tailieunhanh - báo cáo khoa học:" Does self-regulation and autonomic regulation have an influence on survival in breast and colon carcinoma patients? results of a prospective outcome study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Does self-regulation and autonomic regulation have an influence on survival in breast and colon carcinoma patients? results of a prospective outcome study | Kroz et al. Health and Quality of Life Outcomes 2011 9 85 http content 9 1 85 HEALTH AND QUALITY OF LIFE OUTCOMES RESEARCH Open Access Does self-regulation and autonomic regulation have an influence on survival in breast and colon carcinoma patients results of a prospective outcome study 4 5 6 3 Matthias Kroz 1 Marcus Reif4 5 Arndt Bussing Roland Zerm 1 Gene Feder Angelina Bockelbrink Hans Broder von Laue7 Harald Matthes H1 2 Stefan N Willich3 and Matthias Girke1 2 Abstract Background Cancer Related Fatigue CRF and circadian rhythm have a great impact on the quality of life HRQL of patients with breast BC and colon cancer CRC . Other patient related outcomes in oncology are measured by new instruments focusing on adaptive characteristics such as sense of coherence or self-regulation which could be more appropriate as a prognostic tool than classical HRQL. The aim of this study was to assess the association of autonomic regulation aR and self-regulation SR with survival. Methods 146 cancer patients and 120 healthy controls took part in an initial evaluation in 2000 2001. At a median follow up of years later 62 of 95 BC 17 of 51 CRC patients and 85 of 117 healthy controls took part in the follow-up study. 41 participants had died. For the follow-up evaluation participants were requested to complete the standardized aR and SR questionnaires. Results On average cancer patients had survived for years with the disease. Using a Cox proportional hazard regression with stepwise variables such as age diagnosis group Charlson co-morbidity index body mass index BMI aR and SR. SR were identified as independent parameters with potential prognostic relevance on survival While aR did not significantly influence survival SR showed a positive and independent impact on survival OR 95 -CI - . This positive effect persisted significantly in the sensitivity analysis of the subgroup of tumour patients and in the subscale Achieve .