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Systematic review of health-related quality of life after esophagectomy for esophageal cancer

2011; Baishideng Publishing Group; Volume: 17; Issue: 42 Linguagem: Inglês

10.3748/wjg.v17.i42.4660

2219-2840

Marco Scarpa, Stefano Valente, Rita Alfieri, Matteo Cagol, G. Diamantis, Ermanno Ancona, Carlo Castoro,

Lung Cancer Diagnosis and Treatment

The analysis of long-term generic HRQL with SF-36 showed pooled scores for physical, role and social function after esophagectomy similar to United States norms, but lower pooled scores for physical function, vitality and general health perception.The analysis of HRQL conducted using the Global EORTC C30 global scale during a 6-mo follow-up showed that global scale and physical function were better at the baseline.The symptom scales indicated worsened fatigue, dyspnea and diarrhea 6 mo after esophagectomy.In contrast, however, emotional function had significantly improved after 6 mo.In conclusion, short-and long-term HRQL is deeply affected after esophagectomy for cancer.The impairment of physical function may be a long-term consequence of esophagectomy involving either the respiratory system or the alimentary tract.The shortand long-term improvement in the emotional function of patients who have undergone successful operations may be attributed to the impression that they have survived a near-death experience.