Systematic review on the impact of pancreatoduodenectomy on quality of life in patients with pancreatic cancer
| Autor: | H.D. Heerkens, Dorine S.J. Tseng, Sven M. van Dijk, Hjalmar C. van Santvoort, I. Quintus Molenaar, Martijn Intven |
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| Přispěvatelé: | Radiotherapy |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Time Factors MEDLINE 030230 surgery Malignant disease Pancreaticoduodenectomy 03 medical and health sciences 0302 clinical medicine SDG 3 - Good Health and Well-being Quality of life Pancreatic cancer medicine Humans In patient Social Behavior Survival rate Social functioning Baseline values Hepatology business.industry General surgery Gastroenterology Recovery of Function medicine.disease Pancreatic Neoplasms Treatment Outcome 030220 oncology & carcinogenesis Quality of Life business |
| Zdroj: | HPB, 20(3), 204-215. John Wiley & Sons Inc. HPB, 20(3), 204. John Wiley and Sons Inc. |
| ISSN: | 1365-182X |
| DOI: | 10.1016/j.hpb.2017.11.002 |
| Popis: | Background Patients undergoing pancreatoduodenectomy for pancreatic cancer have a high risk of major postoperative complications and a low survival rate. Insight in the impact of pancreatoduodenectomy on quality of life (QoL) is therefore of great importance. The aim of this systematic review was to assess QoL after pancreatoduodenectomy for pancreatic cancer. Methods A systematic review of the literature was performed according to the PRISMA guidelines. A systematic search of all the English literature available in PubMed and Medline was performed. All studies assessing QoL with validated questionnaires in pancreatic cancer patients undergoing pancreatoduodenectomy were included. Results After screening a total of 788 articles, the full texts of 36 articles were assessed, and 17 articles were included. QoL of physical and social functioning domains decreased in the first 3 months after surgery. Recovery of physical and social functioning towards baseline values took place after 3–6 months. Pain, fatigue and diarrhoea scores deteriorated postoperatively, but eventually resolved after 3–6 months. Conclusion Pancreatoduodenectomy for malignant disease negatively influences QoL in the physical and social domains at short term. It will eventually recover to baseline values after 3–6 months. This information is valuable for counselling and expectation management of patients undergoing pancreatoduodenectomy. |
| Databáze: | OpenAIRE |
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