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Descriptive Study on the Relationship between Dyspnea, Physical Performance, and Functionality in Oncology Patients
Diego Lucas-Ruano1, Celia Sanchez-Gomez2, María Isabel Rihuete-Galve1,3
1Department of Nursing and Physiotherapy, Universidad de Salamanca, 37008 Salamanca, Spain.
Advanced age, disease stage, and multiple cancer treatments worsen dyspnea and reduce physical function in patients. Addressing breathlessness is key to improving cancer patient quality of life.
Area of Science:
- Oncology
- Palliative Care
- Clinical Medicine
Background:
- Dyspnea significantly impacts cancer patient quality of life, causing distress.
- Understanding factors influencing dyspnea is crucial for effective patient management.
- This study investigates dyspnea in relation to patient demographics and disease characteristics.
Purpose of the Study:
- To explore the relationship between dyspnea and sociodemographic/clinical factors in cancer patients.
- To identify key predictors of dyspnea severity and its impact on functionality.
- To inform strategies for improving care and quality of life for cancer patients experiencing dyspnea.
Main Methods:
- Observational, cross-sectional study of cancer patients at University Hospital of Salamanca (March 2021-April 2024).
- Sociodemographic and clinical data collected via interviews and medical records.
- Validated scales (Barthel Index, mMRC, ECOG, SPPB) assessed functionality and dyspnea.
Main Results:
- Higher age, advanced disease stage, and more treatment lines correlated with worse functional status and increased dyspnea.
- Lung cancer was predominant (60.2%), with most patients in stage 3 (65.7%) and receiving three treatment lines (68.7%).
- No significant correlations found between gender or specific cancer diagnosis and the studied variables.
Conclusions:
- Advanced age, higher disease stage, and multiple treatment lines are associated with decreased functionality and increased dyspnea.
- Interventions targeting dyspnea are essential for enhancing quality of life and physical performance in cancer patients.
- Future research should examine treatment types and nutritional status in relation to dyspnea.
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