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Assessment of quality of life in lung cancer patients undergoing chemotherapy

Published online by Cambridge University Press:  26 August 2025

M. Abdelkefi*
Affiliation:
Psychiatry C department
I. Gassara
Affiliation:
Psychiatry C department
R. Jbir
Affiliation:
Psychiatry C department
R. Feki
Affiliation:
Psychiatry C department
B. Abderrahmane
Affiliation:
Department of pneumology, Hedi Chaker university hospital, Sfax, Tunisia
R. Khemakhem
Affiliation:
Department of pneumology, Hedi Chaker university hospital, Sfax, Tunisia
N. Charfi
Affiliation:
Psychiatry C department
N. Smaoui
Affiliation:
Psychiatry C department
S. Omri
Affiliation:
Psychiatry C department
J. Ben Thabet
Affiliation:
Psychiatry C department
M. Maalej
Affiliation:
Psychiatry C department
S. Kammoun
Affiliation:
Department of pneumology, Hedi Chaker university hospital, Sfax, Tunisia
M. Maalej
Affiliation:
Psychiatry C department
L. Zouari
Affiliation:
Psychiatry C department
*
*Corresponding author.

Abstract

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Introduction

Lung cancer remains one of the leading causes of cancer-related morbidity and mortality worldwide. Despite being a crucial treatment, chemotherapy often brings a range of side effects that can significantly impact the overall quality of life of the patients.

Objectives

To evaluate the quality of life (QoL) in lung cancer patients undergoing chemotherapy.

Methods

The sample consisted of 49 lung cancer patients undergoing chemotherapy at the Pneumology and Allergology Department of the Hedi Chaker University Hospital in Sfax. The questionnaire used included patients’ sociodemographic characteristics, cancer and treatment data, and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire 30-item version (EORTC QLQ-C30).

Results

The mean age of the patients surveyed was 61,8 years, with a male predominance (85,7%). The most frequently reported functional signs of lung cancer were dyspnea (36,7%), cough (34,7%) and chest pain (20,4%). Disease duration was less than 1 year in 61,2% of the cases, and 59,2% were classified as stage IV. Tumor progression occurred in 32,7% of cases. Of the patients, 20,4% were on a single chemotherapy agent, while 79.6% were on a combination regimen.

According to QLQ-C30, the mean global QoL score was 61,24 ± 24,5 for the entire sample. Physical functioning and role functioning were the most affected on the functional scale, while fatigue and appetite loss were the most frequent symptoms.

Conclusions

The findings indicate that lung cancer patients undergoing chemotherapy experience significant challenges to their quality of life, particularly in physical functioning and symptom management. These results highlight the critical need for integrating routine QoL assessments into clinical practice to better address patients’ needs and improve supportive care.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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