ArticleFrontiers in oncology2026
Trajectories of care dependency and predictors following laparoscopic radical gastrectomy for gastric cancer: a longitudinal study.
Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To explore the potential categories of the trajectory of care dependency in patients with gastric cancer (GC) after laparoscopic radical gastrectomy. In addition, sociodemographic and clinical variables of each trajectory class were analyzed. Methods: This longitudinal observational study included 223 patients who underwent laparoscopic radical gastrectomy for GC. Care dependency (CD) was assessed using the Care Dependency Scale (CDS) at five postoperative time points: postoperative day 1 (T1), postoperative day 3 (T2), postoperative day 6 (T3), postoperative day 30 (T4) and 3 months (T5). SPSS and Mplus were used for statistical analysis. Latent growth mixture modeling (LGMM) was employed to analyze the longitudinal trajectories of care dependency from T1 to T5 in patients with GC. Furthermore, logistic regression was used to compare the sociodemographic and clinical characteristics of patients across the identified care dependency trajectory groups. Results: The care dependency trajectories of 206 patients with GC were classified into four potential categories, C1 (low dependency-stable group, 5.82%), C2 (high dependency-increased group, 22.33%), C3 (complete dependency-increased group, 62.13%), and C4 (persistent dependency group, 9.71%). Psychological resilience, age, social information support, time to first ambulation, BMI, and albumin were the primary predictor of the care dependency trajectory subtypes of patients with GC. Conclusion: There was heterogeneity in the care dependency trajectories of patients after laparoscopic radical gastrectomy. Nursing staff should effectively identify and pay attention to the trajectory types inconsistent with the overall trend and their influencing factors, and reduce the care dependency level of patients through intervention.
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