Research Trends of Quality of Life after Gastrectomy among Gastric Cancer Patients in Korea

Kyung Eun Lee; Young Gil Son

doi:10.5388/aon.2016.16.2.59

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Lee and Son: Research Trends of Quality of Life after Gastrectomy among Gastric Cancer Patients in Korea

Review Article

Asian Oncology Nursing 2016; 16(2): 59-66.

Published online: 30 June 2016

DOI: https://doi.org/10.5388/aon.2016.16.2.59

Research Trends of Quality of Life after Gastrectomy among Gastric Cancer Patients in Korea

Kyung Eun Lee¹, Young Gil Son²

¹School of Nursing, Yeungnam University College, Daegu, Korea.

²Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.

Address reprint requests to: Lee, Kyung Eun. School of Nursing, Yeungnam University College, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea. Tel: +82-53-650-9437, Fax: +82-53-650-4705, kyungeun15@ync.ac.kr

Received 16 June 2016 Revised 28 June 2016 Accepted 28 June 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The aim of this study was to analyze the research trends of quality of life (QOL) after gastrectomy among gastric cancer patients in Korea and to make suggestions for future studies.

Methods

A literature search was done using Pubmed, CINHAL, and Korean databases in Korean and English.

Results

A total of 53 studies from 1993 to 2015 were analyzed. Of 53 papers, 6 (11.3%) were doctoral dissertations and master's theses, and 47 (88.7%) were from academic journals. All of the studies (100%) used quantitative research designs. The European Organisation for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30 and EORTC QLQ-STO22 were mostly used to evaluate QOL in the studies. The main research issues were varied, in particular, the most common subjects of studies were QOL related to the evaluation of treatment methods.

Conclusion

Further studies about QOL after gastrectomy with gastric cancer patients need to be done with various approaches such as intervention studies to improve QOL, qualitative studies, and multidisciplinary research.

Keywords: Stomach Neoplasms, Gastrectomy, Quality of Life, Review

Figures and Tables

Fig. 1

Flow-chart of included articles through the literature search.

Table 1

Study Design and Field of Selected Studies (N=53)

Characteristics	Categories		1993~2 yrs	2001~2005 yrs	2006~2010 yrs	2011~2015 yrs	Total
Characteristics	Categories		n	n	n	n	n (%)
Study type	Qualitative research		0	0	0	0	0 (0.0)
	Quantitative research	Survey	4	9	9	21	43 (81.1)
	Quantitative research	Quasi-experimental study	1	0	2	7	10 (18.9)
Study design	Prospective	RCT	1	0	1	6	8 (15.1)
		Non-RCT	0	3	1	9	13 (24.5)
			4	6	9	13	32 (60.4)
	Retrospective		1	0	1	6	8 (15.1)
			0	3	1	9	13 (24.5)
			4	6	9	13	32 (60.4)
Study field of first author	Medicine		2	4	10	17	33 (62.2)
	Nursing		3	5	1	9	18 (34.0)
	Others		0	0	0	2	2 (3.8)

RCT= Randomized controlled tricl; Non-RCT= Non-randomized controlled trial.

Table 2

Subjects and Methods of Quality of Life Assessment of Selected Studies (N=53)

Characteristics		Categories		1993~2 yrs	2001~2005 yrs	2006~2010 yrs	2011~2015 yrs	Total
Characteristics		Categories		n	n	n	n	n (%)
Sample size		≤50		1	2	1	7	11 (20.8)
		51~100		2	3	2	1	8 (15.1)
		101~200		2	2	4	6	16 (30.1)
		201~300		0	1	2	5	8 (15.1)
		≥301		0	1	2	7	10 (18.9)
Subject classify by	Age	Adults		5	9	11	27	52 (98.1)
	Age	Only elderly people		0	0	0	1	1 (1.9)
	Cancer progression	EGC		0	0	4	8	12 (22.7)
		EGC, AGC		3	7	7	18	35 (66.0)
		Undescribed		2	2	0	2	6 (11.3)
		EGC		0	0	4	8	12 (22.7)
		EGC, AGC		3	7	7	18	35 (66.0)
		Undescribed		2	2	0	2	6 (11.3)
	Treatment methods	Only Op		0	0	1	6	7 (13.3)
		Only post-operative CTx.		0	3	0	2	5 (9.4)
		Op & post-operative CTx.		1	2	3	13	19 (35.8)
		Undescribed		4	4	7	7	22 (41.5)
Measurement tool		EORTC QLQ-	C30	0	1	2	0	3 (5.7)
		EORTC QLQ-	STO22	0	0	5	21	26 (49.1)
		FACT-	G (general)	0	0	1	3	4 (7.5)
		FACT-	Ga (gastric)	0	0	0	1	1 (1.9)
		Spitzer's index		1	1	0	0	2 (3.8)
		Others		3	6	1	3	13 (24.5)
		Not associated with QOL		1	1	2	0	4 (7.5)
Measurement method		Corss-sectional		4	8	9	14	35 (66.0)
Measurement method		Longitudinal		1	1	2	14	18 (34.0)

EGC= Early gastric cancer; AGC= Advanced gastric cancer; Op= Operation; CTx.= Chemotherapy; EORTC QLQ= European Orgainsation for Research and Treatment of Cancer quality of life questionnarire; FACT= Functional assessment of cancer therapy; QOL= Quality of life.

Table 3

Analysis of Studies'Main Topic with regard to Quality of Life (N=53)

Characteristics	1993~2 yrs	2001~2005 yrs	2006~2010 yrs	2011~2015 yrs	Total
Characteristics	n	n	n	n	n (%)
Associated with treatment methods					11 (20.8)
Reconstruction methods	0	3	5	3	4 (7.5)
Operation methods	0	0	2	2	1 (1.9)
Operation vs ESD	0	0	0	1
Factors influcing on QOL	1	1	0	1	3 (5.7)
Differences of QOL according to postoperative time	2	0	1	2	5 (9.4)
Changes of QOL according to elapsed postoperative time	0	0	0	6	6 (11.3)
Compared QOL with Healthy population	0	1	1	3	5 (9.4)
Identify QOL path analysis (SEM)	1	0	0	1	2 (3.8)
Intervention study to improve QOL	1	0	0	4	5 (9.4)
Others	0	4	2	5	11 (20.8)

ESD= Endoscopic submucosal dissection; QOL= Quality of life; SEM= Structural equation modeling.

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