지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.5
- 발행연도
- 2019.5
- 수록면
- 250 - 258 (9page)
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초록· 키워드
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Purpose: Few studies have evaluated changes in quality of life (QoL) in relation to changes in body mass index (BMI) after gastrectomy. This study aimed to evaluate the impact of postoperative changes in BMI on QoL after distal gastrectomy in gastric cancer patients.
Methods: QoL data from the European Organization for the Research and Treatment of Cancer (EORTC) gathered via the QLQ-C30 and QLQ-STO22 questionnaires were obtained from 1,036 patients preoperatively and at 1 year postoperatively. The patients were divided into 2 groups: group 1 – decreased postoperative BMI and group 2 – unchanged or increased postoperative BMI.
Results: There were 577 patients in group 1 and 459 in group 2. According to global health status and functional scales, emotional functioning (P = 0.035) was significantly worse in group 1 than in group 2 at 1 year postoperatively. Furthermore, there were significant decreases in QoL symptom scale scores, including fatigue (P = 0.016), nausea and vomiting (P = 0.002), and appetite loss (P = 0.001) scores, in group 1 compared with group 2. Regarding QLQ-STO22, reflux symptoms (P = 0.020), anxiety (P = 0.003), and body image (P = 0.003) were significantly worse in group 1 than in group 2 at 1 year after surgery.
Conclusion: BMI changes after distal gastrectomy influence QoL. Focus on controlling gastrointestinal symptoms and providing psychological support is essential in patients with decreased BMI after surgery. Patients should be offered follow-up care to assist them in maintaining BMI, for example, through dietary-behavior modifications and via intensive nutritional support, to prevent QoL deterioration after distal gastrectomy.
Methods: QoL data from the European Organization for the Research and Treatment of Cancer (EORTC) gathered via the QLQ-C30 and QLQ-STO22 questionnaires were obtained from 1,036 patients preoperatively and at 1 year postoperatively. The patients were divided into 2 groups: group 1 – decreased postoperative BMI and group 2 – unchanged or increased postoperative BMI.
Results: There were 577 patients in group 1 and 459 in group 2. According to global health status and functional scales, emotional functioning (P = 0.035) was significantly worse in group 1 than in group 2 at 1 year postoperatively. Furthermore, there were significant decreases in QoL symptom scale scores, including fatigue (P = 0.016), nausea and vomiting (P = 0.002), and appetite loss (P = 0.001) scores, in group 1 compared with group 2. Regarding QLQ-STO22, reflux symptoms (P = 0.020), anxiety (P = 0.003), and body image (P = 0.003) were significantly worse in group 1 than in group 2 at 1 year after surgery.
Conclusion: BMI changes after distal gastrectomy influence QoL. Focus on controlling gastrointestinal symptoms and providing psychological support is essential in patients with decreased BMI after surgery. Patients should be offered follow-up care to assist them in maintaining BMI, for example, through dietary-behavior modifications and via intensive nutritional support, to prevent QoL deterioration after distal gastrectomy.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
McCall MD / 2016 / Quality of life : a critical outcome for all surgical treatments of gastric cancer / World J Gastroenterol 22:1101~1113
유완식 / 2016 / Chronological Changes of Quality of Life in Long-Term Survivors after Gastrectomy for Gastric Cancer / Cancer Research and Treatment 48(3):1030~1036
박기범 / 2017 / Chronological Changes in Quality of Life after Distal Gastrectomy for Gastric Cancer / Journal of Gastric Cancer 17(2):110~119
Davis JL / 2016 / Patterns and predictors of weight loss after gastrectomy for cancer / Ann Surg Oncol 23:1639~1645
Heneghan HM / 2015 / Prospective study of malabsorption and malnutrition after esophageal and gastric cancer surgery / Ann Surg 262:803~807
유완식 / 2016 / Chronological Changes of Quality of Life in Long-Term Survivors after Gastrectomy for Gastric Cancer / Cancer Research and Treatment 48(3):1030~1036
박기범 / 2017 / Chronological Changes in Quality of Life after Distal Gastrectomy for Gastric Cancer / Journal of Gastric Cancer 17(2):110~119
Davis JL / 2016 / Patterns and predictors of weight loss after gastrectomy for cancer / Ann Surg Oncol 23:1639~1645
Heneghan HM / 2015 / Prospective study of malabsorption and malnutrition after esophageal and gastric cancer surgery / Ann Surg 262:803~807
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UCI(KEPA) : I410-ECN-0101-2019-514-000759580