Assessment of Quality of Life After Gastrectomy Using EORTC QLQ-C30 and STO22

被引:119
作者
Kobayashi, Daisuke [1 ]
Kodera, Yasuhiro [1 ]
Fujiwara, Michitaka [1 ]
Koike, Masahiko [1 ]
Nakayama, Goro [1 ]
Nakao, Akimasa [1 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Surg 2, Showa Ku, Aichi 4668550, Japan
关键词
ASSISTED DISTAL GASTRECTOMY; RANDOMIZED CONTROLLED-TRIAL; EARLY GASTRIC-CANCER; SUBTOTAL GASTRECTOMY; EUROPEAN-ORGANIZATION; CARCINOMA; VALIDATION; JAPANESE; SURVIVAL; SURGERY;
D O I
10.1007/s00268-010-0860-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
The European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Cancer (QLQ-C30) and the site-specific module for gastric cancer (QLQ-STO22) have seldom been used to measure the postoperative health-related quality of life (HRQOL) in Japanese gastric cancer patients. The aim of this study was to evaluate the HRQOL after gastrectomy using these instruments and to compare various aspects of HRQOL among surgical procedures. A total of 98 patients who underwent gastrectomy and had no recurrence were evaluated. Among them, we compared the differences between major surgical procedures consisting of open total gastrectomy (TG, n = 8), open distal gastrectomy (DG, n = 24), and laparoscopy-assisted distal gastrectomy (LADG, n = 44). Questionnaires were completed at baseline and at 1, 3, 6 and 12 months postoperatively. The worst scores for most of the items were observed at 1 month after surgery and usually improved thereafter. Scores after TG were the worst of all surgical procedures across all dimensions throughout the period. Scores after LADG were generally superior to those after DG at 1 and 3 months postoperatively but not at 12 months. EORTC QLQ-C30 and STO22 detected differences in several aspects of HRQOL among patients treated by the three surgical procedures. The laparoscopic approach resulted in superior short-term outcomes, whereas TG continued to affect the HRQOL in several items 12 months after surgery.
引用
收藏
页码:357 / 364
页数:8
相关论文
共 26 条
  • [1] THE EUROPEAN-ORGANIZATION-FOR-RESEARCH-AND-TREATMENT-OF-CANCER QLQ-C30 - A QUALITY-OF-LIFE INSTRUMENT FOR USE IN INTERNATIONAL CLINICAL-TRIALS IN ONCOLOGY
    AARONSON, NK
    AHMEDZAI, S
    BERGMAN, B
    BULLINGER, M
    CULL, A
    DUEZ, NJ
    FILIBERTI, A
    FLECHTNER, H
    FLEISHMAN, SB
    DEHAES, JCJM
    KAASA, S
    KLEE, M
    OSOBA, D
    RAZAVI, D
    ROFE, PB
    SCHRAUB, S
    SNEEUW, K
    SULLIVAN, M
    TAKEDA, F
    [J]. JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1993, 85 (05) : 365 - 376
  • [2] IMPROVING SURVIVAL IN GASTRIC-CANCER - REVIEW OF 5-YEAR SURVIVAL RATES IN ENGLISH-LANGUAGE PUBLICATIONS FROM 1970
    AKOH, JA
    MACINTYRE, IMC
    [J]. BRITISH JOURNAL OF SURGERY, 1992, 79 (04) : 293 - 299
  • [3] SYMPTOMATIC OUTCOME FOLLOWING RESECTION OF GASTRIC-CANCER
    ANDERSON, ID
    MACINTYRE, IMC
    [J]. SURGICAL ONCOLOGY-OXFORD, 1995, 4 (01): : 35 - 40
  • [4] Health-related quality of life and survival in the 2 years after surgery for gastric cancer
    Avery, K.
    Hughes, R.
    McNair, A.
    Alderson, D.
    Barham, P.
    Blazeby, J.
    [J]. EJSO, 2010, 36 (02): : 148 - 154
  • [5] Clinical and psychometric validation of a questionnaire module, the EORTC QLQ-STO 22, to assess quality of life in patients with gastric cancer
    Blazeby, JM
    Conroy, T
    Bottomley, A
    Vickery, C
    Arraras, J
    Sezer, O
    Moore, J
    Koller, M
    Turhal, NS
    Stuart, R
    van Cutsem, E
    D'haese, S
    Coens, C
    [J]. EUROPEAN JOURNAL OF CANCER, 2004, 40 (15) : 2260 - 2268
  • [6] Bottomely, 2001, EORTC QLQC30 SCORING
  • [7] BOZZETTI F, 1990, NUTRITION, V6, P371
  • [8] Total or subtotal gastrectomy for gastric carcinoma? A study of quality of life
    Davies, J
    Johnston, D
    Sue-Ling, H
    Young, S
    May, J
    Griffith, J
    Miller, G
    Martin, I
    [J]. WORLD JOURNAL OF SURGERY, 1998, 22 (10) : 1048 - 1055
  • [9] Fayers P, 2002, EUR J CANCER, V38, pS125
  • [10] Quality of life in disease-free gastric adenocarcinoma survivors: Impacts of clinical stages and reconstructive surgical procedures
    Huang, Chi-Cheng
    Lien, Heng-Hui
    Wang, Pa-Chun
    Yang, Jiao-Chiao
    Cheng, Chan-Yeh
    Huang, Ching-Shui
    [J]. DIGESTIVE SURGERY, 2007, 24 (01) : 59 - 65