Long-Term Quality of Life and Survivorship Priorities in Esophageal Cancer Patients: A Survey-Based Assessment.

IF 2 3区 医学 Q3 ONCOLOGY Journal of Surgical Oncology Pub Date : 2024-12-19 DOI:10.1002/jso.28045
Edward A Joseph, Casey J Allen
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Abstract

Background and objectives: This study examines the long-term quality of life (QOL) and priorities of survivors who underwent management for esophageal cancer (EC).

Methods: We cross-sectionally surveyed EC patients through online support groups to assess the relative importance of their overall survival, experience, costs of care, and QOL. Kendall's co-efficient of Concordance (W) was utilized to assess agreement among respondents.

Results: Among 100 respondents (age 57.2 ± 10.4 years, 54% male, 90% Caucasian), median overall survival was 18.0 (7.8-49.8) months, with a maximum survivorship of 48.3 years. Respondents ranked overall survival most important, followed by functional independence, emotional well-being, treatment experience, and costs of care (W = 0.342, p < 0.001). Some survivors ranked treatment experience (4%) or costs (6%) as their most important priority. The cohort's physical QOL (P-QOL; 39.79 ± 10.16) and mental QOL (M-QOL; 42.29 ± 15.43) were below that of the general population (50.00 ± 10.00); both p < 0.050. There was no difference in P-QOL and M-QOL based on the presence of metastatic disease (both p > 0.050). Patients who underwent curative surgery had superior M-QOL (45.00 ± 15.22 vs. 36.70 ± 14.53, p = 0.010). Although P-QOL was similar based on duration of survival (40.30 ± 9.75 [< 1 year], 39.33 ± 10.52 [1-5 years], 39.81 ± 10.68 [> 5 years], p = 0.873), M-QOL was higher in patients with extended survivorship (36.87 ± 14.24 [< 1 year], 45.05 ± 14.94 [1-5 years], 47.30 ± 16.36 [> 5 years], p = 0.008).

Conclusions: Despite enduring physical health impairments, a majority of EC survivors prioritized their survival. However, a few survivors prioritized costs and treatment experience, underscoring the importance of tailoring treatments to ensure alignment with individual patient-driven priorities.

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食管癌患者的长期生活质量和生存优先权:一项基于调查的评估。
背景和目的:本研究探讨食管癌(EC)治疗幸存者的长期生活质量(QOL)和优先事项。方法:我们通过在线支持小组对EC患者进行横断面调查,以评估其总体生存、经验、护理成本和生活质量的相对重要性。使用肯德尔的一致性系数(W)来评估受访者之间的协议。结果:100例患者(年龄57.2±10.4岁,男性54%,白种人90%)中位总生存期为18.0(7.8 ~ 49.8)个月,最大生存期为48.3年。受访者认为总体生存最重要,其次是功能独立、情绪健康、治疗经验和护理费用(W = 0.342, p 0.050)。行根治性手术的患者M-QOL优于对照组(45.00±15.22∶36.70±14.53,p = 0.010)。p - qol与生存期相似(40.30±9.75[5年],p = 0.873),延长生存期患者的M-QOL更高(36.87±14.24[5年],p = 0.008)。结论:尽管存在身体健康障碍,大多数EC幸存者仍优先考虑生存。然而,少数幸存者优先考虑费用和治疗经验,强调了定制治疗的重要性,以确保与个别患者驱动的优先事项保持一致。
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来源期刊
CiteScore
4.70
自引率
4.00%
发文量
367
审稿时长
2 months
期刊介绍: The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.
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