Patient perspectives on key symptoms and preferences for follow-up after upper gastro-intestinal cancer surgery

Purpose Long-lasting symptoms and reductions in quality of life are common after oesophago-gastric surgery. Post-operative follow-up has traditionally focussed on tumour recurrence and survival, but there is a growing need to also identify and treat functional sequelae to improve patients’ recovery....

Full description

Saved in:
Bibliographic Details
Published in:Supportive care in cancer 2022-06, Vol.30 (6), p.5269-5275
Main Authors: Pucher, Philip H., Coombes, Annie, Evans, Orla, Taylor, Joanna, Moore, Jonathan L., White, Annabelle, Lagergren, Jesper, Baker, Cara, Kelly, Mark, Gossage, James A., Dunn, Jason, Zeki, Sebastian, Byrne, Ben E., Andreyev, Jervoise, Davies, Andrew R.
Format: Article
Language:English
Subjects:
Cancer
Cancer surgery
Care and treatment
Colorectal cancer
Diseases
Esophageal cancer
Esophageal Neoplasms - surgery
Follow-Up Studies
Gastrectomy
Gastric cancer
Health surveys
Humans
Intestinal Neoplasms
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Neoplasm Recurrence, Local
Nursing
Nursing Research
Oncology
Original
Original Article
Pain Medicine
Patient satisfaction
Postoperative period
Quality of Life
Rehabilitation Medicine
Relapse
Stomach Neoplasms - surgery
Surgery
Survivor
Symptom management
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Long-lasting symptoms and reductions in quality of life are common after oesophago-gastric surgery. Post-operative follow-up has traditionally focussed on tumour recurrence and survival, but there is a growing need to also identify and treat functional sequelae to improve patients’ recovery. Methods An electronic survey was circulated via a British national charity for patients undergoing oesophago-gastric surgery and their families. Patients were asked about post-operative symptoms they deemed important to their quality of life, as well as satisfaction and preferences for post-operative follow-up. Differences between satisfied and dissatisfied patients with reference to follow-up were assessed. Results Among 362 respondents with a median follow-up of 58 months since surgery (range 3–412), 36 different symptoms were reported as being important to recovery and quality of life after surgery, with a median of 13 symptoms per patient. Most (84%) respondents indicated satisfaction with follow-up. Satisfied patients were more likely to have received longer follow-up (5-year or longer follow-up 60% among satisfied patients vs 27% among unsatisfied, p  
ISSN:0941-4355
1433-7339
1433-7339
DOI:10.1007/s00520-022-06922-w