| Comparison of short-term and long-term qualities of life after
curative open gastrectomy in patients with gastric cancer |
| Won Jong Song, Kyu Chul Kang, Yoon Seok Hur, Seok Hwan Shin |
| Department of Surgery, Inha University Hospital, Incheon, Korea |
| 위암환자에서 근치적 위 절제술 후 단기 및 장기 생존자의 삶의 질 비교 |
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송원종, 강규철, 허윤석, 신석환 |
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인하대학교 의학전문대학원 외과학 교실 |
| Corresponding Author:
Seok Hwan Shin ,Tel: +82-32-890-3435, Fax: +82-32-890-8560, Email: shshin@inha.ac.kr |
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Received: November 20, 2010; Accepted: December 23, 2010. |
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| ABSTRACT |
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Purpose : Quality of life (QoL) has recently been becoming one of the important parameters in follow-up of patients
with gastric cancer after gastrectomy because population of long-term survival has increased continuously with
the advance of early detection and anticancer chemotherapy. The objective of this study is to compare the shortterm
QoL of patients checked 1 year after operation with the long-term QoL checked 3 years or more in the context
of impact of various clinicopathologic factors and time.
Materials and Methods : Two hundred and eighty seven patients were enrolled who underwent gastrectomy from
December 1999 to December 2007 without recurrence . The QoL Questionnaire was the European Organization for
Research and Treatment of Cancer (EORTC) QLQ-C30. Correlation between various clinicopathologic factors and
QoL was analyzed in two groups.
Results : Of total 287 patients, 161 patients survived 1 year as disease-free at the study time and 126 patients
survived 3 years or more. Clinicopathologic factors which affected the short-term QoL were gender, operation
method, anticancer chemotherapy. On the contrast, those which affected the long-term QoL were gender and
chemotherapy experiences. The result of more than 3 years survivors showed better score in aspect of physical
function, fatigue, pain, dyspnea, financial impact.
Conclusion : Amomg patients who underwent gastrectomy for gastric cancer, long-term survivors showed better
QoL scores compared with 1 year survovors in most respect. It seemed that, with time, the impact of various
clinicopathologic factors except gender on the QoL after gastrectomy disappeared after 3 years. |
| Keywords:
gastric cancer | gastrectomy | quality of life | long term survivor |
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