消化管癌手术后患者报告结果的轨迹 - 一项基于人口的研究
Kenneth Färnqvist1, Kalle Mälberg1, Asif Johar1
1Surgical Care Science, Department of Molecular medicine and Surgery, Karolinska Institutet, 171 77 Stockholm, Sweden.
概括
吸烟者,不活动的人,以及食道癌手术后减肥的人面临更高的症状负担. 改变生活方式可以改善这些患者的长期生活质量.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 患者报告的结果
背景情况:
- 调查食道癌手术后患者报告的长期结果.
- 确定影响术后生活质量的可修改因素.
研究的目的:
- 在食道癌切除后的五年内分析症状轨迹.
- 确定生活方式因素与症状负担之间的关联.
主要方法:
- 潜在类分析以确定症状轨迹.
- 后勤回归将生活方式因素与结果联系起来.
- 在2013-2020年期间,瑞典从408名患者收集的数据.
主要成果:
- 大多数患者在五年内经历了持续的症状负担.
- 吸烟与增加消化不良,饮食限制和反流有关.
- 身体活动与减少食障碍,饮食限制,疼痛和不适有关.
- 体重稳定与较不严重的饮食限制和更好的身体形象恢复相关.
结论:
- 吸烟者,身体不活跃的患者和减肥患者需要有针对性的支持.
- 生活方式干预对于缓解手术后的长期症状至关重要.
- 解决可修改因素可以改善食道癌症幸存者的生活质量.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
73
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...
73
Endoscopic Procedures I: Esophagogastroduodenoscopy
101
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:
101
Cancer Survival Analysis
343
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
343
Barrett Esophagus-II: Clinical Manifestations and Management
139
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...
139
Esophageal Perforation-II: Clinical Manifestations and Management
56
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:
56
Esophageal Strictures-II: Clinical Features and Management
66
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...
66


