Effect of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy on Quality of Life in Patients with Peritoneal Mesothelioma (VSports注册入口)
- PMID: 31069554
- PMCID: PMC6842037
- DOI: 10.1245/s10434-019-07425-5
VSports app下载 - Effect of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy on Quality of Life in Patients with Peritoneal Mesothelioma
Abstract
Introduction: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) is an accepted treatment for peritoneal mesothelioma VSports手机版. In this study, we evaluated QOL after HIPEC for peritoneal mesothelioma. .
Methods: This was a prospective study performed after HIPEC for peritoneal mesothelioma between 2002 and 2015. Patients completed QOL surveys, including the Short Form-36 (SF-36), Functional Assessment of Cancer Therapy + Colon (FACT-C), Brief Pain Inventory (BPI), and Center for Epidemiologic Studies Depression Scale (CES-D) preoperatively and at 3, 6, 12, and 24 months postoperatively. V体育安卓版.
Results: Overall, 46 patients underwent HIPEC for peritoneal mesothelioma and completed QOL surveys. Mean age was 52. 8 ± 13. 8 years and 52% were male. Good preoperative functional status was 70%. Median survival was 3. 4 years, and 1, 3, and 5-year survivals were 77. 4, 55. 2, and 36. 5%, respectively. CES-D score decreased at 3 months postoperatively, but increased at 24 months (p = 0. 014); SF-36 physical functioning scale decreased at 3 months but returned to baseline at 12 months (p = 0. 0045); and the general health scale decreased at 3 months, then improved by 6 months (p = 0. 0034). Emotional well-being (p = 0. 0051), role limitations due to emotional problems (p = 0. 0006), social functioning (p = 0. 0022), BPI (p = 0. 025), least pain (p = 0. 045), and worst pain (p < 0. 0001) improved. FACT-C physical well-being decreased at 3 months but returned to baseline at 6 months (p = 0. 020), and total FACT-C score improved at 6 months (p = 0. 052) V体育ios版. .
Conclusion: QOL returned to baseline or improved from baseline between 3 months and 1 year following surgery VSports最新版本. Despite the risks associated with this operation, patients may tolerate HIPEC well and have good overall QOL postoperatively. .
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References (VSports最新版本)
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- Valente K, et al. A histomorphologic grading system that predicts overall survival in diffuse malignant peritoneal mesothelioma with epithelioid subtype. Am J Surg Pathol. 2016;40(9):1243–8. - "VSports在线直播" PMC - PubMed
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