DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20192917

Disability among lung cancer patients and its predictors: a cross-sectional study in a tertiary care centre at Kolkata, India

Jayita Pal, Avradip Santra

Abstract


Background: Lung cancer is one of the commonest cancer worldwide and also in India. Being a chronic disease, it is expected to result in disability during the course of the illness. Disability in turn results in deterioration of mental health and leads to poor quality of life. The present study intended to assess the degree of disability among lung cancer patients and to find out the covariates of the same.

Methods: An institution based cross-sectional study had been conducted over a period of six months among lung cancer patients attending a tertiary care centre. Exit interview had been conducted with a pretested schedule after taking informed consent. Disability had been assessed by WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). Data were entered and analysed in SPSS 20.0 version.

Results: A total of 210 patients were recruited in this study. Half of the study population were suffering from higher level of disability. Multivariate analysis revealed degree of disability was higher among the patients who were financially dependent to others, had advanced stage of the disease and when time since diagnosis was more than one month.

Conclusions: Holistic approach needs to be taken up to address this alarming issue of disability and its consequences among lung cancer patients. The approach should include various rehabilitative measures, social security schemes by the government and active involvement of non-governmental organisations.


Keywords


Disability, Kolkata, Lung cancer, WHODAS

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References


Worldwide cancer data: Global cancer statistics for the most common cancers, 2018. Available at: https://www.wcrf.org/dietandcancer/cancer-trends/worldwide-cancer-data. Accessed 5 May 2019.

Shin DW, Noh JM, Park SH, Park JH. Disparities in the diagnosis and treatment of lung cancer among people with disabilities. J Thorac Oncol. 2018;14(2):163-75.

Haynes MA, Smedley BD, editors. The Unequal Burden of Cancer: An Assessment of NIH Research and Programs for Ethnic Minorities and the Medically Underserved. Washington, DC: National Academy Press; 1999.

Hung R, Krebs P, Coups EJ, Feinstein MB, Park BJ, Burkhalter J, et al. Fatigue and functional impairment in early-stage non-small cell lung cancer survivors. J Pain Symptom Manage. 2011;41(2):426-35.

Hopwood P, Stephens RJ. Depression in patients with lung cancer: prevalence and risk factors derived from quality-of-life data. J Clin Oncol. 2000;18(4):893.

Polanski J, Polanska BJ, Rosinczuk J, Chabowski M, Chabowska AS. Quality of life of patients with lung cancer. Onco Targets Ther. 2016;9:1023-8.

Pal J, Santra A. Quality of life among lung cancer patients and socio-economic status- do they correlate at all? A cross-sectional study in a tertiary care centre at Kolkata. IOSR J Dent Med Sci. 2019;18(4):37-42.

Manton KG. A longitudinal study of functional change and mortality in the United States. J Gerontol. 1988;43(5):S153-61.

Covinsky K. Aging, arthritis, and disability. Arthritis Rheum. 2006;55(2):175-6.

Fillenbaum GG, Smyer MA. The development, validity, and reliability of the OARS multidimensional functional assessment questionnaire. J Gerontol. 1981;36(4):428-34.

Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185(12):914-9.

Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86.

Verbrugge LM, Jette AM. The disablement process. Soc Sci Med. 1994;38(1):1-14.

Neo J, Fettes L, Gao W, Higginson IJ, Maddocks M. Disability in activities of daily living among adults with cancer: A systematic review and meta-analysis. Cancer Treat Rev. 2017;61:94-106.

World Health Organization Disability Assessment Schedule 2.0, 2009. Available at: https://www.who.int/classifications/icf/WHODAS2.0_36itemsSELF.pdf. Accessed 8 December 2016

Shaikh Z, Pathak R. Revised Kuppuswamy and B G Prasad socio-economic scales for 2016. Int J Community Med Public Heal. 2017;4(4):997-9.

Taylor JC, Terrell JE, Ronis DL, Fowler KE, Bishop C, Lambert MT, et al. Disability in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg. 2004;130(6):764-9.

Short PF, Vasey JJ, Belue R. Work disability associated with cancer survivorship and other chronic conditions. Psychooncol. 2008;17(1):91-7.