title: [Impact of pulmonary rehabilitation after lung resection for cancer on patients' level of anxiety and depression].
abstract: BACKGROUND
  Pulmonary rehabilitation (PR) for patients undergoing lung resection for cancer remains controversial. We studied the effects of PR, its impact on quality of life and the level of anxiety and depression.
  
  
  METHODS
  In 2011 and 2012, PR was offered to all patients referred to our institution after lung resection for cancer. Patients were evaluated between admission and discharge by a 6 minutes walking test (6MWD), a Visual Analogue Pain Intensity Scale, a quality of life questionnaire (EORTC QLQ C30) and by the Hospital Anxiety and Depression Scale (HAD). The same questionnaires were mailed 6 months after completing PR.
  
  
  RESULTS
  Between early 2011 and late 2012, 133 patients were admitted to our institution following lung resection for cancer. Of these, 59 (44%) patients completed PR and returned their questionnaires 6 months after discharge. During PR of these 59 patients, the mean quality of life score increased from 56.3 to 65.9 (P<0.05), the median anxiety score decreased from 5.5 to 4 (P<0.05) and that of depression from 3 to 2 (P<0.05). At 6 months post-discharge, the mean quality of life score remained stable at 66.3 (P=0.8), the median anxiety score reverted to 6 (P<0.05) and the median depression score reverted to 4.5 (P<0.05).
  
  
  CONCLUSIONS
  This observational study during PR, showed that quality of life and the levels of anxiety and depression were improved at the end of the course. After returning home, the average quality of life score remained stable but the level of anxiety and depression increased.
authors.affiliation: Centre de soins de suite et de rééducation « La Maison du Mineur », 06141 Vence, France; Service de pneumologie, hôpital de Clavary, 06130 Grasse, France. Electronic address: f.vandenbos@maisondumineur.com.
authors.forename: F
authors.initials: F
authors.lastname: Vandenbos
authors.affiliation: Département de la recherche clinique et de l'innovation, CHU de Nice, 06000 Nice, France.
authors.forename: E
authors.initials: E
authors.lastname: Fontas
authors.affiliation: Service de chirurgie thoracique, CHU de Nice, 06000 Nice, France.
authors.forename: D
authors.initials: D
authors.lastname: Pop
authors.affiliation: Service de chirurgie thoracique, clinique Saint-Georges, 06000 Nice, France.
authors.forename: C
authors.initials: C
authors.lastname: Perrotin
authors.affiliation: Service de chirurgie thoracique, CHU de Nice, 06000 Nice, France.
authors.forename: N
authors.initials: N
authors.lastname: Venissac
authors.affiliation: Service de chirurgie thoracique, CHU de Nice, 06000 Nice, France.
authors.forename: J
authors.initials: J
authors.lastname: Mouroux
mesh_terms: D000368:Aged; D001007:Anxiety / Q000453:epidemiology* / Q000209:etiology; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D005080:Exercise Test / Q000523:psychology; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000523:psychology / Q000534:rehabilitation; D013510:Pulmonary Surgical Procedures / Q000523:psychology / Q000534:rehabilitation*; D011788:Quality of Life; D012131:Respiratory Insufficiency / Q000453:epidemiology / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires
keywords: Cancer du poumon; Lung cancer; Lung resection; Pulmonary rehabilitation; Quality of life; Qualité de vie; Réhabilitation respiratoire; Résection pulmonaire