“It changes everything”: Understanding how people experience the impact of living with a lower-grade glioma

作者：Ben Rimmer, Michelle Balla, Lizzie Dutton, Sophie Williams, Joanne Lewis, Pamela S. Gallagher, Tracy L Finch, Richéal Burns, Vera Araújo‐Soares, Fiona Menger, Linda A. Sharp, Ways Ahead Study Team, Sara Erridge, Pauline Sturdy, Catherine A. McBain · 发表于：Neuro-Oncology Practice · 年份：2024 · DOI：10.1093/nop/npae006 · 被引用次数：23 · 研究领域：Cancer-related cognitive impairment studies、Glioma Diagnosis and Treatment、Cancer survivorship and care

Abstract Background Quantitative studies show people living with a lower-grade glioma (LGG) often report low health-related quality of life. However, it is unclear how this impact is experienced; resulting supportive care needs are also poorly understood. We explored how people experience the impact of living long-term with an LGG, to help identify potential supportive care needs. Methods We conducted semi-structured interviews with a diverse group of people with LGG (n = 28) across the United Kingdom, who had completed primary treatment (male n = 16, female n = 12, mean age 54.6 years, mean time since diagnosis 8.7 years). Interviews were transcribed and inductive thematic analysis was conducted. Results Four themes relating to the impact experiences of people with LGG were generated: “Emotional response to the diagnosis,” “Living with the ‘What ifs’,” “Changing relationships,” and “Faltering independence.” These reflect participants’ experiences with symptoms (eg, fatigue, seizures) and impairments (eg, motor dysfunction, cognitive deficits), and how these, in turn, drive impacts on daily living (including on work, relationships, social activities, and transport). Participants spoke about their experiences with profound emotion throughout. Conclusions People with LGG can experience wide-ranging everyday impacts and may have extensive supportive care needs. This study highlights how this impact is experienced and what it means to people with LGG. Best practice suggestions fo...