Virginia Sun1, Joseph Kim2, Jae Y Kim3, Dan J Raz4, Shaila Merchant5, Joseph Chao6, Vincent Chung7, Tracy Jimenez8, Elaine Wittenberg9, Marcia Grant10, Betty Ferrell11. 1. Division of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: vsun@coh.org. 2. Division of Surgical Oncology, Department of Surgery, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: jokim@coh.org. 3. Division of Thoracic Surgery, Department of Surgery, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: jaekim@coh.org. 4. Division of Thoracic Surgery, Department of Surgery, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: draz@coh.org. 5. Division of Surgical Oncology, Department of Surgery, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: smerchant@coh.org. 6. Department of Medical Oncology and Therapeutics Research, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: jchao@coh.org. 7. Department of Medical Oncology and Therapeutics Research, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: vchung@coh.org. 8. Department of Clinical Nutrition, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: tjimenez@coh.org. 9. Division of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: ewittenberg@coh.org. 10. Division of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: mgrant@coh.org. 11. Division of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. Electronic address: bferrell@coh.org.
Abstract
PURPOSE: The surgical treatment of upper gastrointestinal (GI) cancers, specifically esophageal and gastric cancers, often result in extensive health-related quality of life (HRQOL) concerns, particularly those associated with dietary adjustments. This paper provides a review of HRQOL changes following esophagectomy and gastrectomy, and describes key components of an intervention to improve dietary adjustments following surgery. METHODS: Intervention development was informed by 1) current published evidence on HRQOL changes for patients following upper GI surgery, 2) examination of usual post-operative care related to dietary restrictions to identify areas for continued education and support and 3) the inclusion of a conceptual framework (the Chronic Care Model) to guide intervention design and inform the selection of appropriate outcome measures. RESULTS: Three key components of an HRQOL intervention are identified, and should focus on HRQOL concerns associated with dietary alterations and restrictions following treatment, involve family caregivers, and be tailored and flexible to patient and family caregiver's needs and preferences. CONCLUSIONS: Evidence-based interventions to support long-term dietary alterations and restrictions following upper GI surgery are lacking, despite evidence confirming its impact on morbidity and mortality. Interventions are needed to support dietary adjustments, prevent malnutrition and excessive weight loss, and enhance HRQOL following surgery for upper GI cancers.
PURPOSE: The surgical treatment of upper gastrointestinal (GI) cancers, specifically esophageal and gastric cancers, often result in extensive health-related quality of life (HRQOL) concerns, particularly those associated with dietary adjustments. This paper provides a review of HRQOL changes following esophagectomy and gastrectomy, and describes key components of an intervention to improve dietary adjustments following surgery. METHODS: Intervention development was informed by 1) current published evidence on HRQOL changes for patients following upper GI surgery, 2) examination of usual post-operative care related to dietary restrictions to identify areas for continued education and support and 3) the inclusion of a conceptual framework (the Chronic Care Model) to guide intervention design and inform the selection of appropriate outcome measures. RESULTS: Three key components of an HRQOL intervention are identified, and should focus on HRQOL concerns associated with dietary alterations and restrictions following treatment, involve family caregivers, and be tailored and flexible to patient and family caregiver's needs and preferences. CONCLUSIONS: Evidence-based interventions to support long-term dietary alterations and restrictions following upper GI surgery are lacking, despite evidence confirming its impact on morbidity and mortality. Interventions are needed to support dietary adjustments, prevent malnutrition and excessive weight loss, and enhance HRQOL following surgery for upper GI cancers.
Authors: Hye Ok Lee; So Ra Han; Sung Il Choi; Jung Joo Lee; Sang Hyun Kim; Hong Seok Ahn; Hyunjung Lim Journal: Ann Surg Treat Res Date: 2015-01-28 Impact factor: 1.859