Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea; Kyungpook National University Hospital, Daegu, Republic of Korea.
Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea; Kyungpook National University Hospital, Daegu, Republic of Korea.
Asian J Surg. 2022 Dec;45(12):2706-2712. doi: 10.1016/j.asjsur.2021.11.067. Epub 2022 Mar 30.
This study assessed the personal satisfaction of gastric cancer survivors with post-gastrectomy weight loss. The responses were analyzed in relation to the actual weight status based on two general criteria-preoperative weight and the World Health Organization (WHO) weight classification-as part of an attempt to identify patterns of satisfaction with weight loss.
Survivors with significant postoperative weight loss (≥8%) were identified among 1- and 5-year survivors, and were divided into obese/non-obese weight losers (WLs) based on the WHO definition of obesity. For comparison, those with minimal weight change (not exceeding ± 3%) at each time period were identified (non-WLs).The EORTC QLQ-C30 and -STO22 questionnaires were used to monitor quality of life (QoL). Responses to an item in the EORTC QLQ-STO22, inquiring about personal concerns with weight loss, were used to assess personal satisfaction with weight changes.
Except for the QoL disadvantages of non-obese WLs in anxiety (P = 0.011) of 1-year survivors and in emotional functioning (P = 0.039) of 5-year survivors, there was no significant difference in QoL changes between groups. Regarding personal satisfaction with decreased body weight, non-obese WLs continued to show dissatisfaction (P < 0.001) unlike obese WLs, who enjoyed satisfaction comparable to non-WLs long after surgery.
Compared with non-obese WLs who expressed dissatisfaction with current weight, obese WLs were satisfied with their current weight several years after surgery. Patient satisfaction with surgical changes may depend on the availability of reasonable grounds that suggest a positive interpretation of surgically altered status.
本研究评估了胃癌术后体重减轻患者的个人满意度。根据两个一般标准（术前体重和世界卫生组织（WHO）体重分类）分析了对体重状况的实际反应，作为试图确定对体重减轻的满意度模式的一部分。
在 1 年和 5 年的幸存者中确定了有明显术后体重减轻（≥8%）的幸存者，并根据 WHO 肥胖定义将其分为肥胖/非肥胖体重减轻者（WL）。作为比较，在每个时间段体重变化最小（不超过±3%）的人被确定为非 WL。使用 EORTC QLQ-C30 和-STO22 问卷监测生活质量（QoL）。使用 EORTC QLQ-STO22 中的一项询问个人对体重减轻的关注的项目来评估个人对体重变化的满意度。
除了 1 年幸存者焦虑（P=0.011）和 5 年幸存者情感功能（P=0.039）中非肥胖 WL 患者 QoL 变化的劣势外，各组之间 QoL 变化无显著差异。对于对体重减轻的个人满意度，非肥胖 WL 患者继续表现出不满（P<0.001），而肥胖 WL 患者在手术后数年中表现出与非-WL 相当的满意度。
与对当前体重不满意的非肥胖 WL 患者相比，肥胖 WL 患者对手术后的当前体重感到满意。患者对手术变化的满意度可能取决于是否有合理的理由，这表明对手术改变的状态有积极的解释。
