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Korean Journal of Clinical Oncology > Article
REVIEW
Korean J Clin Oncol. 2010;6(2): 12-19.         doi: https://doi.org/10.14216/kjco.10013
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
송원종, 강규철, 허윤석, 신석환
인하대학교 의학전문대학원 외과학 교실
Corresponding Author: Seok Hwan Shin ,Tel: +82-32-890-3435, Fax: +82-32-890-8560, Email: shshin@inha.ac.kr
Received: November 20, 2010;  Accepted: December 23, 2010.
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ABSTRACT
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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