Evidence map›Paper›PMID 29067597›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2018

Factors influencing health-related quality of life after gastrectomy for cancer.

Hylke J F Brenkman, Juul J W Tegels, Jelle P Ruurda, Misha D P Luyer, Ewout A Kouwenhoven, Werner A Draaisma, Donald L van der Peet, Bas P L Wijnhoven, Jan H M B Stoot, Richard van Hillegersberg and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

  1. Trial
  2. Longitudinal assessment of quality-of-life after gastrectomy for gastric cancer: a prospective study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hylke J F BrenkmanDepartment of Surgery, Division Cancer Center, University Medical Center Utrecht, Heidelberglaan 100, 3508 GA, Utrecht, The Netherlands.
Juul J W TegelsDepartment of Surgery, Zuyderland Medical Center, Sittard, The Netherlands.
Jelle P RuurdaDepartment of Surgery, Division Cancer Center, University Medical Center Utrecht, Heidelberglaan 100, 3508 GA, Utrecht, The Netherlands.
Misha D P LuyerDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Ewout A KouwenhovenDepartment of Surgery, Ziekenhuisgroep Twente, Almelo, The Netherlands.
Werner A DraaismaDepartment of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Donald L van der PeetDepartment of Surgery, VU Medical Center, Amsterdam, The Netherlands.
Bas P L WijnhovenDepartment of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Jan H M B StootDepartment of Surgery, Zuyderland Medical Center, Sittard, The Netherlands.
Richard van HillegersbergDepartment of Surgery, Division Cancer Center, University Medical Center Utrecht, Heidelberglaan 100, 3508 GA, Utrecht, The Netherlands. R.vanHillegersberg@umcutrecht.nl.
LOGICA Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimInsight in health-related quality of life (HRQoL) may improve clinical decision making and inform patients about the long-term effects of gastrectomy. This study aimed to evaluate and identify factors associated with HRQoL after gastrectomy.

methodsThis cross-sectional study used prospective databases from seven Dutch centers (2001-2015) including patients who underwent gastrectomy for cancer. Between July 2015 and November 2016, European Organization for Research and Treatment of Cancer HRQoL questionnaires QLQ-C30 and QLQ-STO22 were sent to all surviving patients without recurrence. The QLQ-C30 scores were compared to a Dutch reference population using a one-sample t test. Spearman's rank test was used to correlate time after surgery to HRQoL, and multivariable linear regression was performed to identify factors associated with HRQoL.

resultsA total of 222 of 274 (81.0%) patients completed the questionnaires. Median follow-up was 29 months (range, 3-171) and 86.9% of patients had a follow-up >1 year. The majority of patients had undergone neoadjuvant treatment (64.4%) and total gastrectomy (52.7%). Minimally invasive gastrectomy (MIG) was performed in 50% of the patients. Compared to the general population, gastrectomy patients scored significantly worse on most functional and symptom scales (p < 0.001) and slightly worse on global HRQoL (78 vs. 74, p = 0.012). Time elapsed since surgery did not correlate with global HRQoL (Spearman's ρ = 0.06, p = 0.384). Distal gastrectomy, neoadjuvant treatment, and MIG were associated with better HRQoL (p < 0.050).

conclusionAfter gastrectomy, patients encounter functional impairments and symptoms, but experience only a slightly impaired global HRQoL. Distal gastrectomy, the ability to receive neoadjuvant treatment, and MIG may be associated with HRQoL benefits.

Indexed as

Quality of LifeAdenocarcinomaAgedCohort StudiesCross-Sectional StudiesFemaleGastrectomyHumansMaleMiddle AgedStomach NeoplasmsSurveys and QuestionnairesGastrectomyGastric cancerQuality of life

Identifiers

PMID29067597
PMCPMC5906484

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.