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Risk factors associated with treatment refusal in lung cancer
- Risk factors associated with treatment refusal in lung cancer
- Suh W.N.; Kong K.A.; Han Y.; Kim S.J.; Lee S.H.; Ryu Y.J.; Lee J.H.; Shim S.S.; Kim Y.; Chang J.H.
- Ewha Authors
- 장중현; 김유경; 이진화; 류연주; 공경애
- SCOPUS Author ID
- 장중현; 김유경; 이진화; 류연주; 공경애
- Issue Date
- Journal Title
- Thoracic Cancer
- Thoracic Cancer vol. 8, no. 5, pp. 443 - 450
- Age; comorbidity; lung cancer; treatment refusal
- John Wiley and Sons Inc.
- SCIE; SCOPUS
- Document Type
- Background: The incidence of lung cancer is increasing with longer life expectancy. Refusal of active treatment for cancer is prone to cause patients to experience more severe symptoms and shorten survival. The purpose of this study was to define the factors related to refusal or abandonment of active therapy in lung cancer. Methods: We retrospectively reviewed the data of 617 patients from medical records from 2010 to 2014. Two groups were formed: 149 patients who refused anti-cancer treatment and allowed only palliative care were classified into the non-treatment group, while the remaining 468 who received anti-cancer treatment were classified into the treatment group. Results: The groups differed significantly in age, employment, relationship status, number of offspring, educational status, body mass index, presence of chest and systemic symptoms, Charlson Comorbidity Index, Eastern Cooperative Oncology Group score, and tumor node metastasis stage (P < 0.05). In logistic regression analysis, age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.07–1.13), educational status lower than high school (OR 1.95, 95% CI 1.2–3.2), no history of surgery (OR 2.29, 95% CI 1.4–3.7), body mass index < 18.5 (OR 2.49, 95% CI 1.3–4.7), and a high Eastern Cooperative Oncology Group score of 3 or 4 (OR 5.02, 95% CI 2.3–10.8) were significant factors for refusal of cancer treatment. Conclusion: Individual factors, such as old age, low educational status, low weight, and poor performance status can influence refusal of cancer treatment in patients with lung cancer, and should be considered prior to consultation with patients. © 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd
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