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Quality of life in long-term survivors after curative transhiatal oesophagectomy for oesophageal carcinoma

Quality of life in long-term survivors after curative transhiatal oesophagectomy for oesophageal... Abstract Background Transhiatal resection for oesophageal cancer is a major operation with potentially severe physical, emotional and social consequences. The aim of this study was to assess various aspects of quality of life in long-term survivors following oesophageal resection for cancer. Methods Between January 1993 and May 1996, 100 consecutive patients with cancer of the oesophagus or oesophagogastric junction underwent a potentially curative transhiatal oesophagectomy. Patients with a minimum follow-up of 2 years and with no tumour recurrence (n = 35) were mailed questionnaires which consisted of: (a) the Short Form-36 Health Survey to assess general quality of life, (b) an adapted Rotterdam Symptom Checklist to assess disease-specific quality of life, and (c) additional questions about other effects of the operation. Results All patients returned the questionnaire. General quality of life was comparable with reference values for the same age group. However, more than half of the patients still experienced at least some early satiety, fatigue, dysphagia, heartburn and/or psychological irritability. Nine of 13 patients who worked in paid employment before operation continued to do so. Conclusion Patients who survive 2 years or more after transhiatal oesophageal resection for cancer can lead satisfactory lives. Although some residual symptoms may persist, their general quality of life is similar to that of healthy individuals of the same age. References 1 Bytzer P , Christensen PB, Damkier P, Vinding K, Seersholm N. Adenocarcinoma of the esophagus and Barrett's esophagus: a population-based study . Am J Gastroenterol 1999 ; 94 : 86 – 91 . Google Scholar Crossref Search ADS PubMed WorldCat 2 Devesa SS , Blot WJ, Fraumeni Jf Jr. Changing patterns in the incidence of esophageal and gastric carcinoma in the United States . Cancer 1998 ; 83 : 2049 – 53 . Google Scholar Crossref Search ADS PubMed WorldCat 3 Cameron AJ . Epidemiology of columnar-lined esophagus and adenocarcinoma . Gastroenterol Clin North Am 1997 ; 26 : 487 – 94 . Google Scholar Crossref Search ADS PubMed WorldCat 4 Müller JM , Erasmi H, Stelzner M, Zieren U, Pichlmaier H. Surgical therapy of oesophageal carcinoma . Br J Surg 1990 ; 77 : 845 – 57 . Google Scholar Crossref Search ADS PubMed WorldCat 5 Sugimachi K . Advances in the surgical treatment of oesophageal cancer . Br J Surg 1998 ; 85 : 289 – 90 . Google Scholar Crossref Search ADS PubMed WorldCat 6 McLarty AJ , Deschamps C, Trastek VF, Allen MS, Pairolero PC, Harmsen WS. Esophageal resection for cancer of the esophagus: long-term function and quality of life . Ann Thorac Surg 1997 ; 63 : 1568 – 72 . Google Scholar Crossref Search ADS PubMed WorldCat 7 Baba M , Aikou T, Natsugoe S, Kusano C, Shimada M, Kimura S et al. Appraisal of ten-year survival following esophagectomy for carcinoma of the esophagus with emphasis on quality of life . World J Surg 1997 ; 21 : 282 – 6 . Google Scholar Crossref Search ADS PubMed WorldCat 8 Collard JM , Otte JB, Reynaert M, Kestens PJ. Quality of life three years or more after esophagectomy for cancer . J Thorac Cardiovasc Surg 1992 ; 104 : 391 – 4 . Google Scholar Crossref Search ADS PubMed WorldCat 9 Blazeby JM , Williams MH, Brookes ST, Alderson D, Farndon JR. Quality of life measurement in patients with oesophageal cancer . Gut 1995 ; 37 : 505 – 8 . Google Scholar Crossref Search ADS PubMed WorldCat 10 Barr H , Krasner N. Prospective quality-of-life analysis after palliative photoablation for the treatment of malignant dysphagia . Cancer 1991 ; 68 : 1660 – 4 . Google Scholar Crossref Search ADS PubMed WorldCat 11 van Knippenberg FCE , Out JJ, Tilanus HW, Mud HJ, Hop WCJ, Verhage F. Quality of life in patients with resected oesophageal cancer . Soc Sci Med 1992 ; 35 : 139 – 45 . Google Scholar Crossref Search ADS PubMed WorldCat 12 Ware JE , Snow KK, Kosinski M, Gandek B. SF-36 Health Survey: Manual and Interpretation Guide . Boston, Massachusetts : New England Medical Center, The Health Institute , 1993 . Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC 13 Ware Je Jr, Gandek B, Kosinski M, Aaronson NK, Apolone G, Brazier J et al. The equivalence of SF-36 summary health scores estimated using standard and country-specific algorithms in 10 countries: results from the IQOLA project. International Quality of Life Assessment . J Clin Epidemiol 1998 ; 51 : 1167 – 70 . Google Scholar Crossref Search ADS PubMed WorldCat 14 de Haes JCJM , van Knippenberg FCE, Neijt JP. Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist . Br J Cancer 1990 ; 62 : 1034 – 8 . Google Scholar Crossref Search ADS PubMed WorldCat 15 Aaronson NK , Muller M, Cohen PDA, Essink-Bot ML, Fekkes M, Sanderman R et al. Translation, Validation, and Norming of the Dutch language version of the SF-36 Health Survey in Community and Chronic Disease Populations . J Clin Epidemiol 1998 ; 51 : 1055 – 68 . Google Scholar Crossref Search ADS PubMed WorldCat 16 Cohen J . Statistical Power Analysis for the Behavioral Sciences . 2nd edn. Hillsdale, New Jersey : Erlbaum Associates , 1988 . Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC 17 Sprangers MAG , Schwartz CE. Integrating response shift into health-related quality of life research: a theoretical model . Soc Sci Med 1999 ; 48 : 1507 – 15 . Google Scholar Crossref Search ADS PubMed WorldCat 18 Logeman F , Born JJJ, van Lanschot JJB &. Tiel-van Buul MMC, Akkermans LMA, Obertop H. Disturbed enterogastric inhibitory reflex after esophageal resection and narrow gastric tube reconstruction . Dig Surg 1999 ; 16 : 186 – 91 . Google Scholar Crossref Search ADS PubMed WorldCat This content is only available as a PDF. © 2000 British Journal of Surgery Society Ltd This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) © 2000 British Journal of Surgery Society Ltd http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png British Journal of Surgery Oxford University Press

Quality of life in long-term survivors after curative transhiatal oesophagectomy for oesophageal carcinoma

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References (18)

Publisher
Oxford University Press
Copyright
Copyright © 2022 BJS Society Ltd.
ISSN
0007-1323
eISSN
1365-2168
DOI
10.1046/j.1365-2168.2000.01600.x
Publisher site
See Article on Publisher Site

Abstract

Abstract Background Transhiatal resection for oesophageal cancer is a major operation with potentially severe physical, emotional and social consequences. The aim of this study was to assess various aspects of quality of life in long-term survivors following oesophageal resection for cancer. Methods Between January 1993 and May 1996, 100 consecutive patients with cancer of the oesophagus or oesophagogastric junction underwent a potentially curative transhiatal oesophagectomy. Patients with a minimum follow-up of 2 years and with no tumour recurrence (n = 35) were mailed questionnaires which consisted of: (a) the Short Form-36 Health Survey to assess general quality of life, (b) an adapted Rotterdam Symptom Checklist to assess disease-specific quality of life, and (c) additional questions about other effects of the operation. Results All patients returned the questionnaire. General quality of life was comparable with reference values for the same age group. However, more than half of the patients still experienced at least some early satiety, fatigue, dysphagia, heartburn and/or psychological irritability. Nine of 13 patients who worked in paid employment before operation continued to do so. Conclusion Patients who survive 2 years or more after transhiatal oesophageal resection for cancer can lead satisfactory lives. Although some residual symptoms may persist, their general quality of life is similar to that of healthy individuals of the same age. References 1 Bytzer P , Christensen PB, Damkier P, Vinding K, Seersholm N. Adenocarcinoma of the esophagus and Barrett's esophagus: a population-based study . Am J Gastroenterol 1999 ; 94 : 86 – 91 . Google Scholar Crossref Search ADS PubMed WorldCat 2 Devesa SS , Blot WJ, Fraumeni Jf Jr. Changing patterns in the incidence of esophageal and gastric carcinoma in the United States . Cancer 1998 ; 83 : 2049 – 53 . Google Scholar Crossref Search ADS PubMed WorldCat 3 Cameron AJ . Epidemiology of columnar-lined esophagus and adenocarcinoma . Gastroenterol Clin North Am 1997 ; 26 : 487 – 94 . Google Scholar Crossref Search ADS PubMed WorldCat 4 Müller JM , Erasmi H, Stelzner M, Zieren U, Pichlmaier H. Surgical therapy of oesophageal carcinoma . Br J Surg 1990 ; 77 : 845 – 57 . Google Scholar Crossref Search ADS PubMed WorldCat 5 Sugimachi K . Advances in the surgical treatment of oesophageal cancer . Br J Surg 1998 ; 85 : 289 – 90 . Google Scholar Crossref Search ADS PubMed WorldCat 6 McLarty AJ , Deschamps C, Trastek VF, Allen MS, Pairolero PC, Harmsen WS. Esophageal resection for cancer of the esophagus: long-term function and quality of life . Ann Thorac Surg 1997 ; 63 : 1568 – 72 . Google Scholar Crossref Search ADS PubMed WorldCat 7 Baba M , Aikou T, Natsugoe S, Kusano C, Shimada M, Kimura S et al. Appraisal of ten-year survival following esophagectomy for carcinoma of the esophagus with emphasis on quality of life . World J Surg 1997 ; 21 : 282 – 6 . Google Scholar Crossref Search ADS PubMed WorldCat 8 Collard JM , Otte JB, Reynaert M, Kestens PJ. Quality of life three years or more after esophagectomy for cancer . J Thorac Cardiovasc Surg 1992 ; 104 : 391 – 4 . Google Scholar Crossref Search ADS PubMed WorldCat 9 Blazeby JM , Williams MH, Brookes ST, Alderson D, Farndon JR. Quality of life measurement in patients with oesophageal cancer . Gut 1995 ; 37 : 505 – 8 . Google Scholar Crossref Search ADS PubMed WorldCat 10 Barr H , Krasner N. Prospective quality-of-life analysis after palliative photoablation for the treatment of malignant dysphagia . Cancer 1991 ; 68 : 1660 – 4 . Google Scholar Crossref Search ADS PubMed WorldCat 11 van Knippenberg FCE , Out JJ, Tilanus HW, Mud HJ, Hop WCJ, Verhage F. Quality of life in patients with resected oesophageal cancer . Soc Sci Med 1992 ; 35 : 139 – 45 . Google Scholar Crossref Search ADS PubMed WorldCat 12 Ware JE , Snow KK, Kosinski M, Gandek B. SF-36 Health Survey: Manual and Interpretation Guide . Boston, Massachusetts : New England Medical Center, The Health Institute , 1993 . Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC 13 Ware Je Jr, Gandek B, Kosinski M, Aaronson NK, Apolone G, Brazier J et al. The equivalence of SF-36 summary health scores estimated using standard and country-specific algorithms in 10 countries: results from the IQOLA project. International Quality of Life Assessment . J Clin Epidemiol 1998 ; 51 : 1167 – 70 . Google Scholar Crossref Search ADS PubMed WorldCat 14 de Haes JCJM , van Knippenberg FCE, Neijt JP. Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist . Br J Cancer 1990 ; 62 : 1034 – 8 . Google Scholar Crossref Search ADS PubMed WorldCat 15 Aaronson NK , Muller M, Cohen PDA, Essink-Bot ML, Fekkes M, Sanderman R et al. Translation, Validation, and Norming of the Dutch language version of the SF-36 Health Survey in Community and Chronic Disease Populations . J Clin Epidemiol 1998 ; 51 : 1055 – 68 . Google Scholar Crossref Search ADS PubMed WorldCat 16 Cohen J . Statistical Power Analysis for the Behavioral Sciences . 2nd edn. Hillsdale, New Jersey : Erlbaum Associates , 1988 . Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC 17 Sprangers MAG , Schwartz CE. Integrating response shift into health-related quality of life research: a theoretical model . Soc Sci Med 1999 ; 48 : 1507 – 15 . Google Scholar Crossref Search ADS PubMed WorldCat 18 Logeman F , Born JJJ, van Lanschot JJB &. Tiel-van Buul MMC, Akkermans LMA, Obertop H. Disturbed enterogastric inhibitory reflex after esophageal resection and narrow gastric tube reconstruction . Dig Surg 1999 ; 16 : 186 – 91 . Google Scholar Crossref Search ADS PubMed WorldCat This content is only available as a PDF. © 2000 British Journal of Surgery Society Ltd This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) © 2000 British Journal of Surgery Society Ltd

Journal

British Journal of SurgeryOxford University Press

Published: Dec 6, 2002

Keywords: survivors; quality of life; esophageal carcinoma; esophagectomy, transhiatal; esophageal reconstruction; cancer; esophageal cancer; emotions; fatigue; employment; esophagogastric junction; follow-up; health surveys; heartburn; irritable mood; reference values; deglutition disorders; neoplasms; symptom checklist; sf-36; early satiety

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