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Research Article
Andrew R Davies
Guy's and St Thomas' Hospitals NHS Trust: Guy's and St Thomas' NHS Foundation Trust
Corresponding Author
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Purpose: Long-lasting symptoms and reductions in quality of life are common after oesophago-gastric surgery. Post-operative follow-up has traditionally focussed on tumour recurrence and survival, but there is a growing need to also identify and treat functional sequelae to improve patients’ recovery.
Methods: An electronic survey was circulated via a British national charity for patients undergoing oesophago-gastric surgery and their families. Patients were asked about post-operative symptoms they deemed important to their quality of life, as well as satisfaction and preferences for post-operative follow-up. Differences between satisfied and dissatisfied patients with reference to follow-up were assessed.
Results: Among 362 respondents with a median follow-up of 58 months since surgery (range 3-412), 36 different symptoms were reported as being important to recovery and quality of life after surgery, with a median 13 symptoms per patient. Most (84%) respondents indicated satisfaction with follow-up. Unsatisfied patients were more likely to have received shorter follow-up than 5 years (27% among unsatisfied patient vs. 60% among satisfied patients, p<0.001) and were less likely to have seen a dietitian as part of routine follow-up (37% vs. 58%, p=0.005).
Conclusion: This patient survey highlights preferences regarding follow-up after oesophago-gastrectomy. Longer follow-up and dietician involvement improved patient satisfaction. Patients reported being concerned by a large number of gastrointestinal and non-gastrointestinal symptoms, highlighting the need for multidisciplinary input and a consensus on how to manage the poly-symptomatic patient.
Keywords
Survivorship, Symptoms, Esophageal neoplasms, Gastric neoplasms, Esophagectomy, Gastrectomy
This is a list of supplementary files associated with this preprint. Click to download.
- Supplementaryfigure1.pdf
Supplementary figure 1. Patient questionnaire
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CURRENT STATUS: Under Review
Version 1
Posted 10 Nov, 2021
No community comments so far
Reviews received
Received 14 Nov, 2021
Reviewers invited
Invitations sent on 05 Nov, 2021
First submitted
On 30 Sep, 2021
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Subject Areas
Cancer Biology
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This preprint is under consideration at Supportive Care in Cancer. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Andrew R Davies
Guy's and St Thomas' Hospitals NHS Trust: Guy's and St Thomas' NHS Foundation Trust
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 10 Nov, 2021
No community comments so far
Reviews received
Received 14 Nov, 2021
Reviewers invited
Invitations sent on 05 Nov, 2021
First submitted
On 30 Sep, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cancer Biology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Purpose: Long-lasting symptoms and reductions in quality of life are common after oesophago-gastric surgery. Post-operative follow-up has traditionally focussed on tumour recurrence and survival, but there is a growing need to also identify and treat functional sequelae to improve patients’ recovery.
Methods: An electronic survey was circulated via a British national charity for patients undergoing oesophago-gastric surgery and their families. Patients were asked about post-operative symptoms they deemed important to their quality of life, as well as satisfaction and preferences for post-operative follow-up. Differences between satisfied and dissatisfied patients with reference to follow-up were assessed.
Results: Among 362 respondents with a median follow-up of 58 months since surgery (range 3-412), 36 different symptoms were reported as being important to recovery and quality of life after surgery, with a median 13 symptoms per patient. Most (84%) respondents indicated satisfaction with follow-up. Unsatisfied patients were more likely to have received shorter follow-up than 5 years (27% among unsatisfied patient vs. 60% among satisfied patients, p<0.001) and were less likely to have seen a dietitian as part of routine follow-up (37% vs. 58%, p=0.005).
Conclusion: This patient survey highlights preferences regarding follow-up after oesophago-gastrectomy. Longer follow-up and dietician involvement improved patient satisfaction. Patients reported being concerned by a large number of gastrointestinal and non-gastrointestinal symptoms, highlighting the need for multidisciplinary input and a consensus on how to manage the poly-symptomatic patient.
This is a list of supplementary files associated with this preprint. Click to download.
- Supplementaryfigure1.pdf
Supplementary figure 1. Patient questionnaire
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