Journal of Gastric Cancer

  • 제17권4호
  • /
  • Pages.342-353
  • /
  • 2017
  • /
  • 2093-582X(pISSN)
  • /
  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
권호 표지
DOI QR코드

DOI QR Code

Using Quality of Life Scales with Nutritional Relevance after Gastrectomy: a Challenge for Providing Personalized Treatment

  • Lee, Seung Soo (Department of Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine) ;
  • Yu, Wansik (Gastric Cancer Center, Kyungpook National University Chilgok Hospital, Kyungpook National University School of Medicine) ;
  • Chung, Ho Young (Department of Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine) ;
  • Kwon, Oh Kyoung (Gastric Cancer Center, Kyungpook National University Chilgok Hospital, Kyungpook National University School of Medicine) ;
  • Lee, Won Kee (Center of Biostatistics, Kyungpook National University School of Medicine)
  • 투고 : 2017.09.30
  • 심사 : 2017.12.04
  • 발행 : 2017.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study evaluated the changes in nutritional status based on quality of life (QoL) item-level analysis to determine whether individual QoL responses might facilitate personal clinical impact. Materials and Methods: This study retrospectively evaluated QoL data obtained by the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) and Quality of Life Questionnaire-Stomach (QLQ-STO22) as well as metabolic-nutritional data obtained by bioelectrical impedance analysis and blood tests. Patients were assessed preoperatively and at the 5-year follow-up. QoL was analyzed at the level of the constituent items. The patients were categorized into vulnerable and non-vulnerable QoL groups for each scale based on their responses to the QoL items and changes in the metabolic-nutritional indices were compared. Results: Multiple shortcomings in the metabolic-nutritional indices were observed in the vulnerable groups for nausea/vomiting (waist-hip ratio, degree of obesity), dyspnea (hemoglobin, iron), constipation (body fat mass, percent body fat), dysphagia (body fat mass, percent body fat), reflux (body weight, hemoglobin), dry mouth (percent body fat, waist-hip ratio), and taste (body weight, total body water, soft lean mass, body fat mass). The shortcomings in a single index were observed in the vulnerable groups for emotional functioning and pain (EORTC QLQ-C30) and for eating restrictions (EORTC QLQ-STO22). Conclusions: Long-term postoperative QoL deterioration in emotional functioning, nausea/vomiting, pain, dyspnea, constipation, dysphagia, reflux, eating restrictions, dry mouth, and taste were associated with nutritional shortcomings. QoL item-level analysis, instead of scale-level analysis, may help to facilitate personalized treatment for individual QoL respondents.

키워드

참고문헌

  1. McNeer G, Vandenberg H Jr, Donn FY, Bowden L. A critical evaluation of subtotal gastrectomy for the cure of cancer of the stomach. Ann Surg 1951;134:2-7. https://doi.org/10.1097/00000658-195107000-00002
  2. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer 2011;14:113-123. https://doi.org/10.1007/s10120-011-0042-4
  3. Katsube T, Konnno S, Murayama M, Kuhara K, Sagawa M, Yoshimatsu K, et al. Changes of nutritional status after distal gastrectomy in patients with gastric cancer. Hepatogastroenterology 2008;55:1864-1867.
  4. Kiyama T, Mizutani T, Okuda T, Fujita I, Tokunaga A, Tajiri T, et al. Postoperative changes in body composition after gastrectomy. J Gastrointest Surg 2005;9:313-319. https://doi.org/10.1016/j.gassur.2004.11.008
  5. Armbrecht U, Lundell L, Lindstedt G, Stockbruegger RW. Causes of malabsorption after total gastrectomy with Roux-en-Y reconstruction. Acta Chir Scand 1988;154:37-41.
  6. Bottomley A. The cancer patient and quality of life. Oncologist 2002;7:120-125. https://doi.org/10.1634/theoncologist.7-2-120
  7. Gotay CC, Korn EL, McCabe MS, Moore TD, Cheson BD. Quality-of-life assessment in cancer treatment protocols: research issues in protocol development. J Natl Cancer Inst 1992;84:575-579. https://doi.org/10.1093/jnci/84.8.575
  8. van Knippenberg FC, de Haes JC. Measuring the quality of life of cancer patients: psychometric properties of instruments. J Clin Epidemiol 1988;41:1043-1053. https://doi.org/10.1016/0895-4356(88)90073-X
  9. Calman KC. Quality of life in cancer patients--an hypothesis. J Med Ethics 1984;10:124-127. https://doi.org/10.1136/jme.10.3.124
  10. Spitzer WO, Dobson AJ, Hall J, Chesterman E, Levi J, Shepherd R, et al. Measuring the quality of life of cancer patients: a concise QL-index for use by physicians. J Chronic Dis 1981;34:585-597. https://doi.org/10.1016/0021-9681(81)90058-8
  11. Troidl H, Kusche J, Vestweber KH, Eypasch E, Maul U. Pouch versus esophagojejunostomy after total gastrectomy: a randomized clinical trial. World J Surg 1987;11:699-712. https://doi.org/10.1007/BF01656592
  12. Korenaga D, Orita H, Okuyama T, Moriguchi S, Maehara Y, Sugimachi K. Quality of life after gastrectomy in patients with carcinoma of the stomach. Br J Surg 1992;79:248-250. https://doi.org/10.1002/bjs.1800790321
  13. Tyrvainen T, Sand J, Sintonen H, Nordback I. Quality of life in the long-term survivors after total gastrectomy for gastric carcinoma. J Surg Oncol 2008;97:121-124. https://doi.org/10.1002/jso.20925
  14. 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
  15. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol 1993;11:570-579. https://doi.org/10.1200/JCO.1993.11.3.570
  16. 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
  17. Nunes NA. The quality of life of Brazilian patients in palliative care: validation of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 PAL (EORTC QLQ-C15-PAL). Support Care Cancer 2014;22:1595-1600. https://doi.org/10.1007/s00520-014-2119-1
  18. Carrillo JF, Ortiz-Toledo MA, Salido-Noriega Z, Romero-Ventura NB, Ochoa-Carrillo FJ, Onate-Ocana LF. Validation of the Mexican Spanish version of the EORTC QLQ-H&N35 instrument to measure health-related quality of life in patients with head and neck cancers. Ann Surg Oncol 2013;20:1417-1426. https://doi.org/10.1245/s10434-012-2712-9
  19. Huijer HA, Sagherian K, Tamim H. Validation of the Arabic version of the EORTC quality of life questionnaire among cancer patients in Lebanon. Qual Life Res 2013;22:1473-1481. https://doi.org/10.1007/s11136-012-0261-0
  20. Hoopman R, Muller MJ, Terwee CB, Aaronson NK. Translation and validation of the EORTC QLQ-C30 for use among Turkish and Moroccan ethnic minority cancer patients in the Netherlands. Eur J Cancer 2006;42:1839-1847. https://doi.org/10.1016/j.ejca.2005.08.047
  21. Silpakit C, Sirilerttrakul S, Jirajarus M, Sirisinha T, Sirachainan E, Ratanatharathorn V. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): validation study of the Thai version. Qual Life Res 2006;15:167-172. https://doi.org/10.1007/s11136-005-0449-7
  22. 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
  23. 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
  24. 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
  25. 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

피인용 문헌

  1. Long-Term Nutritional Outcomes of Near-Total Gastrectomy in Gastric Cancer Treatment: a Comparison with Total Gastrectomy Using Propensity Score Matching Analysis vol.18, pp.2, 2018, https://doi.org/10.5230/jgc.2018.18.e21
  2. Whole rat stomach decellularisation using a detergent-enzymatic protocol vol.35, pp.1, 2019, https://doi.org/10.1007/s00383-018-4372-8
  3. Analysis of the Occurrence of Diseases Following Gastrectomy for Early Gastric Cancer: a Nationwide Claims Study vol.21, pp.3, 2017, https://doi.org/10.5230/jgc.2021.21.e29