Factors Relating to Quality of Life After Esophagectomy for Cancer Patients in Taiwan

Chang, Yu‐Ling; Tsai, Yun‐Fang; Wu, Yi‐Cheng; Hsieh, Ming‐Ju

doi:10.1097/ncc.0b013e318277dc53

Cited by 31 publications

(25 citation statements)

References 29 publications

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“…Similarly, Seo-in Ha et al found that dysphagia was one of the most common symptoms affecting the HR-QoL of patients with esophageal cancer [34]. Unlike a previous study, we found that as the disease worsened, HR-QoL areas of dry mouth and trouble with taste remained constant (i.e., no signi cant difference) [35]. We also found that the most severe symptom was re ux, which agrees with a previous study on HR-QoL in patients after esophageal cancer surgery [36].…”

Section: Discussioncontrasting

confidence: 60%

“…Results from the EORTC QLQ-OES18 module revealed that the pathological stage had greater effects on symptom scales, and other factors had little effects on those scales. In this regard, Yu-Ling Chang showed that advanced tumor stage had signi cant deleterious effects on several aspects of HR-QoL, such as eating di culties, and there were no associations between any factors (age, gender and body weight loss) and esophageal-speci c aspects of HR-QoL [35]. Therefore, it is important to carry out early diagnosis and treatment program and to conduct follow-up care since those patients with advanced cancer usually have worse HR-QoL.…”

Section: Discussionmentioning

confidence: 99%

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Health-Related Quality of Life Among Rural Chinese Patients With Upper Gastrointestinal Diseases at Different Pathological Stages: A Cross-Sectional Study

Qin¹,

Shao²,

Zhang³

et al. 2020

Preprint

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Objective: The aim of this study was to compare the health-related quality of life (HR-QoL) among rural Chinese patients with upper gastrointestinal (GI) diseases at different pathological stages and to determine the factors influencing HR-QoL in this population.Methods: A cross-sectional survey was conducted in two counties in Shandong province in China from July to September 2018. Demographic and clinical characteristics were collected, and HR-QoL of patients was assessed using a set of questionnaires, including the EORTC QLQ-C30 (V3.0), the QLQ-OES18 and the QLQ-STO22. Multivariate analysis of variance (MANOVA) and Kruskal–Wallis test were used to compare the HR-QoL of patients of different pathological stage subgroups, and multivariate regression analyses were used to determine influencing factors.Results: A total of 406 patients were included in this study. The mean scores for patients with upper GI diseases were 74.88 (SD=19.15), 8.04 (SD=16.17) and 8.64 (SD=16.96) for the global QoL scale of EORTC QLQ-C30, QLQ-OES18 and QLQ-STO22, respectively. There was no significant difference in most of the scales between the precancerous and early stage groups, but a significant difference in HR-QoL between the precancerous and advanced groups as well as between early and advanced groups. Residence area, age, education level and pathological stage were the significant factors influencing HR-QoL scores, controlling for other variables.Conclusions: The overall HR-QoL of patients with advanced upper GI cancer needs to be managed as a component of cancer care. Measures should be taken to routinely identify patient symptoms so that follow-up care can alleviate patient symptom burden. Tailored treatment and care for patients with upper GI diseases of different age, educational level and pathological stage may be needed to help improve HR-QoL.

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life Among Rural Chinese Patients With Upper Gastrointestinal Diseases at Different Pathological Stages: A Cross-Sectional Study

Qin¹,

Shao²,

Zhang³

et al. 2020

Preprint

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“…Far more surprisingly, the diseased organ did not influence compliance, as one could imagine that patients suffering from upper GI pathology would be prone to difficulties in consuming nutritional products, because of the impaired transit or swallow mechanisms. [19][20][21][22] Caloric excess was observed significantly more often in compliant patients, reflecting the important influence of ONS on caloric balance. Assessment of the degree of malnutrition by hospital's nutritionists did not correlate with compliance to nutritional regimens.…”

Section: Discussionmentioning

confidence: 96%

Compliance with preoperative oral nutritional supplements in patients at nutritional risk─only a question of will?

et al. 2015

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“…Tongue pressure is one of the important parameters for evaluating a swallowing disorder, which is a prominent symptom after esophagectomy and may cause aspiration pneumonia [2]. Complications, including pneumonia, affect patients' quality of life and survival [7,21,22]. Thus, these findings suggest that we should pay attention to tongue pressure, especially to high level of preoperative tongue pressure in patients with esophageal cancer after esophagectomy.…”

Section: Discussionmentioning

confidence: 99%

Change in tongue pressure and the related factors after esophagectomy: a short-term, longitudinal study

et al. 2019

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Background Dysphagia is a prominent symptom after esophagectomy and may cause aspiration pneumonia. Swallowing evaluation after esophagectomy can predict and help control the incidence of postoperative pneumonia. The aim of this study was to clarify whether the change in tongue pressure was associated with any related factor and postoperative dysphagia/pneumonia in patients with esophageal cancer after esophagectomy. Methods Fifty-nine inpatients (41 males and 18 females; 33-77 years old) who underwent esophagectomy participated in this study. Measurement of tongue pressure and the repetitive saliva swallowing test (RSST) was performed before esophagectomy (baseline) and at 2 weeks postoperatively. The general data were collected from patients' medical records, including sex, age, type of cancer, cancer stage, location of cancer, operative approach, history of previous chemotherapy, surgical duration, amount of bleeding during surgery, incidences of postoperative complications, intubation period, period between surgery and initiation of oral alimentation, and intensive care unit (ICU) stay, blood chemical analysis, and lifestyle. Results Tongue pressure decreased significantly after esophagectomy (p = 0.011). The decrease of tongue pressure was significantly associated with length of ICU stay and preoperative tongue pressure on multiple regression analysis (p < 0.05). The decrease of tongue pressure in the RSST<3 or postoperative pneumonia (+) group was significantly greater than in the RSST≥3 (p = 0.003) or pneumonia (-) group (p = 0.021). Conclusions The decrease in tongue pressure was significantly associated with the length of ICU stay, preoperative tongue pressure, and the incidence of dysphagia and pneumonia among inpatient after esophagectomy.

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Factors Relating to Quality of Life After Esophagectomy for Cancer Patients in Taiwan

Abstract: Knowledge of risk factors for poor postoperative QoL would be useful for health providers in detecting and prioritizing problems and treatment options in a busy clinical site.

Cited by 31 publications

References 29 publications

Health-Related Quality of Life Among Rural Chinese Patients With Upper Gastrointestinal Diseases at Different Pathological Stages: A Cross-Sectional Study

Health-Related Quality of Life Among Rural Chinese Patients With Upper Gastrointestinal Diseases at Different Pathological Stages: A Cross-Sectional Study

Compliance with preoperative oral nutritional supplements in patients at nutritional risk─only a question of will?

Change in tongue pressure and the related factors after esophagectomy: a short-term, longitudinal study

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