Quality of Life in Gastric Cancer: Karnofsky's Scale and Spitzer's Index in Comparison at the Time of Surgery in a Cohort of 1081 Patients

Abstract

of life in gastric cancer. Karnofsky's scale and Spitzer's index in comparison at the time of surgery in a cohort of 1081 patients. Scand J Gastroenterol 1987, 22(suppl Karnofsky's performance status scale (KS) and Spitzer's quality of life index (QLI)were used to assess the quality of life of 1081 patients with histologically proven gastric cancer who entered the German multicentre observational field study for the validation of the TNM system for gastric cancer. Age and sex distribution and interscale correlation were examined to obtain information about the validity of the KS and the quality of life of gastric cancer patients. Age and sex distributions revealed two trends: men seemed to have better KS and QLI values than women, and old patients had worse QLI values than young patients. The interscale correlation gave a good -0.72 Spearman's rank correlation coefficient ( p < 0.001). These results showed that KS and QLI had comparable age and sex distributions among gastric cancer patients. Together with the good interscale correlation this means a mutual confirmation of both concepts and of the first contributions for the validation of KS.

Quality of life after curative gastrectomy for gastric cancer in a randomised controlled trial

“…It is noteworthy that female patients were younger and mostly married, but male patients tended to feel better and calmer, suffer less insomnia and have a more positive outlook. This may not be simply explained by different culture roles attributes for men and women, since Koster et al (1987) also recorded the same phenomenon in German gastric cancer patients. Lymph node dissection along the upper border of the pancreas is essential for radical gastric cancer surgery.…”

“…Similar to other observations (Jentschura et al, 1997;Wu et al, 1997a;Davies et al, 1998), patients after a total gastrectomy tended to suffer poorer tolerance of normal food, need for more frequent eating and loss of more body weight than those after a subtotal gastrectomy. And younger patients had better QOL than older (Koster et al, 1987;Wu et al, 1997a). We noted that gender plays an important role in facing gastric cancer.…”

“…Cross-sectional studies (Koster et al, 1987;Kusche et al, 1987;Buhl et al, 1990;Korenaga et al, 1992;Jentschura et al, 1997;Wu et al, 1997a;Zieren et al, 1998;Svedlund et al, 1999;Thybush-Bernhardt et al, 1999) of QOL after gastric cancer surgery provided important background for design of this study, delineating a number of specific hypotheses and research questions related to surgery and survivorship. This report examines QOL of gastric cancer patients receiving either D1 or D3 surgery.…”

"Spitzer Quality of Life Index" and the Elderly Population: Psychometric Properties

“…19 Em estudo comparativo entre o Spitzer´s Index e a escala de Karnofsky com indivíduos portadores de câncer gástrico, idade média 65,3 anos, observou-se correlação de grande magnitude entre os dois instrumentos nessa população (coeficiente de correlação de Spearman -0,72 e p< 0,001). 20 Esse instrumento tem sido usado com sucesso para medir a QV em várias investigações com pacientes portadores de câncer e outras condições clínicas, além de permitir a discriminação entre indivíduos sadios e doentes, e entre pacientes com diferentes estágios de evolução do câncer. Mostra-se, ainda, ferramenta útil para validar outros instrumentos.…”

Quality of Life Using the Korean Version of McMaster Quality of Life Scale in Hospice and Palliative Care Patients

“…마지막으로 총체적인 삶의 질 수준, 신체적인 안녕 감, 기분상태, 통증 등은 질병 예후에 매우 중요한 요인 이기 때문이다 (8). 삶의 질을 사정한 국내 연구가 과거에 있어 왔지만 대부분 외국의 도구를 그대로 번역하거나 수정한 후 타 당성을 검정하지 않은 경우가 있었으며 외국의 경우도 도구에 대한 측정자의 신뢰도를 정확히 검증하지 않은 상태와 측정자를 분명히 밝히지 않거나 환자와 보건의 료 제공자를 구분하지 않고 측정한 값을 합쳐서 받아들 일 수 없는 높은 변이가 보고된 바 있다 (7,9). 삶의 질 도구는 서로 다른 문화에서 광범위하게 사용되고 있기 때문에 교차문화적인 차이에도 불구하고 동등하게 삶 의 질 측면을 측정 할 수 있도록 검증되어야 하며 (10), 최근 들어서 도구의 타당성을 검증한 국내의 연구들이 늘고 있다 (11)(12)(13).…”