Weather-Related Factors and Patient-Reported Outcomes (PROs) in Cancer Patients: Results from the ExPRO Study.

IF 1.8 4区医学 Q3 ONCOLOGY Cancer Investigation Pub Date : 2025-01-01 Epub Date: 2025-01-11 DOI:10.1080/07357907.2024.2447859

Hanna Salm, Martin Eichler, Jeanette Bahr, Dimosthenis Andreou, Christian Schmidt, Sarah Uhlig, Daniel Pink

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Abstract

Objective: The ExPRO (External factors influencing patient reported outcomes of patients with malignant diseases) study explored associations between QoL data and environmental factors on the day of questionnaire completion: mean temperature, sunshine hours, season, and lunar phase.

Methods: We undertook a cross-sectional analysis of baseline data in the prospective cohort study at two cancer centers in eastern Germany. From December 2020 to December 2021, cancer patients completed the EORTC QLQ-C30 questionnaire upon admission. Statistical analysis was performed to explore associations between QoL data and environmental factors, including temperature, sunshine hours, season, and lunar phases.

Results: We received 5040 responses (54% male). QoL scores were highest at 25-30 °C and lowest at 5-10 °C (mean 61.3 vs. 52.6, p <0.001). Insomnia was highest at ≤0 °C and lowest at 25-30 °C (mean 39.3 vs. 29.5, p <0.001). QoL was highest with 8 hours of sunshine and lowest with 0 hours (mean 56.9 vs. 50.9, p = 0.003).

Conclusion: Higher temperatures, more sunshine, and summer seasons are associated with higher QoL in cancer patients, while lower temperatures and reduced sunlight are associated with poorer QoL. These findings highlight the need to consider environmental factors in PRO assessments.

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癌症患者的天气相关因素和患者报告的预后（PROs）：来自ExPRO研究的结果

目的：ExPRO（影响恶性疾病患者报告结果的外部因素）研究探讨问卷完成当天生活质量数据与环境因素（平均温度、日照时数、季节、月相）之间的关系。方法：我们对德国东部两个癌症中心前瞻性队列研究的基线数据进行了横断面分析。2020年12月至2021年12月，癌症患者在入院时填写EORTC QLQ-C30问卷。统计分析了生活质量数据与环境因素（包括温度、日照时数、季节和月相）之间的关系。结果：我们收到5040份回复（54%为男性）。生活质量评分在25-30°C时最高，在5-10°C时最低（平均61.3比52.6,p）。结论：较高的温度、较多的日照和夏季与癌症患者的生活质量较高相关，而较低的温度和较少的日照与较差的生活质量相关。这些发现强调了在评估PRO时考虑环境因素的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Investigation 医学-肿瘤学

CiteScore

3.80

自引率

4.20%

发文量

审稿时长

8.5 months

期刊介绍： Cancer Investigation is one of the most highly regarded and recognized journals in the field of basic and clinical oncology. It is designed to give physicians a comprehensive resource on the current state of progress in the cancer field as well as a broad background of reliable information necessary for effective decision making. In addition to presenting original papers of fundamental significance, it also publishes reviews, essays, specialized presentations of controversies, considerations of new technologies and their applications to specific laboratory problems, discussions of public issues, miniseries on major topics, new and experimental drugs and therapies, and an innovative letters to the editor section. One of the unique features of the journal is its departmentalized editorial sections reporting on more than 30 subject categories covering the broad spectrum of specialized areas that together comprise the field of oncology. Edited by leading physicians and research scientists, these sections make Cancer Investigation the prime resource for clinicians seeking to make sense of the sometimes-overwhelming amount of information available throughout the field. In addition to its peer-reviewed clinical research, the journal also features translational studies that bridge the gap between the laboratory and the clinic.