Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital

Optimizing COPD treatment in patients with lung- or head and neck cancer does not improve quality of life - a randomized, pilot, clinical trial

Research output: Contribution to journalJournal articleResearchpeer-review

  1. The Danish severe asthma register: an electronic platform for severe asthma management and research

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Automatic oxygen titration with O2matic® to patients admitted with COVID-19 and hypoxemic respiratory failure

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Disease self-management in patients with moderate COPD: a thematic analysis

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting

    Research output: Contribution to journalReviewResearchpeer-review

  5. Clinical and daily respiratory care and clinical trials within the COVID-19 era

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Background: Chronic obstructive pulmonary disease (COPD) is a common comorbidity in patients with lung and head- and neck cancer. Patients with lung cancer who also suffer from COPD have a worse prognosis than patients with lung cancer and no COPD. It has previously been shown that diagnosis and treatment of concomitant COPD in patients with newly diagnosed lung- or head and neck cancer need optimization. In this randomized, controlled trial we aimed to assess if intervention directed at improving treatment for COPD in these patients improved health-related quality of life (QoL). Methods: During 2014, we randomized 114 patients referred for oncological treatment at a large university hospital in the Capital Region of Denmark, to either usual care or intervention regarding concomitant COPD. The intervention consisted of two visits in an out-patient clinic established at the oncological department and staffed with a pulmonary physician. At baseline, week 13 and week 25, all patients filled out the cancer- and COPD-specific QoL questionnaires CAT and EORTC, respectively. The primary outcome was change in CAT-score between control- and intervention group. The secondary outcome was change in EORTC. Results: There was no change in CAT-score by week 13 or 25 between the groups. For the EORTC there was a statistically significant improvement only in the fatigue domain at week 13 (p = 0.03), but not at week 25. There was a trend towards less dyspnea in the intervention group at week 13, measured by EORTC (p = 0.07). Mortality by week 25 was similar in both groups. Conclusion: In this population of severely ill cancer patients, we did not find that this intervention, focusing on inhaled COPD medication, for the management of COPD had any convincing positive impact on the patients' perceived quality of life compared with usual care. Further studies are needed.

Original languageEnglish
Article number1731277
JournalEuropean Clinical Respiratory Journal
Issue number1
Publication statusPublished - 2 Mar 2020

    Research areas

  • comorbidity, COPD, lung cancer

ID: 59614549