Quality of life and persisting symptoms after oesophageal cancer surgery

Viklund, Pernilla; Wengström, Yvonne; Rouvelas, Ioannis; Lindblad, Mats; Lagergren, Jesper

doi:10.1016/j.ejca.2006.02.005

Cited by 102 publications

(84 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some evidence suggests that younger individuals with cancer experience more symptoms, poorer QOL, and more psychological distress than older individuals with the disease (Baucom, Porter, Kirby, Gremore, & Keefe, 2005Mosher & Danoff-Burg, 2005;Viklund, Wengstrom, Rouvelas, Lindblad, & Lagergren, 2006). Multiple factors likely are associated with the symptom experience of younger individuals, including the effect of cancer therapies on reproductive status and less expectancy of disease and concomitant symptoms.…”

Section: Discussionmentioning

confidence: 99%

Symptom Clusters in Adults With Chronic Health Problems and Cancer as a Comorbidity

Bender¹,

Engberg²,

Donovan³

et al. 2008

Oncology Nursing Forum

View full text Add to dashboard Cite

Purpose/Objectives-To identify and compare symptom clusters in individuals with chronic health problems with cancer as a comorbidity versus individuals with chronic health problems who do not have cancer as a comorbidity and to explore the effect of symptoms on their quality of life.Design-Secondary analysis of data from two studies. Study 1 was an investigation of the efficacy of an intervention to improve medication adherence in patients with rheumatoid arthritis (RA). Study 2 was an investigation of the efficacy of an intervention for urinary incontinence (UI) in older adults. Setting-School of Nursing at the University of Pittsburgh.Sample-The sample for study 1 was comprised of 639 adults with RA. The sample for study 2 was comprised of 407 adults with UI. A total of 154 (15%) subjects had a history of cancer, 56 (9%) of the subjects with RA and 98 (25%) of the subjects with UI.Methods-Analysis of existing comorbidity and symptom data collected from both studies. Main Research Variables-Symptom clusters, chronic disease, and cancer as a comorbidity.Findings-Individuals with chronic health problems who have cancer may not have unique symptom clusters compared to individuals with chronic health problems who do not have cancer.Conclusions-The symptom clusters experienced by the study participants may be more related to their primary chronic health problems and comorbidities.Implications for Nursing-Additional studies are needed to examine symptom clusters in cancer survivors. As individuals are living longer with the disease, a comprehensive understanding of the symptom clusters that may be unique to cancer survivors with comorbidities is critical.

show abstract

Section: Discussionmentioning

confidence: 99%

Symptom Clusters in Adults With Chronic Health Problems and Cancer as a Comorbidity

Bender¹,

Engberg²,

Donovan³

et al. 2008

Oncology Nursing Forum

View full text Add to dashboard Cite

show abstract

“…For EC patients, their QOL is influenced by a variety of factors (Collard et al, 1992;Boer et al, 2004;Viklund et al, 2006). Patients with gastric carcinoma have an overall poor QOL; age, character types, as well as symptoms such as pains, dysphagia and limited eating all have an influence on patients' QOL (Mercadante et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Influence of Personal Character on Quality of Life of Patients with Esophageal Cancer in North Henan Province and Influencing Factors

Lin

Mingsheng²,

Liu³

et al. 2012

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

The aim of this study was to investigate QoL (quality of life) of patients with esophageal cancer in northern Henan province, China, and to accurate evaluate and reflect the relationship between patient characteristics and QoL. In the high risk area of esophageal cancer in the north of Henan province, 735 patients with esophageal cancer were investigated. The Eysenck personality questionnaire (EPQ) and QoL were analyzed by using the questionnaire of general situation, EPQ, QLQ-C30 and QLQ-OES18. The effects of personal character on the QoL of esophageal carcinoma patients were analyzed by SPSS 11.0 software. The QoL of esophageal cancer patients in Northern Henan region was significantly affected by character. The difference between choleric and type of melancholic temperament types was significant (P<0.01), also in OESEAT, OESTA, OESCO and OESSP (P<0.05). Differences in personal character can thus influence the quality of esophageal cancer patient lives.

show abstract

“…Table 7 summarizes the studies reporting on the most common patient symptoms after surgery. 4,11,42,[44][45][46][47][48][49][50][51][52][53] These indicate a high prevalence of gastrointestinal symptoms. In studies reporting at 12 months or more, symptoms were seen with the following frequency: dumping syndrome 15%-75% (median 46%), dysphagia 11%-38% (median 27%), early satiety 40%-90% (median 65%) and reflux symptoms 19%-61% (median 29%).…”

Section: Later Challenges Nutrition and Weightmentioning

confidence: 99%

Nutritional support and dietary interventions following esophagectomy: challenges and solutions

Paul¹,

Baker²,

Williams³

et al. 2017

NDS

View full text Add to dashboard Cite

Background and aims: Provision of adequate nutrition after esophagectomy remains a major challenge. The aims of this review were to describe the challenges facing this patient population and to determine the evidence base underpinning current nutritional and dietetic interventions after esophagectomy. Methods: Medline, Embase and CINAHL databases were searched for English language publications of the period 1990-2016 reporting on the outcome of nutritional or dietetic interventions after esophagectomy or patient-related symptoms. Results: Four studies demonstrated that early reintroduction of oral fluids was safe and was associated with a shorter hospital stay and ileus duration. One of three studies comparing in-hospital enteral nutrition against usual care showed that enteral feeding was well tolerated and was associated with a shorter hospital stay. Eight studies comparing enteral with parenteral nutrition showed similar surgical complication rates. Enteral feeding was associated with a shorter duration of ileus and lower health care costs. In hospital, all types of enteral access (nasoenteral, jejunostomy) were equivalent in their safety profiles. Cohort studies indicate that technical (tube dysfunction) and feed (diarrhea, distention) problems were common with jejunostomies but are easily managed. The mortality risk associated with jejunostomy in hospital is 0.2% (reported range 0%-1%), principally due to small bowel ischemia. There have been no reports of serious jejunostomy complications in patients receiving home feeding. One study demonstrated the advantages of home feeding in weight, muscle and fat preservation. Studies reporting 12 months or more after esophagectomy indicate a high frequency of persistent symptoms, dumping syndrome 15%-75% (median 46%), dysphagia 11%-38% (median 27%), early satiety 40%-90% (median 65%) and reflux 19%-61% (median 29%). Conclusion: Patients should resume oral intake as soon as possible after surgery. In hospital, all forms of enteral access appear to be safe. Out of hospital, the ability to provide home feeding by feeding jejunostomy is likely where meaningful nutritional improvements can be made. Improving nutrition and related quality of life in the early months might improve the long-term outcome.

show abstract

Quality of life and persisting symptoms after oesophageal cancer surgery

Cited by 102 publications

References 30 publications

Symptom Clusters in Adults With Chronic Health Problems and Cancer as a Comorbidity

Symptom Clusters in Adults With Chronic Health Problems and Cancer as a Comorbidity

Influence of Personal Character on Quality of Life of Patients with Esophageal Cancer in North Henan Province and Influencing Factors

Nutritional support and dietary interventions following esophagectomy: challenges and solutions

Contact Info

Product

Resources

About