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http://dx.doi.org/10.5230/jgc.2012.12.3.194

Changes of Quality of Life after Gastric Cancer Surgery  

Kong, Horyon (Department of Surgery, Kyungpook National University Hospital)
Kwon, Oh Kyung (Gastric Cancer Center, Kyungpook National University Medical Center)
Yu, Wansik (Gastric Cancer Center, Kyungpook National University Medical Center)
Publication Information
Journal of Gastric Cancer / v.12, no.3, 2012 , pp. 194-200 More about this Journal
Abstract
Purpose: The aim of this study was to evaluate chronological change of quality of life after surgery in patients with gastric cancer during one year postoperatively. Materials and Methods: Quality of life data were obtained from 272 gastric cancer patients who underwent curative gastrectomy between September 2008 and February 2011 at the Kyungpook National University Hospital. The Korean versions of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core (QLQ) 30 with gastric cancer-specific module, the EORTC QLQ-STO22 were used to assess quality of life. All patients had no evidence of recurrence or metastasis during the first postoperative year. Patients were asked to complete the questionnaire, by themselves preoperatively, 3-, 6-, 9-, and 12-months postoperatively. Results: Physical functioning score and role functioning score significantly decreased at first 3 months after surgery and the significant differences were noticed until 12 months after surgery. Emotional functioning score started with the lowest score before surgery and significant improvement was shown 6 months after surgery. Most symptom scores and STO-22 scores were highest at 3 months after surgery and gradually decreased, thereafter. Eating restriction, anxiety, taste, body image scores was highest at 3 months after surgery without significant decrease afterwards. Conclusions: Most scales worsened after surgery and gradually recovered afterwards with some differences in rate of recovery. However the scales did not fully recover by 1 year period. Further follow-up after 1 year would be helpful in determining which scales are permanently damaged and which are just taking longer time to recover.
Keywords
Stomach neoplasms; Quality of life; Gastrectomy;
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1 Vickery CW, Blazeby JM, Conroy T, Arraras J, Sezer O, Koller M, et al; EORTC Quality of Life Group. Development of an EORTC disease-specific quality of life module for use in patients with gastric cancer. Eur J Cancer 2001;37:966-971.   DOI   ScienceOn
2 Blazeby JM, Conroy T, Bottomley A, Vickery C, Arraras J, Sezer O, et al; European Organisation for Research and Treatment of Cancer Gastrointestinal and Quality of Life Groups. Clinical and psychometric validation of a questionnaire module, the EORTC QLQ-STO 22, to assess quality of life in patients with gastric cancer. Eur J Cancer 2004;40:2260-2268.   DOI   ScienceOn
3 Wu CW, Chiou JM, Ko FS, Lo SS, Chen JH, Lui WY, et al. Quality of life after curative gastrectomy for gastric cancer in a randomised controlled trial. Br J Cancer 2008;98:54-59.   DOI   ScienceOn
4 Schmidt-Matthiesen A, Weidmann R, Sanger P. Longitudinal study on quality of life after gastrectomy for gastric cancer and starting points for intensified care. Zentralbl Chir 2003; 128:304-308.   DOI   ScienceOn
5 Yu W, Chung HY. Quality of life and nutritional outcomes of billroth I and billroth II reconstruction. J Korean Gastric Cancer Assoc 2002;2:91-95.   DOI
6 Yasuda K, Shiraishi N, Etoh T, Shiromizu A, Inomata M, Kitano S. Long-term quality of life after laparoscopy-assisted distal gastrectomy for gastric cancer. Surg Endosc 2007;21:2150-2153.   DOI   ScienceOn
7 Adachi Y, Suematsu T, Shiraishi N, Katsuta T, Morimoto A, Kitano S, et al. Quality of life after laparoscopy-assisted Billroth I gastrectomy. Ann Surg 1999;229:49-54.   DOI   ScienceOn
8 Davies J, Johnston D, Sue-Ling H, Young S, May J, Griffith J, et al. Total or subtotal gastrectomy for gastric carcinoma? A study of quality of life. World J Surg 1998;22:1048-1055.   DOI   ScienceOn
9 Takiguchi S, Yamamoto K, Hirao M, Imamura H, Fujita J, Yano M, et al; Osaka University Clinical Research Group for Gastroenterological Study. A comparison of postoperative quality of life and dysfunction after Billroth I and Roux-en-Y reconstruction following distal gastrectomy for gastric cancer: results from a multi-institutional RCT. Gastric Cancer 2012;15:198-205.   DOI   ScienceOn
10 Kaptein AA, Morita S, Sakamoto J. Quality of life in gastric cancer. World J Gastroenterol 2005;11:3189-3196.
11 Svedlund J, Sullivan M, Liedman B, Lundell L, Sjodin I. Quality of life after gastrectomy for gastric carcinoma: controlled study of reconstructive procedures. World J Surg 1997;21:422-433.   DOI   ScienceOn
12 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.   DOI   ScienceOn
13 Lee SS, Ryu SW, Kim IH, Sohn SS. Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life. Gastric Cancer 2012;15:299-304.   DOI   ScienceOn
14 Munene G, Francis W, Garland SN, Pelletier G, Mack LA, Bathe OF. The quality of life trajectory of resected gastric cancer. J Surg Oncol 2012;105:337-341.   DOI   ScienceOn
15 Kobayashi D, Kodera Y, Fujiwara M, Koike M, Nakayama G, Nakao A. Assessment of quality of life after gastrectomy usingEORTC QLQ-C30 and STO22. World J Surg 2011;35:357-364.   DOI   ScienceOn
16 Yu W, Lee CH, Chung HY. Quality of life after curative surgery in patients with gastric cancer: comparison between a subtotal gastrectomy and a total gastrectomy. J Korean Gastric Cancer Assoc 2001;1:44-49.   DOI
17 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.   DOI   ScienceOn