British journal of hospital medicine (London, England : 2005) · 2026
The Impact of a Multidisciplinary Collaborative Palliative Care Model on the Overall Quality of Life and Medical Costs in Patients With Advanced Lung Cancer.
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Xu Yanyan, Lin Shicheng, Lin Honghua
Аннотация
AIMS/BACKGROUND: Patients with advanced lung cancer experience substantial symptom burden and emotional distress, highlighting the need for improved palliative models. This retrospective study aimed to analyze the impact of a multidisciplinary collaborative palliative care model on the quality of life and medical costs in patients with advanced lung cancer.
METHODS: This retrospective study enrolled 280 patients with advanced lung cancer who received palliative care at Wenzhou Central Hospital. Patients were divided into two groups based on the care they received: a group receiving routine palliative care (routine care group) and another group receiving multidisciplinary collaborative palliative care (multidisciplinary care group). Changes in depression, anxiety, quality of life scores [Functional Assessment of Cancer Therapy-Lung (FACT-L), Functional Assessment of Cancer Therapy-Lung Cancer Subscale (FACT-LCS), Functional Assessment of Cancer Therapy-Lung total outcome index (FACT-L TOI)], sleep quality score [Pittsburgh Sleep Quality Index (PSQI)], overall well-being score [General Well-Being (GWB) scale], and medical costs (daily and total costs) were compared between the two groups before and after the intervention.
RESULTS: After the intervention, the multidisciplinary care group had significantly lower symptoms of depression and anxiety compared to the routine care group (p < 0.05); significantly higher scores in all dimensions of FACT-L, FACT-LCS, and FACT-L TOI (p < 0.05); and a significantly lower PSQI score and a considerably higher GWB score (p < 0.05). Furthermore, the average daily costs and total medical expenses were lower in the multidisciplinary care group than in the routine care group (p < 0.05).
CONCLUSION: A multidisciplinary collaborative palliative care model can significantly reduce negative emotions, enhance quality of life and overall well-being, improve sleep quality, and effectively reduce medical expenses in patients with advanced lung cancer, demonstrating high clinical application value.
METHODS: This retrospective study enrolled 280 patients with advanced lung cancer who received palliative care at Wenzhou Central Hospital. Patients were divided into two groups based on the care they received: a group receiving routine palliative care (routine care group) and another group receiving multidisciplinary collaborative palliative care (multidisciplinary care group). Changes in depression, anxiety, quality of life scores [Functional Assessment of Cancer Therapy-Lung (FACT-L), Functional Assessment of Cancer Therapy-Lung Cancer Subscale (FACT-LCS), Functional Assessment of Cancer Therapy-Lung total outcome index (FACT-L TOI)], sleep quality score [Pittsburgh Sleep Quality Index (PSQI)], overall well-being score [General Well-Being (GWB) scale], and medical costs (daily and total costs) were compared between the two groups before and after the intervention.
RESULTS: After the intervention, the multidisciplinary care group had significantly lower symptoms of depression and anxiety compared to the routine care group (p < 0.05); significantly higher scores in all dimensions of FACT-L, FACT-LCS, and FACT-L TOI (p < 0.05); and a significantly lower PSQI score and a considerably higher GWB score (p < 0.05). Furthermore, the average daily costs and total medical expenses were lower in the multidisciplinary care group than in the routine care group (p < 0.05).
CONCLUSION: A multidisciplinary collaborative palliative care model can significantly reduce negative emotions, enhance quality of life and overall well-being, improve sleep quality, and effectively reduce medical expenses in patients with advanced lung cancer, demonstrating high clinical application value.