Long-term quality of life after laparoscopic distal gastrectomy for early gastric cancer: results of a prospective multi-institutional comparative trial

Misawa, Kazunari; Fujiwara, Michitaka; Ando, Masahiko; Ito, Seiji; Mochizuki, Yoshinari; Ito, Y.; Onishi, Eiji; Ishigure, Kiyoshi; Morioka, Yuki; Takase, Tsunenobu; Watanabe, Takuya; Yamamura, Yoshitaka; Morita, Satoshi; Kodera, Yasuhiro

doi:10.1007/s10120-014-0374-y

Cited by 50 publications

(39 citation statements)

References 26 publications

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“…Postoperative QoL in patients receiving gastrectomy is dependent on the extent of the gastric resection, the reconstruction type, and the abdominal approach method [1213141516]. Because QoL is one of the overall flow indicators for managing patients following gastrectomy, it is important to understand long-term chronological QoL changes, in general, after gastrectomy.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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PurposePatient 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 MethodsQoL 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.”ResultsAt 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.ConclusionsMost 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.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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“…Although surgery is the standard curative treatment, it is among those that most affect quality of life and lead to distress . Surgery tends to cause a major deterioration in patients' health‐related quality of life (HRQoL) with a slow and long recovery . Between the presurgery and postsurgery stages, although patients report a stabilization of their anxiety level, they generally experience an increase in their depression symptoms .…”

Section: Introductionmentioning

confidence: 99%

The role of trait emotional intelligence in quality of life, anxiety and depression symptoms after surgery for esophageal or gastric cancer: A French national database FREGAT

et al. 2019

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Objective The main objective was to test the indirect effects of emotional competence (EC) after diagnosis (T1) on the health‐related quality of life (HRQoL) after surgery (T2) of esogastric cancer patients via fewer anxiety and depression symptoms (T2). Methods Data were collected from 30 French centers via the clinicobiological database French EsoGastric Tumors (FREGAT). Two hundred and twenty‐eight participants completed a self‐reported questionnaire at T1 and T2, assessing their EC (Profile of Emotional Competence (PEC)), HRQoL (EORTC Quality of Life Questionnaire‐Core (QLQ‐C30)), and anxiety and depression symptoms (Hospital Anxiety and Depression Scale (HADS)). Regression analyses were used to test the direct effects of intrapersonal and interpersonal EC on their anxiety/depression symptoms and HRQoL at T1 and T2. The PROCESS Macro in SPPS v.22 with bootstrap methods was used to test the indirect effects of intrapersonal and interpersonal EC at T1 on HRQoL at T2 via anxiety and depression symptoms. Results EC predicted fewer anxiety and depression symptoms of patients at T1 and T2 and better HRQoL at T1. EC at T1 also predicted a better HRQoL at T2 via fewer anxiety and depression symptoms at T2. Conclusions Patients who tended to use their EC in daily life could be more effective in regulating the emotional impact of the cancer diagnosis and surgery. This explains why they reported fewer anxiety and depression symptoms, which in turn enabled a better perceived HRQoL after surgery. Therefore, reinforcing the use of patients' EC in daily life following their diagnosis could decrease their emotional distress and, in this way, improve their HRQoL in the preoperative and postoperative stages.

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“…The authors previously conducted a multi-institutional nonrandomized trial to compare the postoperative health-related QOL between open and laparoscopic distal gastrectomy using the European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 [15]. We found that the postoperative 18 appetite loss reached the lowest value on POM 1 and gradually recovered thereafter.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Recovery after Open and Laparoscopic Distal Gastrectomy for Early Gastric Cancer: A Prospective Multicenter Comparative Trial (CCOG1204)

Matsushita

Tanaka²,

Murotani³

et al. 2017

Dig Surg

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Background: Little information from prospective clinical trials is available on the influences of surgical approaches on postoperative body compositions and nutritional status. We designed a prospective non-randomized trial to compare postoperative chronological changes in body composition and nutritional status between laparoscopic and open distal gastrectomy for stage I gastric cancer (GC). Methods: Body compositions and nutritional indicators in blood tests were measured at the baseline and at the 1st, 3rd, 6th, and 12th postoperative months (POM). The primary end point was the decrease relative to the baseline in the body muscle mass at POM 6. Results: Ninety-six patients for the laparoscopic group and 52 for the open group were eligible for data analysis. No significant differences were found in any baseline demographics, body compositions, and nutritional indicators between the groups. The changes of body muscle mass at POM 6 were similar in both groups. Overall, no significant differences between the groups were observed in any of the body composition and nutritional indicators during the first year after surgery. Conclusions: Postoperative body compositions and nutritional status were not affected by surgical approaches during the first 12 months after surgery in patients who underwent distal gastrectomy for stage I GC.

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Long-term quality of life after laparoscopic distal gastrectomy for early gastric cancer: results of a prospective multi-institutional comparative trial

Cited by 50 publications

References 26 publications

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

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

The role of trait emotional intelligence in quality of life, anxiety and depression symptoms after surgery for esophageal or gastric cancer: A French national database FREGAT

Nutritional Recovery after Open and Laparoscopic Distal Gastrectomy for Early Gastric Cancer: A Prospective Multicenter Comparative Trial (CCOG1204)

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