Related Experiment Video
Updated: Jun 7, 2025
06:46
Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
2.7K
Patient-reported outcomes following esophagectomy
Alicia M Bonanno1,2, Felix G Fernandez1,2
1Department of Surgery, Section of General Thoracic Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Journal of Thoracic Disease
|November 18, 2024
Summary
Patient-reported outcomes (PROs) show quality of life (QoL) decreases after esophagectomy. Long-term QoL recovery varies, highlighting the need for better PRO integration in research and clinical practice.
Area of Science:
- Oncology
- Surgical Outcomes
- Patient-Reported Outcomes
Background:
- Esophagectomy significantly impacts patient quality of life (QoL) due to permanent lifestyle changes.
- Current cancer research prioritizes survival and major morbidity over global patient well-being.
- Patient-Reported Outcomes (PROs) offer a valuable tool for measuring QoL and patient health.
Purpose of the Study:
- To review methods for gathering and utilizing PRO data in esophagectomy patients.
- To synthesize current literature on QoL changes following esophagectomy.
- To address the discordance in long-term QoL recovery findings.
Main Methods:
- Review of existing literature on PROs and QoL in esophagectomy.
- Analysis of studies measuring patient-reported outcomes before and after surgery.
- Examination of data collection methods, including electronic medical records.
Main Results:
- A consistent decrease in QoL is observed immediately after esophagectomy.
- There is significant variability in long-term health-related QoL (HRQoL) recovery to baseline.
- PROs are minimally burdensome and improve patient-surgeon communication.
Conclusions:
- PROs are essential for a comprehensive understanding of the patient experience post-esophagectomy.
- Further research is needed to clarify factors influencing long-term QoL recovery.
- Standardized PRO data collection can enhance clinical decision-making and patient care.
Keywords:
Patient-reported outcomes (PROs)esophageal canceresophagectomyhealth-related quality of life (HRQoL)More Related Videos
Related Concept Videos
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
69
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
69
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
51
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
51
01:21Barrett Esophagus-II: Clinical Manifestations and Management
109
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
109
01:28Esophageal Perforation-II: Clinical Manifestations and Management
44
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
44
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
54
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
54
01:26Esophageal Strictures-II: Clinical Features and Management
51
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
51