Quality of life, coping, and psychological and physical symptoms after surgery for non-metastatic digestive tract cancer
The aim of this study was to investigate the impact of curative surgery for non-metastatic digestive tract cancers on quality of life (QoL), psychological status, and coping strategies. A prospective, transversal, multicenter study was conducted in 404 patients: 361 with colorectal, 44 with gastroes...
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Published in | Surgical oncology Vol. 31; pp. 26 - 32 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
Elsevier Ltd
01.12.2019
Elsevier Limited |
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Online Access | Get full text |
ISSN | 0960-7404 1879-3320 1879-3320 |
DOI | 10.1016/j.suronc.2019.08.009 |
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Abstract | The aim of this study was to investigate the impact of curative surgery for non-metastatic digestive tract cancers on quality of life (QoL), psychological status, and coping strategies.
A prospective, transversal, multicenter study was conducted in 404 patients: 361 with colorectal, 44 with gastroesophageal, and 35 with pancreaticobiliary cancer six months after surgery. Participants completed questionnaires evaluating QoL, including functioning (EORTC-QLC-C30), coping strategies (Mini-MAC), and psychological distress (BSI-18).
The effects of surgery had a strong impact on functional domains, global QoL, and symptoms, especially in pancreaticobiliary and gastroesophageal cancer. Patients with pancreaticobiliary and gastroesophageal cancer had lower functional scale scores than those with colorectal cancer. Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery. Subjects with pancreaticobiliary cancer reported more fatigue, pain, insomnia, depression, somatization and psychological distress, whereas individuals with gastroesophageal cancer exhibited more fatigue, nausea/vomiting, diarrhea, depression, psychological distress, and helplessness than those with colorectal cancer. Only participants with colorectal cancer displayed improved QoL six months post-surgery, albeit their psychological state had worsened.
Surgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize physical and psychological impact.
•Surgery for non-metastatic digestive cancers is the only curative treatment.•The effects of surgery had a negative impact on the health-related quality of life (QoL) in cancer patients.•Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery.•Surgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize impact. |
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AbstractList | ObjectiveThe aim of this study was to investigate the impact of curative surgery for non-metastatic digestive tract cancers on quality of life (QoL), psychological status, and coping strategies.MethodsA prospective, transversal, multicenter study was conducted in 404 patients: 361 with colorectal, 44 with gastroesophageal, and 35 with pancreaticobiliary cancer six months after surgery. Participants completed questionnaires evaluating QoL, including functioning (EORTC-QLC-C30), coping strategies (Mini-MAC), and psychological distress (BSI-18).ResultsThe effects of surgery had a strong impact on functional domains, global QoL, and symptoms, especially in pancreaticobiliary and gastroesophageal cancer. Patients with pancreaticobiliary and gastroesophageal cancer had lower functional scale scores than those with colorectal cancer. Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery. Subjects with pancreaticobiliary cancer reported more fatigue, pain, insomnia, depression, somatization and psychological distress, whereas individuals with gastroesophageal cancer exhibited more fatigue, nausea/vomiting, diarrhea, depression, psychological distress, and helplessness than those with colorectal cancer. Only participants with colorectal cancer displayed improved QoL six months post-surgery, albeit their psychological state had worsened.ConclusionSurgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize physical and psychological impact. The aim of this study was to investigate the impact of curative surgery for non-metastatic digestive tract cancers on quality of life (QoL), psychological status, and coping strategies. A prospective, transversal, multicenter study was conducted in 404 patients: 361 with colorectal, 44 with gastroesophageal, and 35 with pancreaticobiliary cancer six months after surgery. Participants completed questionnaires evaluating QoL, including functioning (EORTC-QLC-C30), coping strategies (Mini-MAC), and psychological distress (BSI-18). The effects of surgery had a strong impact on functional domains, global QoL, and symptoms, especially in pancreaticobiliary and gastroesophageal cancer. Patients with pancreaticobiliary and gastroesophageal cancer had lower functional scale scores than those with colorectal cancer. Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery. Subjects with pancreaticobiliary cancer reported more fatigue, pain, insomnia, depression, somatization and psychological distress, whereas individuals with gastroesophageal cancer exhibited more fatigue, nausea/vomiting, diarrhea, depression, psychological distress, and helplessness than those with colorectal cancer. Only participants with colorectal cancer displayed improved QoL six months post-surgery, albeit their psychological state had worsened. Surgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize physical and psychological impact. •Surgery for non-metastatic digestive cancers is the only curative treatment.•The effects of surgery had a negative impact on the health-related quality of life (QoL) in cancer patients.•Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery.•Surgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize impact. The aim of this study was to investigate the impact of curative surgery for non-metastatic digestive tract cancers on quality of life (QoL), psychological status, and coping strategies.OBJECTIVEThe aim of this study was to investigate the impact of curative surgery for non-metastatic digestive tract cancers on quality of life (QoL), psychological status, and coping strategies.A prospective, transversal, multicenter study was conducted in 404 patients: 361 with colorectal, 44 with gastroesophageal, and 35 with pancreaticobiliary cancer six months after surgery. Participants completed questionnaires evaluating QoL, including functioning (EORTC-QLC-C30), coping strategies (Mini-MAC), and psychological distress (BSI-18).METHODSA prospective, transversal, multicenter study was conducted in 404 patients: 361 with colorectal, 44 with gastroesophageal, and 35 with pancreaticobiliary cancer six months after surgery. Participants completed questionnaires evaluating QoL, including functioning (EORTC-QLC-C30), coping strategies (Mini-MAC), and psychological distress (BSI-18).The effects of surgery had a strong impact on functional domains, global QoL, and symptoms, especially in pancreaticobiliary and gastroesophageal cancer. Patients with pancreaticobiliary and gastroesophageal cancer had lower functional scale scores than those with colorectal cancer. Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery. Subjects with pancreaticobiliary cancer reported more fatigue, pain, insomnia, depression, somatization and psychological distress, whereas individuals with gastroesophageal cancer exhibited more fatigue, nausea/vomiting, diarrhea, depression, psychological distress, and helplessness than those with colorectal cancer. Only participants with colorectal cancer displayed improved QoL six months post-surgery, albeit their psychological state had worsened.RESULTSThe effects of surgery had a strong impact on functional domains, global QoL, and symptoms, especially in pancreaticobiliary and gastroesophageal cancer. Patients with pancreaticobiliary and gastroesophageal cancer had lower functional scale scores than those with colorectal cancer. Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery. Subjects with pancreaticobiliary cancer reported more fatigue, pain, insomnia, depression, somatization and psychological distress, whereas individuals with gastroesophageal cancer exhibited more fatigue, nausea/vomiting, diarrhea, depression, psychological distress, and helplessness than those with colorectal cancer. Only participants with colorectal cancer displayed improved QoL six months post-surgery, albeit their psychological state had worsened.Surgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize physical and psychological impact.CONCLUSIONSurgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize physical and psychological impact. The aim of this study was to investigate the impact of curative surgery for non-metastatic digestive tract cancers on quality of life (QoL), psychological status, and coping strategies. A prospective, transversal, multicenter study was conducted in 404 patients: 361 with colorectal, 44 with gastroesophageal, and 35 with pancreaticobiliary cancer six months after surgery. Participants completed questionnaires evaluating QoL, including functioning (EORTC-QLC-C30), coping strategies (Mini-MAC), and psychological distress (BSI-18). The effects of surgery had a strong impact on functional domains, global QoL, and symptoms, especially in pancreaticobiliary and gastroesophageal cancer. Patients with pancreaticobiliary and gastroesophageal cancer had lower functional scale scores than those with colorectal cancer. Fatigue, appetite loss, diarrhea, depression, and psychological distress were the most common symptoms after surgery. Subjects with pancreaticobiliary cancer reported more fatigue, pain, insomnia, depression, somatization and psychological distress, whereas individuals with gastroesophageal cancer exhibited more fatigue, nausea/vomiting, diarrhea, depression, psychological distress, and helplessness than those with colorectal cancer. Only participants with colorectal cancer displayed improved QoL six months post-surgery, albeit their psychological state had worsened. Surgeons should discuss expectations regarding symptoms and QoL with patients prior to surgery to minimize physical and psychological impact. |
Author | Mar Muñoz, María del Jiménez-Fonseca, Paula Hernández, Raquel Carmona-Bayonas, Alberto Vicente, M Ángeles Calderón, Caterina Mut, Margarida Ramchandani, Avinash Mangas-Izquierdo, Montserrat |
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Keywords | Gastroesophageal cancer Pancreaticobiliary cancer EORTC-QLC-C30 Psychological distress Colorectal cancer |
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SubjectTerms | Adaptation, Psychological Aged Anxiety Anxiety - epidemiology Appetite loss Cancer Chemotherapy Colorectal cancer Colorectal carcinoma Constipation Coping Cross-Sectional Studies Depression - epidemiology Diarrhea Digestive System Surgical Procedures - methods Domains Dyspnea EORTC-QLC-C30 Esophagus Fatigue Fatigue - epidemiology Female Follow-Up Studies Gastroesophageal cancer Gastrointestinal Neoplasms - pathology Gastrointestinal Neoplasms - psychology Gastrointestinal Neoplasms - surgery Gastrointestinal tract Generalized linear models Humans Incidence Insomnia Male Marital status Medical prognosis Mental depression Metastases Metastasis Middle Aged Nausea Pain Pancreatic cancer Pancreaticobiliary cancer Patients Prognosis Prospective Studies Psychiatric Status Rating Scales Psychological distress Psychology Quality of Life Sleep disorders Spain - epidemiology Studies Surgery Variables Vomiting |
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