Sato, Daisuke Fujisawa, Daisuke Arai, Ichiro Nakachi, Mari Takeuchi, Shigenari Nukaga, Keigo Kobayashi, Shinnosuke Ikemura, Hideki Terai, Hiroyuki Yasuda, Ichiro Kawada, Yasunori Sato, Ryosuke Satomi, Saeko Takahashi, Mizuha Haraguchi Hashiguchi, Morio Nakamura, Yoshitaka Oyamada, Takeshi Terashima, Koichi Sayama, Fumitake Saito, Fumio Sakamaki, Takashi Inoue, Katsuhiko Naoki, Koichi Fukunaga, Kenzo Soejima

Affiliations

  1. Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
  2. Department of Medicine, Keiyu Hospital, Yokohama, Japan.
  3. Department of Medicine, Sano-kosei General Hospital, Sano, Japan.
  4. Division of Patient Safety, Keio University School of Medicine, Tokyo, Japan.
  5. Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
  6. Pulmonary division, Internal Medicine, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan.
  7. Palliative Care Center, Keio University Hospital, Tokyo, Japan.
  8. Respiratory Medicine, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
  9. Clinical and Translational Research Center, Keio University Hospital, Tokyo, Japan.
  10. Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan.
  11. Department of Medicine, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
  12. Department of Respiratory Medicine, Nippon Kokan Hospital, Kawasaki, Japan.
  13. Department of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan.
  14. Division of Pulmonary Medicine, Kawasaki Municipal Hospital, Kawasaki, Japan.
  15. Department of Pulmonary Medicine, Eiju General Hospital, Tokyo, Japan.
  16. Division of Pulmonary Medicine, Department of Medicine, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan.
  17. Department of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara, Japan.

PMID: 33761790 PMCID: PMC8114458 DOI: 10.1177/02692163211001721

Abstract

BACKGROUND: Both advanced cancer patients and their family caregivers experience distress and have a range of concerns after cancer diagnosis. However, longitudinal studies on this topic have been lacking.

AIM: To investigate concerns in both patients with advanced lung cancer and their family caregivers longitudinally from diagnosis.

DESIGN: A multi-center prospective questionnaire-based study.

SETTING/PARTICIPANTS: We recruited patients with newly diagnosed advanced lung cancer and their family caregivers at 16 hospitals in Japan. We prospectively assessed the prevalence of their concerns using the Concerns Checklist and investigated the associations between their concerns and mental status as well as quality of life until 24 months after diagnosis.

RESULTS: A total of 248 patients and their 232 family caregivers were enrolled. The prevalence of serious concerns was highest at diagnosis (patients: 68.3%, family caregivers: 65.3%). The most common serious concern was concern about the future in both groups at diagnosis (38.2% and 40.5%, respectively) and this remained high in prevalence over time, while the high prevalence of concern about lack of information improved 3 months after diagnosis in both groups. Approximately one-third of patient-family caregiver dyads had discrepant reports of serious concerns. The presence of serious concerns was significantly associated with anxiety and depression continuously in both groups.

CONCLUSIONS: The majority of advanced lung cancer patients and their family caregivers have serious concerns from diagnosis, which is associated with their psychological distress. The spectrum of concerns alters over the disease trajectory, warranting efficient tailored care and support for both groups immediately after diagnosis.

Keywords: Concern; advanced cancer; family caregiver; needs; psychological distress; quality of life

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