Skip to main content
Top
Published in: Supportive Care in Cancer 12/2011

01-12-2011 | Original Article

The experience of cough in patients diagnosed with lung cancer

Authors: Alex Molassiotis, Matthew Lowe, Jacqueline Ellis, Richard Wagland, Chris Bailey, Mari Lloyd-Williams, Carol Tishelman, Jaclyn Smith

Published in: Supportive Care in Cancer | Issue 12/2011

Login to get access

Abstract

Purpose

The aim of this study was to explore the patient experience of cough in a population of patients with lung cancer.

Methods

A qualitative exploratory study design was developed and elicited the views of 26 patients with lung cancer who had current or past experience with cough.

Results

The data's four themes highlight the complex and distressing nature of cough, including its interaction with other symptoms, such as breathlessness, fatigue and sleep disturbance. A theme around descriptions of cough suggests typically a dry tickly cough and highlights mechanical and environmental triggers for cough. The theme around the effects of cough in daily life shows the impact of cough in socialising, the embarrassment from cough and the psychological effects experienced by patients. The last theme focuses on strategies for coping with and managing cough, showing the perceived ineffectiveness of current antitussives and the patients' use of a variety of approaches on an ad hoc basis to try to manage their cough often unsuccessfully.

Conclusion

Cough has not received the same attention as other cancer symptoms, which means that patients' experience of a distressing and difficult symptom is often unnoticed by health care professionals. More clinical and research attention in this debilitating symptom is necessary.
Literature
1.
go back to reference French CL, Irwin RS, Curley FJ, Krikorian CJ (1998) Impact of chronic cough on quality of life. Arch Intern Med 158(15):1657–1661PubMedCrossRef French CL, Irwin RS, Curley FJ, Krikorian CJ (1998) Impact of chronic cough on quality of life. Arch Intern Med 158(15):1657–1661PubMedCrossRef
2.
go back to reference Young EC, Smith JA (2010) Quality of life in patients with chronic cough. Ther Adv Respir Dis 4:49–55PubMedCrossRef Young EC, Smith JA (2010) Quality of life in patients with chronic cough. Ther Adv Respir Dis 4:49–55PubMedCrossRef
3.
go back to reference Kelsall A, Decalmer S, McGuinness K, Woodcock A, Smith JA (2009) Sex differences and predictors of objective cough frequency in chronic cough. Thorax 64:393–398PubMedCrossRef Kelsall A, Decalmer S, McGuinness K, Woodcock A, Smith JA (2009) Sex differences and predictors of objective cough frequency in chronic cough. Thorax 64:393–398PubMedCrossRef
4.
go back to reference Everett CF, Kastelik JA, Thompson RH, Morice AH (2007) Chronic persistent cough in the community: a questionnaire survey. Cough 3:5PubMedCrossRef Everett CF, Kastelik JA, Thompson RH, Morice AH (2007) Chronic persistent cough in the community: a questionnaire survey. Cough 3:5PubMedCrossRef
5.
go back to reference Dicpinigaitis PV, Tso R, Banauch G (2006) Prevalence of depressive symptoms among patients with chronic cough. Chest 130(6):1839–1843PubMedCrossRef Dicpinigaitis PV, Tso R, Banauch G (2006) Prevalence of depressive symptoms among patients with chronic cough. Chest 130(6):1839–1843PubMedCrossRef
6.
go back to reference Doyle D, Hanks GWC, MacDonald N (eds) (2004) Oxford textbook of palliative medicine, 3rd edn. Oxford University Press, Oxford Doyle D, Hanks GWC, MacDonald N (eds) (2004) Oxford textbook of palliative medicine, 3rd edn. Oxford University Press, Oxford
7.
go back to reference Tishelman C, Petersson LM, Degner LF, Sprangers MA (2007) Symptom prevalence, intensity, and distress in patients with inoperable lung cancer in relation to time of death. J Clin Oncol 25:5381–5389PubMedCrossRef Tishelman C, Petersson LM, Degner LF, Sprangers MA (2007) Symptom prevalence, intensity, and distress in patients with inoperable lung cancer in relation to time of death. J Clin Oncol 25:5381–5389PubMedCrossRef
8.
go back to reference Tishelman C, Lövgren M, Broberger E, Sprangers MAG (2010) Are the most distressing concerns of men and women with inoperable lung cancer adequately assessed? A mixed-methods analysis. J Clin Oncol 28:1942–1949PubMedCrossRef Tishelman C, Lövgren M, Broberger E, Sprangers MAG (2010) Are the most distressing concerns of men and women with inoperable lung cancer adequately assessed? A mixed-methods analysis. J Clin Oncol 28:1942–1949PubMedCrossRef
9.
go back to reference Molassiotis A, Zheng Y, Denton-Cardew L, Swindell R, Brunton L, Wilson B (2010) Symptoms experienced by cancer patients during the first year from diagnosis: patient and informal caregiver ratings and agreement. Palliat Support Care 8:313–324PubMedCrossRef Molassiotis A, Zheng Y, Denton-Cardew L, Swindell R, Brunton L, Wilson B (2010) Symptoms experienced by cancer patients during the first year from diagnosis: patient and informal caregiver ratings and agreement. Palliat Support Care 8:313–324PubMedCrossRef
10.
11.
go back to reference Molassiotis A, Bailey C, Caress A, Brunton L, Smith J (2010) Interventions for cough in cancer. Cochrane Database Syst Rev (9):CD007881 Molassiotis A, Bailey C, Caress A, Brunton L, Smith J (2010) Interventions for cough in cancer. Cochrane Database Syst Rev (9):CD007881
13.
go back to reference Miles MB, Huberman AM (1994) Qualitative data analysis: an expanded sourcebook, 2nd edn. Sage, Thousand Oaks Miles MB, Huberman AM (1994) Qualitative data analysis: an expanded sourcebook, 2nd edn. Sage, Thousand Oaks
14.
go back to reference Richie J, Spencer L (1994) Qualitative data analysis for applied policy research. In: Bryman A, Burgess R (eds) Analysing qualitative data. Routledge, London, pp 173–194CrossRef Richie J, Spencer L (1994) Qualitative data analysis for applied policy research. In: Bryman A, Burgess R (eds) Analysing qualitative data. Routledge, London, pp 173–194CrossRef
15.
go back to reference Henoch I, Ploner A, Tishelman C (2009) Increasing stringency in symptom cluster research: a methodological exploration of symptom clusters in patients with inoperable lung cancer. Oncol Nurs Forum 36:E282–E292PubMedCrossRef Henoch I, Ploner A, Tishelman C (2009) Increasing stringency in symptom cluster research: a methodological exploration of symptom clusters in patients with inoperable lung cancer. Oncol Nurs Forum 36:E282–E292PubMedCrossRef
16.
go back to reference Molassiotis A, Wengström Y, Kearney N (2010) Symptom cluster patterns during the first year after diagnosis with cancer. J Pain Symptom Manage 39:847–858PubMedCrossRef Molassiotis A, Wengström Y, Kearney N (2010) Symptom cluster patterns during the first year after diagnosis with cancer. J Pain Symptom Manage 39:847–858PubMedCrossRef
17.
go back to reference Banthia R, Malcarne VL, Ko CM, Varni JW, Sadler GR (2009) Fatigued breast cancer survivors: the role of sleep quality, depressed mood, stage and age. Psychol Health 24:965–980PubMedCrossRef Banthia R, Malcarne VL, Ko CM, Varni JW, Sadler GR (2009) Fatigued breast cancer survivors: the role of sleep quality, depressed mood, stage and age. Psychol Health 24:965–980PubMedCrossRef
18.
go back to reference Badr H, Taylor CL (2008) Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer. Health Psychol 27:616–627PubMedCrossRef Badr H, Taylor CL (2008) Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer. Health Psychol 27:616–627PubMedCrossRef
19.
go back to reference McGarvey L, McKeagney P, Polley L, MacMahon J, Costello RW (2009) Are there clinical features of a sensitized cough reflex? Pulm Pharmacol Ther 22(2):59–64PubMedCrossRef McGarvey L, McKeagney P, Polley L, MacMahon J, Costello RW (2009) Are there clinical features of a sensitized cough reflex? Pulm Pharmacol Ther 22(2):59–64PubMedCrossRef
20.
go back to reference Vernon M, Leidy NK, Nacson A, Nelsen L (2010) Measuring cough severity: development and pilot testing of a new seven-item cough severity patient-reported outcome measure. Ther Adv Respir Dis 4:199–208PubMedCrossRef Vernon M, Leidy NK, Nacson A, Nelsen L (2010) Measuring cough severity: development and pilot testing of a new seven-item cough severity patient-reported outcome measure. Ther Adv Respir Dis 4:199–208PubMedCrossRef
21.
go back to reference French CT, Irwin RS, Fletcher KE, Adams TM (2002) Evaluation of a cough-specific quality-of-life questionnaire. Chest 121(4):1123–1131PubMedCrossRef French CT, Irwin RS, Fletcher KE, Adams TM (2002) Evaluation of a cough-specific quality-of-life questionnaire. Chest 121(4):1123–1131PubMedCrossRef
22.
go back to reference Birring SS, Prudon B, Carr AJ, Singh SJ, Morgan MD, Pavord ID (2003) Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ). Thorax 58(4):339–343PubMedCrossRef Birring SS, Prudon B, Carr AJ, Singh SJ, Morgan MD, Pavord ID (2003) Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ). Thorax 58(4):339–343PubMedCrossRef
23.
go back to reference Molassiotis A, Bryan G, Caress A, Bailey C, Smith J (2010) Pharmacological and non-pharmacological interventions for cough in adults with respiratory and non-respiratory diseases: a systematic review of the literature. Respir Med 104:934–944PubMedCrossRef Molassiotis A, Bryan G, Caress A, Bailey C, Smith J (2010) Pharmacological and non-pharmacological interventions for cough in adults with respiratory and non-respiratory diseases: a systematic review of the literature. Respir Med 104:934–944PubMedCrossRef
24.
go back to reference Molassiotis A, Smith JA, Bennett MI, Blackhall F, Taylor D, Zavery B, Harle A, Booton R, Rankin EM, Lloyd-Williams M, Morice AH (2010) Clinical expert guidelines for the management of cough in lung cancer: report of a UK Task Group on cough. Cough 6:9. doi:10.1186/1745-9974-6-9 PubMedCrossRef Molassiotis A, Smith JA, Bennett MI, Blackhall F, Taylor D, Zavery B, Harle A, Booton R, Rankin EM, Lloyd-Williams M, Morice AH (2010) Clinical expert guidelines for the management of cough in lung cancer: report of a UK Task Group on cough. Cough 6:9. doi:10.​1186/​1745-9974-6-9 PubMedCrossRef
Metadata
Title
The experience of cough in patients diagnosed with lung cancer
Authors
Alex Molassiotis
Matthew Lowe
Jacqueline Ellis
Richard Wagland
Chris Bailey
Mari Lloyd-Williams
Carol Tishelman
Jaclyn Smith
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 12/2011
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-010-1050-3

Other articles of this Issue 12/2011

Supportive Care in Cancer 12/2011 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine