title: Quality of life in patients with advanced lung cancer treated at home and at a palliative care unit.
abstract: BACKGROUND
  To assess quality of life (QOL) in patients with advanced lung cancer.
  
  
  METHODS
  A prospective study of 78 patients cared at home and at a palliative care unit (PCU) with 2 QOL assessments was conducted.
  
  
  RESULTS
  Fifty patients completed the study. In the EORTC QLQ-C30 role, cognitive, social functioning, global QOL, fatigue, pain, dyspnea, and appetite deteriorated; nausea/vomiting improved; dyspnea was more intense in the case of in-home patients. In the EORTC QLQ-LC13 hemoptysis improved; pain in other parts was more intense in the PCU patients. Pain (Visual Analogue scale) was more intense in the PCU patients; the level of activity (Karnofsky) decreased in the case of patients treated at home.
  
  
  CONCLUSIONS
  QOL deteriorated with few differences between home and the PCU patients.
authors: Chair and Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland. wojciechleppert@wp.pl
authors: Wojciech
authors: W
authors: Leppert
authors: Anna
authors: A
authors: Turska
authors: Mikolaj
authors: M
authors: Majkowicz
authors: Sylwia
authors: S
authors: Dziegielewska
authors: Piotr
authors: P
authors: Pankiewicz
authors: Eleonora
authors: E
authors: Mess
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006699:Home Care Services; D006760:Hospitalization; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010166:Palliative Care / Q000458:organization & administration* / Q000523:psychology; D011446:Prospective Studies; D011788:Quality of Life