In total, 308 brain tumor patients (excluding the pathologically confirmed non-cancer patients after surgery) were enrolled between July 2008 and December 2008, of whom 92 (29.87%) were pathologically confirmed glioma patients. Glioma patient characteristics at enrollment are shown in Table
1. Of the 92 patients evaluated, 57% were male, and the median age was 42 years (range, 4-76). The median KPS score was 90, and 21.74% of patients had abnormal cognition. There were 85.87% supratentorial tumors, of which 40.5% were located in the left hemisphere. There were 79 patients with newly diagnosed glioma and 13 patients with recurrent glioma. Table
2 shows the means, standard deviations, median and mode for the multi-item and single-item measures of the QLQ-C30. The proportions of all glioma patients with different scores at baseline prior to surgery in the functioning and symptom domains are shown in Additional file
1: Table S1. The full range of possible scores was observed for all measures except for emotional and cognitive functioning scales (range, 17-100). Score distributions were negatively skewed for all the functioning scales (i.e., more patients scored toward maximum functioning). The median values of social, emotional, cognitive, physical and role functioning were 66.7, 75.0, 83.3, 86.7 and 91.7, respectively. Of the patient, 84.8% reported emotional impairment, 75% reported social and cognitive impairment, 70.7% reported physical impairment, and 50% reported role impairment. Therefore, the patients reported more and severer difficulties in emotional and social domains than in cognitive, physical and role functioning. The median values were higher for symptoms of fatigue (33.3), pain (25) and appetite loss (16.7) than for others (0). Eighty-two percent of patients reported fatigue symptoms, 72.8% reported pain, 50% reported appetite loss, 39.1% reported insomnia, and 36.9% reported nausea/vomiting, whereas other symptoms (dyspnea, diarrhea, and constipation) in the QLQ-C30 were reported in less than 30% of all patients. For global health status/QoL, 47.8% patients reported scores of 50 or less. We further analyzed the relationships between the item-evaluating scales and single items in the QLQ-C30. The results revealed that there was a significant correlation between global health status/QoL and fatigue (r
s = -.64, p < .001), physical functioning (r
s = .62, p < .001), emotional functioning (r
s = .57, p < .001), role functioning (r
s = .57, p < .001), cognitive functioning (r
s = .55, p < .001), pain (r
s = -.56, p < .001), and social functioning (r
s = .50, p < .001). In addition to global health status/QoL, fatigue was significantly correlated with physical functioning (r
s = -.738, p < .001), cognitive functioning (r
s = -.619, p < .001), role functioning (r
s = -.631 p < .001), pain (r
s = .59, p < .001), emotional functioning (r
s = -.527, p < .001), appetite loss (r
s = .50, p < .001) and social functioning (r
s = -.457, p < .001).
Table 1
Patient characteristics at enrollment.
Gender | |
Male | 57(61.96%) |
Female | 35(38.04%) |
Median age at diagnosis | 42 (range, 3-76) |
Tumor type | |
A^ | 17(18.47) |
OL^ | 7(7.61) |
OA | 9(9.78) |
AA^ | 11(11.96) |
AO^ | 2(2.17) |
AOA | 6(6.52) |
GBM | 34(36.96) |
Other§
| 6(6.52) |
WHO grade | |
I | 3(3.26) |
II | 35(38.04) |
III | 20(21.74) |
IV | 34(36.96) |
Tumor location | |
Sub | 13(14.13) |
Sup | 79(85.87) |
Frontal lobe | 22(27.85) |
Temporal lobe | 21(26.58) |
Parietal lobe | 6(7.59) |
Occipital lobe | 1(1.27) |
Multiple lobes | 23(29.11) |
Other | 6(7.60) |
Tumor hemisphere | |
Left | 32(40.50) |
Right | 44(55.70) |
Both | 3(3.80) |
KPS | |
100 | 4(4.3) |
90 | 40(43.5) |
80 | 20(21.7) |
70 | 7(7.6) |
60 | 5(5.4) |
50 | 6(6.5) |
<50 | 2(2.2) |
Unknown | 8(8.7) |
Cognitive function | |
Normal | 71(77.17) |
Abnormal | 20(21.74) |
Unknown | 1(1.09) |
Table 2
Descriptive statistics of QLQ-C30 in glioma patients.
Functioning scales^ | | | | |
PF | 1-5 | 79.7(25.1) | 86.7 | 100 |
RF | 6, 7 | 75.9(30.2) | 91.7 | 100 |
EF | 21-24 | 75.8(18.6) | 75.0 | 66.7 |
CF | 20, 25 | 75.0(21.8) | 83.3 | 83.3 |
SF | 26, 27 | 69.2(26.7) | 66.7 | 66.7 |
QL | 29, 30 | 54.3(28.7) | 58.3 | 83.3 |
Symptom scales and/or items§ | | | | |
FA | 10, 12, 18 | 34.1(25.1) | 33.3 | 33.3 |
NV | 14, 15 | 14.1(24.9) | 0.0 | 0 |
PA | 9, 19 | 28.3(27.2) | 25.0 | 33.3 |
DY | 8 | 11.4(19.4) | 0.0 | 0 |
SL | 11 | 21.7(32.6) | 0.0 | 0 |
AP | 13 | 23.2(28.3) | 16.7 | 0 |
CO | 16 | 14.5(25.8) | 0.0 | 0 |
DI | 17 | 4.0(11.9) | 0.0 | 0 |
FI | 28 | 44.6(34.7) | 33.3 | 33.3 |