Apresentação do PowerPoint

Quality of life analysis in patients with
gastrectomy due to gastric adenocarcinoma
Jacqueline Nunes de Menezes¹, Giovanna Luiza Caxeiro¹, Isabella Asari Takahara¹, Bianca
Escorel Costa Fava², Marcelo Cerdan Torres², Franz Robert Apodaca¹ ²
¹ Universidade de Mogi das Cruzes – SP
² Hospital das Clínicas Luzia de Pinho Melo – Mogi das Cruzes – SP.
Quality of life analysis in patients with
gastrectomy due to gastric adenocarcinoma
• Introduction: Gastric cancer is one of • Methods: - 28 patients diagnosed with
histopathology of gastric adenocarcinoma
the main death causes worldwide. In
with total or subtotal gastrectomy were
Brazil, it is the third most frequent
included.
malignant neoplasia among men and
– They had at least a six-month-postthe fifth among women. Surgeries
surgery period from 1/2013 to 12/2014.
are the main treatment and they can
– They were requested to answer the
be associated with quality of life (QL)
EORTC QLQ – European Organization for
jeopardy.
Research in the Treatment of Cancer
Quality of Life Questionnaire in
• Objectives: Analyzing the QL of
Portuguese, divided in: EORTC QLQ – C30
patients with total or subtotal
and EORTC QLQ – STO22 (Gastric
gastrectomy
due
to
gastric
Module).
adenocarcinoma.
• Results:
(Abstention rate = 7,2%)
TABELA 1. Distribuição da Escala Funcional - Escores EORTC QLQ-C30
Variável
Medidas
FIGURAS 1 e 2. Análise de QV: gastrectomia total x gastrectomia subtotal.
Medidas
Estado global de
saúde/qualidade
de vida
Variação
Mediana
Média (Desvio Padrão)
25 – 100
87,5
80,4 (22,6)
Função física
Variação
Mediana
Média (Desvio Padrão)
13,3 – 100,0
86,7
75,4 (26,2)
Desempenho de
papel
Variação
Mediana
Média (Desvio Padrão)
0,0 – 100,0
100,0
78,2 (32,2)
Função
emocional
Variação
Mediana
Média (Desvio Padrão)
0,0 – 100,0
91,7
83,3 (24,0)
Função cognitiva
Variação
Mediana
Média (Desvio Padrão)
0,0 – 100,0
83,3
78,2 (27,4)
Função social
Variação
Mediana
Média (Desvio Padrão)
50,0 – 100,0
100,0
87,8 (18,0)
p=0,021
p=0,009
- Higher symptomology rates have been associated
with patients with a total gastrectomy;
- Body image perception (p=0,048) was worse in
those who had undergone any post surgery
complication.
FIGURAS 3, 4 e 5. Análise de QV de acordo com o período de internação.
p=0,010
p=0,033
p=0,030
FIGURAS 5 e 6. Análise de QV de acordo com o estadio clínico da população estudada.
p=0,017
p=0,031
• Conclusions:
– Total gastrectomy, advanced clinical stage and long hospital stay are
factors associated with the worse QL in patients with gastrectomy.
– More studies aiming to improve the understanding of gastrectomy
impact on QL are necessary.
Autor a ser contatado:
Jacqueline Nunes de Menezes
Rua Fernando Pessoa, 1246. Parque Marajoara – Santo André – SP.
(11) 99525-1728
[email protected]