KMID : 0939920160480031030
|
|
´ëÇѾÏÇÐȸÁö 2016 Volume.48 No. 3 p.1030 ~ p.1036
|
|
Chronological Changes of Quality of Life in Long-Term Survivors after Gastrectomy for Gastric Cancer
|
|
Yu Wan-Sik
Park Ki-Bum Chung Ho-Young Kwon Oh-Kyoung Lee Seung-Soo
|
|
Abstract
|
|
|
Purpose: A few studies have prospectively evaluated changes in quality of life (QoL) after surgery in short-term survivors; however, no prospective study has evaluated the longitudinal changes in QoL in long-terms survivors. We prospectively evaluated the chronological changes in QoL after a gastrectomy over a 5-year postoperative period in a large group of patients.
Materials and Methods: QoL data from the European Organization for Research and Treatment of Cancer QLQ-C30 and the QLQ-STO22 questionnaires were obtained from 254 patients who completed the entire series of QoL assessments preoperatively and at 1, 2, 3, 4, and 5 years after surgery.
Results: There was no statistically significant change in global health status/QoL during the 5-year postoperative period. Decreases in QoL from upper gastrointestinal symptoms including diarrhea (p < 0.001), dysphagia (p < 0.001), reflux symptoms (p=0.029), and eating restrictions (p < 0.001) were observed among the long-term survivors. Decreased physical functioning (p < 0.001), role functioning (p < 0.001), and cognitive functioning (p < 0.001), along with fatigue (p=0.045) and a poor body image (p=0.003), negatively impacted the patients¡¯ QoL for a long time.
Conclusion: Management of gastrointestinal symptoms should be specifically targeted as a part of long-term patient care after a gastrectomy. Proper nutritional care will improve food intake resulting in weight gain and improved physical functioning, role functioning, and body image. In addition, patients should be encouraged to preserve self-esteem and maintain social activity.
|
|
KEYWORD
|
|
Quality of life, Stomach neoplasms, Gastrectomy
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|