Health-related quality of life and hospital costs following esophageal resection: a prospective cohort study

World Journal of Surgical Oncology
Chema StrikJ J Bonenkamp

Abstract

The incidence rates for adenocarcinoma of the esophagus are increasing while the prognosis has only improved slightly. There is no apparent benefit in short- and long-term survival after different surgical strategies, but surgery is associated with significant morbidity. The goal of this study is to prospectively assess the quality of life and hospital costs after esophageal resections depending on the development of complications. Prospective data was collected from 47 patients undergoing an esophageal resection for esophageal cancer participating in the prospective LAParotomy or LAParoscopy and Adhesions (LAPAD) study (clinicaltrials.gov registration number: NCT01236625). A comparison was made between patients who developed major complications and minor or no complications regarding quality of life and hospital costs. Thirteen patients developed major complications while 34 patients developed only minor or no complications. Patients with major complications had a mean hospital cost of $16,369 vs $12,409 for patients without or with minor complications. We found no difference in quality of life between the two groups 6 months after surgery. In our cohort, major complications did not seem to have a detrimental effect on postope...Continue Reading

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Citations

May 17, 2019·Expert Review of Pharmacoeconomics & Outcomes Research·Green BaeHyowon Yang
Sep 9, 2017·Chinese Journal of Cancer·Lan-Wei GuoUNKNOWN Health Economic Evaluation Working Group, Cancer Screening Program in Urban China (CanSPUC)
Oct 10, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Anna LöfgrenJosefine Persson
May 31, 2021·Esophagus : Official Journal of the Japan Esophageal Society·Jakob HedbergMagnus Sundbom

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Clinical Trials Mentioned

NCT01236625

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SPSS

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