Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
권호 표지
DOI QR코드

DOI QR Code

Chronological Changes in Quality of Life after Distal Gastrectomy for Gastric Cancer

  • Park, Ki Bum (Gastric Cancer Center, Kyungpook National University Medical Center) ;
  • Lee, Seung Soo (Department of Surgery, Kyungpook National University Hospital) ;
  • Kwon, Oh Kyoung (Gastric Cancer Center, Kyungpook National University Medical Center) ;
  • Chung, Ho Young (Department of Surgery, Kyungpook National University Hospital) ;
  • Yu, Wansik (Gastric Cancer Center, Kyungpook National University Medical Center)
  • Received : 2017.03.02
  • Accepted : 2017.04.24
  • Published : 2017.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Patient quality of life (QoL) may be severely disrupted following distal gastrectomy for gastric cancer. This issue should be addressed to improve postoperative care. Materials and Methods: QoL data from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and its gastric cancer-specific module, were administered to 202 patients preoperatively, and 5 years postoperatively. Patients were classified into subgroups based on their answers to each questionnaire item: group I (good), answering "not at all"; group II (fair), answering "a little"; group III (poor), answering "quite a bit" or "very much." Results: At 5 years post-operation, the proportion of patients in group III on the functional scales ranged from 4.3% to 5.7%. The proportions of patients in group III with fatigue, insomnia, diarrhea, and financial difficulties were 8.9%, 9.0%, 11.5%, and 9.1%, respectively. The proportions of patients in group III with anxiety, dry mouth, body image concerns, and hair loss were 12.8%, 10.5%, 9.9%, and 12.6%, respectively. These proportions were less than 5% for other QoL symptom scales/items and for the gastric cancer-specific module. Conclusions: Most patients reported good or fair QoL following surgery. However, symptom management of fatigue, insomnia, diarrhea, anxiety, dry mouth, body image, and hair loss should be specifically targeted for long-term patient care in approximately 10% of patients.

Keywords

References

  1. Wu CW, Lo SS, Shen KH, Hsieh MC, Lui WY, P'eng FK. Surgical mortality, survival, and quality of life after resection for gastric cancer in the elderly. World J Surg 2000;24:465-472. https://doi.org/10.1007/s002689910074
  2. Sakuramoto S, Sasako M, Yamaguchi T, Kinoshita T, Fujii M, Nashimoto A, et al. Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine. N Engl J Med 2007;357:1810-1820. https://doi.org/10.1056/NEJMoa072252
  3. Lee SS, Chung HY, Yu W. Quality of life of long-term survivors after a distal subtotal gastrectomy. Cancer Res Treat 2010;42:130-134. https://doi.org/10.4143/crt.2010.42.3.130
  4. Kim AR, Cho J, Hsu YJ, Choi MG, Noh JH, Sohn TS, et al. Changes of quality of life in gastric cancer patients after curative resection: a longitudinal cohort study in Korea. Ann Surg 2012;256:1008-1013. https://doi.org/10.1097/SLA.0b013e31827661c9
  5. Karanicolas PJ, Graham D, Gonen M, Strong VE, Brennan MF, Coit DG. Quality of life after gastrectomy for adenocarcinoma: a prospective cohort study. Ann Surg 2013;257:1039-1046. https://doi.org/10.1097/SLA.0b013e31828c4a19
  6. Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993;85:365-376. https://doi.org/10.1093/jnci/85.5.365
  7. Vickery CW, Blazeby JM, Conroy T, Arraras J, Sezer O, Koller M, et al. Development of an EORTC disease-specific quality of life module for use in patients with gastric cancer. Eur J Cancer 2001;37:966-971. https://doi.org/10.1016/S0959-8049(00)00417-2
  8. Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, et al. Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res 2004;13:863-868. https://doi.org/10.1023/B:QURE.0000021692.81214.70
  9. Lee SS, Chung HY, Kwon OK, Yu W. Quality of life in cancer survivors 5 years or more after total gastrectomy: a case-control study. Int J Surg 2014;12:700-705. https://doi.org/10.1016/j.ijsu.2014.05.067
  10. Yu W, Park KB, Chung HY, Kwon OK, Lee SS. Chronological changes of quality of life in long-term survivors after gastrectomy for gastric cancer. Cancer Res Treat 2016;48:1030-1036. https://doi.org/10.4143/crt.2015.398
  11. Lee SS, Chung HY, Kwon OK, Yu W. Long-term quality of life after distal subtotal and total gastrectomy: symptom- and behavior-oriented consequences. Ann Surg 2016;263:738-744. https://doi.org/10.1097/SLA.0000000000001481
  12. Bae JM, Kim S, Kim YW, Ryu KW, Lee JH, Noh JH, et al. Health-related quality of life among disease-free stomach cancer survivors in Korea. Qual Life Res 2006;15:1587-1596. https://doi.org/10.1007/s11136-006-9000-8
  13. Kim YW, Baik YH, Yun YH, Nam BH, Kim DH, Choi IJ, et al. Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: results of a prospective randomized clinical trial. Ann Surg 2008;248:721-727. https://doi.org/10.1097/SLA.0b013e318185e62e
  14. Namikawa T, Oki T, Kitagawa H, Okabayashi T, Kobayashi M, Hanazaki K. Impact of jejunal pouch interposition reconstruction after proximal gastrectomy for early gastric cancer on quality of life: short- and long-term consequences. Am J Surg 2012;204:203-209. https://doi.org/10.1016/j.amjsurg.2011.09.035
  15. Park S, Chung HY, Lee SS, Kwon O, Yu W. Serial comparisons of quality of life after distal subtotal or total gastrectomy: what are the rational approaches for quality of life management? J Gastric Cancer 2014;14:32-38. https://doi.org/10.5230/jgc.2014.14.1.32
  16. Misawa K, Fujiwara M, Ando M, Ito S, Mochizuki Y, Ito Y, et al. Long-term quality of life after laparoscopic distal gastrectomy for early gastric cancer: results of a prospective multi-institutional comparative trial. Gastric Cancer 2015;18:417-425. https://doi.org/10.1007/s10120-014-0374-y
  17. Kobayashi D, Kodera Y, Fujiwara M, Koike M, Nakayama G, Nakao A. Assessment of quality of life after gastrectomy using EORTC QLQ-C30 and STO22. World J Surg 2011;35:357-364. https://doi.org/10.1007/s00268-010-0860-2
  18. Kong H, Kwon OK, Yu W. Changes of quality of life after gastric cancer surgery. J Gastric Cancer 2012;12:194-200. https://doi.org/10.5230/jgc.2012.12.3.194
  19. Park JY, Eom BW, Jo MJ, Yoon HM, Ryu KW, Kim YW, et al. Health-related quality of life after robot-assisted distal gastrectomy in early gastric cancer. World J Surg 2014;38:1112-1120. https://doi.org/10.1007/s00268-013-2390-1
  20. Lee SS, Chung HY, Kwon O, Yu W. Long-term shifting patterns in quality of life after distal subtotal gastrectomy: preoperative- and healthy-based interpretations. Ann Surg 2015;261:1131-1137. https://doi.org/10.1097/SLA.0000000000000832
  21. Stone P, Richards M, Hardy J. Fatigue in patients with cancer. Eur J Cancer 1998;34:1670-1676. https://doi.org/10.1016/S0959-8049(98)00167-1
  22. Frank-Stromborg M, Wright P. Ambulatory cancer patients' perception of the physical and psychosocial changes in their lives since the diagnosis of cancer. Cancer Nurs 1984;7:117-130.
  23. Fernsler J. A comparison of patient and nurse perceptions of patients' self-care deficits associated with cancer chemotherapy. Cancer Nurs 1986;9:50-57.
  24. Rhodes VA, Watson PM, Hanson BM. Patients' descriptions of the influence of tiredness and weakness on self-care abilities. Cancer Nurs 1988;11:186-194.
  25. Glaus A, Crow R, Hammond S. A qualitative study to explore the concept of fatigue/tiredness in cancer patients and in healthy individuals. Eur J Cancer Care (Engl) 1996;5:8-23. https://doi.org/10.1111/j.1365-2354.1996.tb00247.x
  26. Ream E, Richardson A. Fatigue in patients with cancer and chronic obstructive airways disease: a phenomenological enquiry. Int J Nurs Stud 1997;34:44-53. https://doi.org/10.1016/S0020-7489(96)00032-6

Cited by

  1. Impact of body mass index on quality of life after distal gastrectomy for gastric cancer vol.96, pp.5, 2017, https://doi.org/10.4174/astr.2019.96.5.250
  2. Chronological changes in quality of life and body composition after gastrectomy for locally advanced gastric cancer vol.98, pp.5, 2017, https://doi.org/10.4174/astr.2020.98.5.262
  3. Advantages of Distal Subtotal Gastrectomy over Total Gastrectomy in the Quality of Life of Long-Term Gastric Cancer Survivors vol.20, pp.2, 2017, https://doi.org/10.5230/jgc.2020.20.e17
  4. Health‐related quality of life and health utility score of patients with gastric cancer: A multi‐centre cross‐sectional survey in China vol.29, pp.6, 2017, https://doi.org/10.1111/ecc.13283