Skip to main content

Advertisement

Log in

Health-related quality of life among disease-free stomach cancer survivors in Korea

  • Published:
Quality of Life Research Aims and scope Submit manuscript

An Erratum to this article was published on 06 March 2007

Abstract

Previous studies about the quality of life (QOL) in stomach cancer survivors focused on selected clinical parameters and did not consider the broader implications for overall health and QOL. We evaluated the impact of demographic and treatment-related factors on the QOL of stomach cancer survivors. We asked 391 stage I–III stomach cancer survivors who had been disease-free for at least 1 year after surgery to complete a demographic questionnaire, the European Organization for Research and Treatment of Cancer QLQ-C30 questionnaire, and its stomach module, QLQ-STO22.

Survivors undergoing total gastrectomy reported greater eating restrictions than those undergoing subtotal gastrectomy. Receiving chemotherapy or radiotherapy did not significantly affect any QLQ-C30 or QLQ-STO22 scores. Role and emotional functioning improved with increasing age, and stomach-specific symptoms (pain, eating restrictions, and anxiety) lessened. Compared with female survivors, male survivors had better physical and role functioning. Smoking status was also a significant negative predictor of physical functioning and anxiety.

Comorbidities and selected demographic characteristics had a greater effect than type of treatment on the QOL of post-operative stomach cancer patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Roukos DH (1999) Current advances and changes in treatment strategy may improve survival and quality of life in patients with potentially curable gastric cancer. Ann Surg Oncol 6:46–56

    Article  PubMed  CAS  Google Scholar 

  2. Bernard W. Stewart, Paul Kleihues. World cancer report. International Agency for Research on Cancer, 2003

  3. Hundahl SA, Wanebo HJ (2005) Changing gastric cancer treatment in the United States and the pursuit of quality. Eur J Surg Oncol 31:605–615

    Article  PubMed  CAS  Google Scholar 

  4. Smith DD, Schwarz RR, Schwarz RE (2005) Impact of total lymph node count on staging and survival after gastrectomy for gastric cancer: Data from a large US-population database. J Clin Oncol 23:7114–7124

    Article  PubMed  Google Scholar 

  5. Hundahl SA (2005) Evidence-based recommendations for local-regional control of gastric cancer. Cancer Invest 23:352–362

    Article  PubMed  Google Scholar 

  6. Sano T, Sasako M, Yamamoto S et al (2004) Gastric cancer surgery: Morbidity and mortality results from a prospective randomized controlled trial comparing D2 and extended para-aortic lymphadenectomy-Japan clinical oncology group study 9501. J Clin Oncol 22:2767–2773

    Article  PubMed  Google Scholar 

  7. Bozzetti F, Marubini E, Bonfanti G et al (1999) Subtotal versus total gastrectomy for gastric cancer: Five-year survival rates in a multicenter randomized Italian trial. Italian gastrointestinal tumor study group. Ann Surg 230:170–178

    Article  PubMed  CAS  Google Scholar 

  8. Troidl H, Kusche J, Vestweber KH et al (1987) Pouch versus esophagojejunostomy after total gastrectomy: A randomized clinical trial. World J Surg 11:699–712

    Article  PubMed  CAS  Google Scholar 

  9. Kono K, Iizuka H, Sekikawa T et al (2003) Improved quality of life with jejunal pouch reconstruction after total gastrectomy. Am J Surg 185:150–154

    Article  PubMed  Google Scholar 

  10. Blazeby JM, Nicklin J, Brookes ST et al (2003) Feasibility of quality of life assessment in patients with upper gastrointestinal tract cancer. Br J Cancer 89:497–501

    Article  PubMed  CAS  Google Scholar 

  11. Vickery CW, Blazeby JM, Conroy T et al (2001) EORTC Quality of Life Group. Development of an EORTC disease-specific quality of life module for use in patients with gastric cancer. Eur J Cancer 37:966–971

    Article  PubMed  CAS  Google Scholar 

  12. Otsuji E, Toma A, Kobayashi S et al (2000) Long-term benefit of extended lymphadenectomy with gastrectomy in distally located early gastric carcinoma. Am J Surg 180:127–132

    Article  PubMed  CAS  Google Scholar 

  13. Wu CW, Hsieh MC, Lo SS et al (1997) Quality of life of patients with gastric adenocarcinoma after curative gastrectomy. World J Surg 21:777–782

    Article  PubMed  CAS  Google Scholar 

  14. Svedlund J, Sullivan M, Liedman B et al (1997) Quality of life after gastrectomy for gastric carcinoma: Controlled study of reconstructive procedures. World J Surg 21:422–433

    Article  PubMed  CAS  Google Scholar 

  15. Blazeby JM, Conroy T, Bottomley A et al (2004) Clinical and psychometric validation of a questionnaire module, the EORTC QLQ-STO 22, to assess quality of life in patients with gastric cancer. Eur J Cancer 40:2260–2268

    Article  PubMed  CAS  Google Scholar 

  16. Aaronson NK, Ahmedzai S, Bergman B et al (1993) The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85:365–376

    Article  PubMed  CAS  Google Scholar 

  17. Fayer P, Aaronson Nk, Bjordal K et al (1995) EORTC QLQ-C30 Scoring Manual. EORTC Quality of Life Group, Brussels, Belgium

    Google Scholar 

  18. Yun YH, Park YS, Lee ES et al (2004) Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res 13:863–868

    Article  PubMed  CAS  Google Scholar 

  19. Schwarz R, Hinz A (2001) Reference data for the quality of life questionnaire EORTC QLQ-C30 in the general German population. Eur J Cancer 37:1345–1351

    Article  PubMed  CAS  Google Scholar 

  20. Hjermstad MJ, Fayers PM, Bjordal K et al (1998) Health-related quality of life in the general Norwegian population assessed by the European Organization for Research and Treatment of Cancer Core Quality-of-Life Questionnaire: The QLQ = C30 (+3). J Clin Oncol 16:1188–1196

    PubMed  CAS  Google Scholar 

  21. Rauch P, Miny J, Conroy T et al (2004) Quality of life among disease-free survivors of rectal cancer. J Clin Oncol 22:354–360

    Article  PubMed  Google Scholar 

  22. Bernhard J, Hurny C, Maibach R et al (1999) Quality of life as subjective experience: Reframing of perception in patients with colon cancer undergoing radical resection with or without adjuvant chemotherapy. Swiss Group for Clinical Cancer Research (SAKK). Ann Oncol 10:775–782

    Article  PubMed  CAS  Google Scholar 

  23. De Boer AG, Genovesi PI, Sprangers MA et al (2000) Quality of life in long-term survivors after curative transhiatal oesophagectomy for oesophageal carcinoma. Br J Surg 87:1716–1721

    Article  PubMed  Google Scholar 

  24. Ganz PA, Rowland JH, Meyerowitz BE et al (1998) Impact of different adjuvant therapy strategies on quality of life in breast cancer survivors. Recent Results Cancer Res 152:396–411

    PubMed  CAS  Google Scholar 

  25. Litwin MS, Hays RD, Fink A et al (1995) Quality-of-life outcomes in men treated for localized prostate cancer. JAMA 273:129–135

    Article  PubMed  CAS  Google Scholar 

  26. Liedman B, Andersson H, Berglund B et al (1996) Food intake after gastrectomy for gastric carcinoma: The role of a gastric reservoir. Br J Surg 83:1138–1143

    Article  PubMed  CAS  Google Scholar 

  27. Gritz ER (1991) Smoking and smoking cessation in cancer patients. Br J Addict 86:549–554

    Article  PubMed  CAS  Google Scholar 

  28. Gritz ER, Nisenbaum R, Elashoff RE et al (1991) Smoking behavior following diagnosis in patients with stage I non-small cell lung cancer. Cancer Causes Control 2:105–112

    Article  PubMed  CAS  Google Scholar 

  29. Sarna L, Padilla G, Holmes C et al (2002) Quality of life of long-term survivors of non-small-cell lung cancer. J Clin Oncol 20:2920–2929

    Article  PubMed  Google Scholar 

  30. Rowland JH, Desmond KA, Meyerowitz BE et al (2000) Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. J Natl Cancer Inst 92:1422–1429

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Young Ho Yun.

Additional information

Notes: Drs Jae-Moon Bae and Sung Kim contributed equally to this work as first authors.

An erratum to this article can be found at http://dx.doi.org/10.1007/s11136-006-9167-z

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bae, JM., Kim, S., Kim, YW. et al. Health-related quality of life among disease-free stomach cancer survivors in Korea. Qual Life Res 15, 1587–1596 (2006). https://doi.org/10.1007/s11136-006-9000-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-006-9000-8

Keywords

Navigation