Evidence map›Paper›PMID 37129152›Full record

ArticleJournal of gastric cancer2023

Effect of Four Main Gastrectomy Procedures for Proximal Gastric Cancer on Patient Quality of Life: A Nationwide Multi-Institutional Study.

Koji Nakada, Akitoshi Kimura, Kazuhiro Yoshida, Nobue Futawatari, Kazunari Misawa, Kuniaki Aridome, Yoshiyuki Fujiwara, Kazuaki Tanabe, Hirofumi Kawakubo, Atsushi Oshio and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of gastric cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Symptom Cluster Assessment Tools for Gastric Cancer Care in China: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
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.

Koji NakadaDepartment of Laboratory Medicine, The Jikei University School of Medicine, Tokyo, Japan. nakada@jikei.ac.jp.ORCID https://orcid.org/0000-0002-4472-1008
Akitoshi KimuraDivision of Gastroenterological Surgery, Clinical Oncology Center, Aomori Prefectural Central Hospital, Aomori, Japan.ORCID https://orcid.org/0000-0003-1286-5776
Kazuhiro YoshidaDepartment of Surgical Oncology, Gifu University, Gifu, Japan.ORCID https://orcid.org/0000-0003-1408-0104
Nobue FutawatariDepartment of Surgery, Toho University Ohashi Medical Center, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5666-308X
Kazunari MisawaDepartment of Gastroenterological Surgery, Aichi Cancer Center, Nagoya, Japan.ORCID https://orcid.org/0000-0002-2047-3919
Kuniaki AridomeDepartment of Surgery, Saiseikai Sendai Hospital, Kagoshima, Japan.ORCID https://orcid.org/0000-0002-3868-8926
Yoshiyuki FujiwaraDivision of Gastrointestinal and Pediatric Surgery, Tottori University Faculty of Medicine, Yonago, Japan.ORCID https://orcid.org/0000-0002-3805-9003
Kazuaki TanabeDepartment of Gastroenterological Surgery, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0002-8650-2735
Hirofumi KawakuboDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4929-5482
Atsushi OshioFaculty of Letters, Arts, and Sciences, Waseda University, Tokyo, Japan.ORCID https://orcid.org/0000-0002-2936-2916
Yasuhiro KoderaDepartment of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID https://orcid.org/0000-0002-6173-7474

Funding

Japanese Gastric Cancer AssociationJikei University School of Medicine
6 · The paper itself

Abstract

purposeThis study aimed to examine the effects of 4 main types of gastrectomy for proximal gastric cancer on postoperative symptoms, living status, and quality of life (QOL) using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45). MATERIALS AND

methodsWe surveyed 1,685 patients with upper one-third gastric cancer who underwent total gastrectomy (TG; n=1,020), proximal gastrectomy (PG; n=518), TG with jejunal pouch reconstruction (TGJP; n=93), or small remnant distal gastrectomy (SRDG; n=54). The 19 main outcome measures (MOMs) of the PGSAS-45 were compared using the analysis of means (ANOM), and the general QOL score was calculated for each gastrectomy type.

resultsPatients who underwent TG experienced the lowest postoperative QOL. ANOM showed that 10 MOMs were worse in patients with TG. Four MOMs improved in patients with PG, while 1 worsened. One MOM was improved in patients with TGJP versus 8 MOMs in patients with SRDG. The general QOL scores were as follows: SRDG (+39 points), TGJP (+6 points), PG (+3 points), and TG (-1 point).

conclusionsThe TG group experienced the greatest decline in postoperative QOL. SRDG and PG, which preserve part of the stomach without compromising curability, and TGJP, which is used when TG is required, enhance the postoperative QOL of patients with proximal gastric cancer. When selecting the optimal gastrectomy method, it is essential to understand the characteristics of each and actively incorporate guidance to improve postoperative QOL.

Indexed as

GastrectomyGastric cancerPatient reported outcome measuresPostgastrectomy syndromesQuality of life

Identifiers

PMID37129152
PMCPMC10154134

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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.