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Published in: Journal of Gastrointestinal Surgery 5/2008

01-05-2008 | ssat plenary presentation

Quality of Life in Pancreatic Cancer: Analysis by Stage and Treatment

Authors: Stefano Crippa, Ismael Domínguez, J. Ruben Rodríguez, Oswaldo Razo, Sarah P. Thayer, David P. Ryan, Andrew L. Warshaw, Carlos Fernández-del Castillo

Published in: Journal of Gastrointestinal Surgery | Issue 5/2008

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Abstract

In pancreatic cancer patients, survival and palliation of symptoms should be balanced with social and functional impairment, and for this reason, health-related quality of life measurements could play an important role in the decision-making process. The aim of this work was to evaluate the quality of life and survival in 92 patients with different stages of pancreatic adenocarcinoma who underwent surgical and/or medical interventions. Patients were evaluated with the Functional Assessment of Cancer Therapy questionnaires at diagnosis and follow-up (3 and 6 months). At diagnosis, 28 patients (30.5%) had localized disease (group 1) and underwent surgical resection, 34 (37%) had locally advanced (group 2), and 30 (32.5%) metastatic disease (Group 3). Improvement in quality of life was found in group 1, while in group 3, it decreased at follow-up (p = 0.03). No changes in quality of life in group 2 were found. Chemotherapy/chemoradiation seems not to significantly modify quality of life in groups 2 and 3. Median survival time for the entire cohort was 9.8 months (range, 1–24). One-year survival was 74%, 30%, and 16% for groups 1, 2, and 3 respectively (p = 0.001). Pancreatic cancer prognosis is still dismal. In addition to long-term survival benefits, surgery impacts favorably quality of life.
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Metadata
Title
Quality of Life in Pancreatic Cancer: Analysis by Stage and Treatment
Authors
Stefano Crippa
Ismael Domínguez
J. Ruben Rodríguez
Oswaldo Razo
Sarah P. Thayer
David P. Ryan
Andrew L. Warshaw
Carlos Fernández-del Castillo
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 5/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-007-0391-9

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