title: Quality of life: A critical outcome for all surgical treatments of gastric cancer.
abstract: Surgery represents the main curative therapeutic modality for gastric cancer, and it is occasionally considered for palliation as well as prophylaxis. Most frequently, surgical outcomes are conveyed in terms of oncological outcomes such as recurrence and survival. However, quality of life (QoL) is also important and should be considered when making treatment decisions - including the extent of and approach to surgery. Measurement of QoL usually involves the application of questionnaires. While there are multiple QoL questionnaires validated for use in oncology patients, there are very few that have been validated for use in those with gastric cancer. In this review, we discuss and compare the current status of QoL questionnaires in gastric cancer. More importantly, the impact of surgery for treatment, palliation and prophylaxis of gastric cancer on QoL will be described. These data should inform the surgeon on the optimal approach to treating gastric cancer, taking into account oncological outcomes. Knowledge gaps are also identified, providing a roadmap for future studies.
authors.affiliation: Michael D McCall, Peter J Graham, Oliver F Bathe, Department of Surgery and the Division of Surgical Oncology, University of Calgary, Alberta T2N 2T9, Canada.
authors.forename: Michael D
authors.initials: MD
authors.lastname: McCall
authors.affiliation: Michael D McCall, Peter J Graham, Oliver F Bathe, Department of Surgery and the Division of Surgical Oncology, University of Calgary, Alberta T2N 2T9, Canada.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Graham
authors.affiliation: Michael D McCall, Peter J Graham, Oliver F Bathe, Department of Surgery and the Division of Surgical Oncology, University of Calgary, Alberta T2N 2T9, Canada.
authors.forename: Oliver F
authors.initials: OF
authors.lastname: Bathe
mesh_terms: D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods / Q000401:mortality / Q000523:psychology*; D006801:Humans; D010535:Laparoscopy / Q000523:psychology; D008197:Lymph Node Excision / Q000523:psychology; D010166:Palliative Care / Q000523:psychology*; D000071066:Patient Reported Outcome Measures; D011237:Predictive Value of Tests; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000401:mortality / Q000523:psychology / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Gastric cancer; Oncology; Palliation; Quality of life; Surgery
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