VZL 2007, 76(5):192-199

The Effect of Selected Demographic, Psychosocial and Healthy Aspects on Quality of Life of Patients with Multiple Myeloma and Acute Myeloid Leukaemia Undergoing Autologous Haematopoietic Stem Cell Transplantation: A Retrospective Analysis (Dissertation thesis)

Ladislav Slováček1,2
1 University of Defence, Faculty of Military Health Sciences, Department of Field Internal Medicine, Hradec Kralove, Czech Republic
2 University Hospital and Faculty of Medicine of Charles University in Prague, Department of Clinical Oncology and Radiotherapy, Hradec Kralove, Czech Republic

Aim: The study analyses the quality of life (QoL) in patients with multiple myeloma (MM) and acute myeloid leukaemia (AML) undergoing autologous haematopoietic stem cell transplantation (HSCT).

Patients and Methods: The total number of respondents with AML was 12 (7 male, 5 female). The total number of respondents with MM was 32 (18 male, 14 female). The average age of patients with AML was 47.5 years and average age of patients with MM was 60 years. The Czech version of an international generic European Quality of Life Questionnaire - Version EQ-5D was used. The effect of selected psychosocial, health and demographic aspects on QoL in patients was determined by means of variance analysis. The descriptive analysis was used for evaluation of QoL questionnaires.

Results: The above-mentioned aspects proved a statistically significant dependence of QoL (EQ-5D score and EQ-5D VAS) on age in both cohorts (p<0,01), religion in AML cohort (p<0,05), smoking abuse in both cohorts (p<0,01), level of education in AML cohort (p<0,05), increasing number of associated diseases in both cohorts (p<0,05) and type of disease (p<0,05).

Conclusion: The global QoL in patients with AML is at a higher level than in patients with MM treated by means of autologous PSCT.

Keywords: Quality of life; Haematopoietic stem cell transplantation; Acute myeloid leukaemia; Multiple myeloma

Received: April 4, 2007; Published: December 1, 2007  Show citation

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Slováček, L. (2007). The Effect of Selected Demographic, Psychosocial and Healthy Aspects on Quality of Life of Patients with Multiple Myeloma and Acute Myeloid Leukaemia Undergoing Autologous Haematopoietic Stem Cell Transplantation: A Retrospective Analysis (Dissertation thesis). Vojenské Zdravotnické Listy76(5), 192-199
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References

  1. ADAM, Z., et al. Quality of life and tolerance of maintenance therapy in patients with multiple myeloma. Czech and Slovak J. Internal Med., 2002, vol. 48, no. 3, p. 216-229.
  2. ANDĚL, M. Internal Medicine - Part IIIb - Hematology. Praha, Galen, 2001.
  3. ANDRYKOWSKI, MA. - GREINER, CB. - ALTMAIER, EM. Quality of life following bone marrow transplantation: finding from a multicentre study. J. Cancer, 1995, vol. 71, no. 6, p. 1322-1329. Go to original source... Go to PubMed...
  4. BACH, K., et al. A method to improve nursing care and its effect on the rehabilitation of patients undergoing autologous bone marrow transplantation. EBMT Nurses Group Journal, 1995, no. 1, p. 36-38.
  5. BADIA, X. - HERDMAN, M. - SHIAFFINO, A. Determining correspondence between scores on the EQ-5D "thermometer" and a 5-point categorical rating scale. Med. Care, 1999, vol. 37, no. 7, p. 671-677. Go to original source... Go to PubMed...
  6. BAKER, F. - ZABORA, J. - POLLAND, A. Reintegration after bone marrow transplantation. Cancer Pract., 1999, vol. 7, no. 4, p. 190-197. Go to original source... Go to PubMed...
  7. BOYLE, D. - BLODGET, L. - GNESDILOFF, S. Caregiver quality of life after autologous bone marrow transplantation. Cancer Nurs., 2000, vol. 23, no. 3, p. 193-203. Go to original source... Go to PubMed...
  8. BOYD, C. Quality of Life: Patient education for bone marrow transplant patients. Is it more effective if your patient is a health care professional? EBMT Nurses Group Journal, 1994, no. 1, p. 16-20.
  9. BROERS, S. - KAPTEIN, AA. - LE CESSIE, S. Psychological functioning and quality of life following bone marrow transplantation: a 3-year follow-up study. J. Psychosom. Res., 2000, vol. 48, no. 1, p. 11-21. Go to original source... Go to PubMed...
  10. BUSSCHBACH, JJ. - MC DONNELL, J. - ESSINK-BOT, ML. Etimating parametric relationships between health desciption and health valuation with an application to the EuroQol EQ-5D. J. Health Econ., 1999, vol. 18, no. 5, p. 551-571. Go to original source... Go to PubMed...
  11. CARLSON, LE. - MAC RAE, JH. Quality of life issues following autologous bone marrow transplantation. Expert. Rev. Pharmacoeconomics Outcomes Res., 2002, vol. 2, no. 2, p. 129-146. Go to original source... Go to PubMed...
  12. CHANG, G., et al. Predictors of 1-year survival assessed at the time of bone marrow transplantation. Psychosomatics, 2004, vol. 45, no. 5, p. 378-385. Go to original source... Go to PubMed...
  13. CHIODI, S. - SPINELLI, S. - RAVERA, C. Quality of life in 244 recipients of allogeneic bone marrow transplantation. Br. J. Haematol., 2000, vol. 10, no. 3, p. 614-619. Go to original source... Go to PubMed...
  14. DE SOUZA, CA. - DURAES, MIC. - VIGORITO, AC. Quality of life in patients randomized to receive a bone marrow or a peripheral blood transplantation. Haematologica, 2002, vol. 87, no. 12, p. 1281-1285. Go to PubMed...
  15. DLOUHÝ, M., et al. Health Aspects of Quality of Life in Older Czech Population. Kostelec nad Černými lesy, The Institut of Czech Health policy and economy, 2001.
  16. DURAES, MIC. Influencia da fonte de célula (progenitora periférica ou medula óssea) na qualidada de vida de pacientes onco-hematológicos submetidos ao transplante alogenico de medula óssea. Rev. Bras. Haematol. Hemoter., 2002, vol. 24, no. 1, p. 63-64. Go to original source...
  17. FERRELL, BR. - GRANT, MM. Quality of Life Scale: Bone Marrow Transplant. In Quality of Life from Nursing and Patient Perspectives: Theory, Research, Practice. Jones and Bartlett Publishers, 2nd Edition, 2003, 455-465.
  18. GRANT, MM., et al. Measurement of quality of life in bone marrow transplantat survivors. Qual. Life Res., 1992, vol. 1, no. 6, p. 375-384. Go to original source... Go to PubMed...
  19. HAYES, S. - DAVIES, PS. - PARKER, T. Quality of life changes following peripheral blood stem cell transplantation and participation in a mixed-type, moderate-intensity, exercise program. Bone Marrow Transplant., 2004, vol. 8, no. 6, p. 156-172. Go to original source... Go to PubMed...
  20. HEINONEN, H. - VOLIN, L. - UUTELA, A. Gender-associated differences in the quality of life after allogeneic BMT. Bone Marrow Transplant., 2001, vol. 28, no. 5, p. 503-509. Go to original source... Go to PubMed...
  21. HEINONEN, H. - VOLIN, L. - UUTELA, A. Quality of life and factors related to perceived satisfaction with quality of life after allogeneic bone marrow transplantation. Ann. Hematol., 2001, vol. 80, p. 3, p. 137-143. Go to original source... Go to PubMed...
  22. HOLZNER, B., et al. Quality of life measurement in oncology - a matter of the assessment instrument? Eur. J. Cancer, 2001, vol. 37, no. 18, p. 2349-2356. Go to original source... Go to PubMed...
  23. KISS, TL., et al. Long-term medical outcomes and quality of life assessment of patients with chronic myeloid leukemia followed at least 10 years after allogeneic bone marrow transplantation. J. Clin. Oncol., 2002, vol. 20, no. 9, p. 2334-2343. Go to original source... Go to PubMed...
  24. KLENER, P., et al. Czech Book of Clinical Oncology. Praha, Galen, 2002.
  25. KOPP, M. - SCHWEIGKOFLER, H. - HOLZNER, BB. EORTC QLQ-C30 and FACT-BMT for the measurement of quality of life in bone marrow transplantat recipients: a comparison. Eur. J. Haematol., 2000, vol. 65, no. 2, p. 97-103. Go to original source... Go to PubMed...
  26. MESANYOVÁ, M. - ŠIMEK, J. Bone Marrow Transplantation for Overview of Patient. Czech Practicioner, 2004, vol. 84, no. 9, p. 536-540.
  27. MOUNIER, N., et al. Quality of life adjusted survival analysis of high-dose therapy with autologous bone marrow transplantation versus sequential chemotherapy for patients with aggressive lymphoma in first complete remission. Groupe d'Étude les Lymphomes de l'Ádult (GELA). Blood, 2000, vol. 95, no. 12, p. 3687-3692.
  28. POSPÍŠILOVÁ, LJ. The Spirituality. Praha, Institut of Spirituality Studies, 2004.
  29. REDAELLI, A., et al. Short and long term effects of acute myeloid leukemia on patient health-related quality of life. Cancer Treat. Rev., 2004, vol. 30, no. 1, p. 103-117. Go to original source... Go to PubMed...
  30. SALAJKA, F. Quality of Life in Oncological Patients. Czech and Slovak J. Clin. Oncol., 2001, no. 1, p. 27-29.
  31. SALEH, US. - BROCKOPP, DY. Quality of life one year following bone marrow transplantation: psychometric evaluation of the quality of life in bone marrow transplantation survivors tool. Oncol. Nurs. Forum, 2001, vol. 28, no. 9, p. 1457-1464. Go to PubMed...
  32. SLOVÁČEK, L. - SLOVÁČKOVÁ, B. - JEBAVÝ, L. Global Quality of Life in Patients Who Underwent the Hematopoietic Stem Cell Transplantation: Finding from Transversal and Retrospective Study. Exp. Oncol., 2005, no. 3, p. 238-242.
  33. SO, WK. - DODGSON, J. - TAI, JW. Fatigue and quality of life among Chinese patients with hematologic malignancy and bone marrow transplantation. Cancer Nurs., 2003, vol. 26, no. 3, p. 211-219. Go to original source... Go to PubMed...
  34. THE EUROQOL. EuroQol - a new facility for the measurement of health-related quality of life. Health Policy, 1990, vol. 16, no. 3, p. 199-208. Go to original source... Go to PubMed...
  35. VAN AGTHOVEN, M. - VELLENGS, E. - FIBBE, WE. Cost analysis and quality of life assessment comparing undergoing autologous peripheral blood stem cell transplantation or autologous bone marrow transplantation for refractory or relapsed non-Hodgkins lymphoma or Hodgkins disease, a prospective randomised trial. Eur. J. Cancer, 2001, vol. 37, no. 14, p. 1781-1789. Go to original source... Go to PubMed...
  36. WANG, WQ. - LIN, GW. Study on quality of life in long-term survivors with acute leukemia in Shanghay. Zhonghua Liu Xing Bing Xue Za Zhi, 2003, vol. 24, no. 11, p. 1049-1051. Go to PubMed...
  37. WONG, R. - GIRALT, SA. - MARTIN, T. Reduced-intensity conditioning for unrelated donor hematopoetic stem cell transplantation as treatment for myeloid malignancies in patients older than 55 years. Blood, 2003, vol. 102, no. 8, p. 3052-3059. Go to original source... Go to PubMed...
  38. ZITTOUN, R. - ACHARD, S. - RUSZNIEWSKI, M. Assessement of quality of life during intensive chemotherapy bone marrow transplantation. Psychooncology, 1999, vol. 8, no. 1, p. 64-73. Go to original source...