Quality of life: A critical outcome for all surgical treatments of gastric cancer

Surgery represents the main curative therapeutic modality for gastric cancer, and it is occasionally considered for palliation as well as prophylaxis. Most frequently, surgical outcomes are conveyed in terms of oncological outcomes such as recurrence and survival. However, quality of life (QoL) is a...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2016-01, Vol.22 (3), p.1101-1113
Main Authors: McCall, Michael D, Graham, Peter J, Bathe, Oliver F
Format: Article
Language:English
Subjects:
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrectomy - mortality
Gastrectomy - psychology
Humans
Laparoscopy - psychology
Lymph Node Excision - psychology
Palliative Care - psychology
Patient Reported Outcome Measures
Predictive Value of Tests
Quality of Life
Stomach Neoplasms - mortality
Stomach Neoplasms - psychology
Stomach Neoplasms - surgery
Surveys and Questionnaires
Topic Highlight
Treatment Outcome
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Description
Summary:Surgery represents the main curative therapeutic modality for gastric cancer, and it is occasionally considered for palliation as well as prophylaxis. Most frequently, surgical outcomes are conveyed in terms of oncological outcomes such as recurrence and survival. However, quality of life (QoL) is also important and should be considered when making treatment decisions - including the extent of and approach to surgery. Measurement of QoL usually involves the application of questionnaires. While there are multiple QoL questionnaires validated for use in oncology patients, there are very few that have been validated for use in those with gastric cancer. In this review, we discuss and compare the current status of QoL questionnaires in gastric cancer. More importantly, the impact of surgery for treatment, palliation and prophylaxis of gastric cancer on QoL will be described. These data should inform the surgeon on the optimal approach to treating gastric cancer, taking into account oncological outcomes. Knowledge gaps are also identified, providing a roadmap for future studies.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v22.i3.1101