标题：Health-related quality of life among cancer survivors in rural China
作者：Su, Mingzhu; Hua, Xingxing; Wang, Jialin; Yao, Nengliang; Zhao, Deli; Liu, Weidong; Zou, Yuewei; Anderson, Roger; Sun, Xiaojie
作者机构：[Su, Mingzhu; Hua, Xingxing; Yao, Nengliang; Sun, Xiaojie] Shandong Univ, Sch Hlth Care Management, Jinan, Shandong, Peoples R China.; [Su, Mingzhu; 更多
通讯作者：Sun, XJ;Sun, XJ
通讯作者地址：[Sun, XJ]Shandong Univ, Sch Hlth Care Management, Jinan, Shandong, Peoples R China;[Sun, XJ]Shandong Univ, NHC Key Lab Hlth Econ & Policy Res, Jinan, 更多
来源：QUALITY OF LIFE RESEARCH
关键词：Cancer survivors; Health-related quality of life; Rural; China
摘要：PurposeThe purpose of the study was to examine health-related quality of life (HRQoL) about the most common cancers survivors (lung, stomach, colorectal, breast, and esophageal cancer) in rural China.MethodsWe administrated a cross-sectional study in three counties in Shandong province from August to September 2017. The five-level EuroQol-5-dimension (EQ-5D-5L) questionnaire was used to measure the HRQoL among cancer patients at least 8 months post-diagnosis. The Chinese population-based preference trade-off time (TTO) model and discrete choice experiment (DCE) were used to convert the EQ-5D-5L utility score. Tobit regression model was used to identify independent associations between socio-demographic, clinical variables with the HRQoL.ResultsIn total, 452 cancer survivors were included. The mean EQ-5D-5L utility scores and Visual Analog Scale (EQ-VAS) scores were 0.841 (SD=0.233) and 70.35 (SD=18.80) for cancer survivors, respectively. Among the five dimensions, 58.6% of survivors had at least slight levels of pain/discomfort, and 39.2% showed at least slight levels of anxiety/depression. The influencing factors of HRQoL included cancer stage at diagnosis, tumor site, comorbidities, annual household income, and migrant worker status (rural-to-urban migration). Compared to other cancer patients, lung cancer patients had the lowest HRQoL. Higher household income and being a migrant worker were associated with a higher HRQoL for cancer survivors.ConclusionsCancer survivors in rural China have deteriorated HRQoL, and a substantial number of survivors have pain/discomfort problems. Our study provides detailed data on HRQoL of rural cancer survivors for future supportive and survivorship care in China.