|標題：Differences in health‐related quality of life between European and Asian patients with hepatocellular carcinoma|
|作品名稱||Differences in health‐related quality of life between European and Asian patients with hepatocellular carcinoma|
|著者||Wei‐chu Chie; Jane M Blazeby; Chin‐Fu Hsiao; Herng‐Chia Chiu; Ronnie T Poon; Naoko Mikoshiba; Gillian Al‐Kadhim; Nigel Heaton; Jozer Calara; Peter Collins; Katharine Caddick; Anna Costantini; Valerie Vilgrain; Chieh Chiang; on behalf of the EORTC Quality of Life Group|
|著錄名稱、卷期、頁數||Asia‐pacific Journal of Clinical Oncology 13(5), e304-e311|
The aim of this study is to explore the possible effects of clinical and cultural characteristics of hepatocellular carcinoma on patients’ health-related quality of life (HRQoL).
Patients with hepatocellular carcinoma from Asian and European countries completed the EORTC QLQ-C30 and the EORTC QLQ-HCC18. Comparisons were made using Student's t-test and Wilcoxon rank-sum test with method of false discovery to correct multiple comparisons. Multiway analysis of variance and model selection were used to assess the effects of clinical characteristics and geographic areas.
Two hundred and twenty-seven patients with hepatocellular carcinoma completed questionnaires. After adjusting for demographic and clinical characteristics, Asian patients still had significantly better HRQoL scores in emotional functioning, insomnia, (QLQ-C30) and in sexual interest (QLQ-HCC18). We also found an interaction in physical functioning (QLQ-C30) and fatigue (QLQ-HCC18) between geographic region and marital status, married European had worse HRQoL scores than Asian singles.
Both clinical characteristics and geographic areas affected the HRQoL in with hepatocellular carcinoma. Cultural differences and clinical differences in the pattern of disease due to active surveillance of Asian countries may explain the results.