caa a22 4500 445338148 CHVBK 20180317142802.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1245/s10434-010-1290-y doi (NATIONALLICENCE)springer-10.1245/s10434-010-1290-y Extent of Gastric Resection Impacts Patient Quality of Life: The Dysfunction after Upper Gastrointestinal Surgery for Cancer (DAUGS32) Scoring System [Elektronische Daten] [Misuzu Nakamura, Yoshinori Hosoya, Masahiko Yano, Yuichiro Doki, Isao Miyashiro, Kentaro Kurashina, Yuki Morooka, Kentaro Kishi, Alan Lefor] Background: Quality of life is an important outcome measure in the care of patients with cancer. We developed a new scoring system specifically for the evaluation of patients with upper gastrointestinal cancer and postoperative gastrointestinal dysfunction. This study was undertaken to evaluate the scoring system's validity in comparing outcomes after gastric resection. Materials and Methods: Patients with gastric cancer, 3months to 3years postoperatively, were surveyed using the survey instrument. Postoperative dysfunction scores and the status of resuming activities of daily living were compared with the surgical procedure performed by analysis of variance and multiple-comparison techniques. Results: Of 211 patients surveyed, 165 (119 men, 46 women; mean age, 65.1±10.5years) responded. Procedures included distal gastrectomy in 100, total gastrectomy in 57, and pylorus-preserving gastrectomy in 8. The overall dysfunction score was 61.8±15.5. The dysfunction score was 58.9±15.0 after distal gastrectomy, 66.8±14.1 after total gastrectomy, and 62.4±21.6 after pylorus-preserving gastrectomy. These values differed significantly among the groups (P=.007). Dysfunction scores according to postoperative activity status were 49.1±15.6 in 71 patients who resumed their activities, 56.9±15.7 in 39 patients with reduced activities, 57.3±8.8 in 15 patients with minimal activities, and 63.3±11.8 (P<.05) in 16 patients who did not resume activities because of poor physical condition. Conclusions: This scoring system for postoperative gastrointestinal dysfunction provides an objective measure of dysfunction related to specific surgical procedures and correlates with activities of daily living in the postoperative period. Society of Surgical Oncology, 2010 Nakamura Misuzu Department of Nursing, Jichi Medical University, Shimotsuke, Tochigi, Japan aut Hosoya Yoshinori Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan aut Yano Masahiko Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan aut Doki Yuichiro Departments of Surgery and Clinical Oncology, Osaka University Graduate School of Medicine, Suita, Japan aut Miyashiro Isao Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan aut Kurashina Kentaro Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan aut Morooka Yuki Course of Health Science, Osaka University Graduate School of Medicine, Suita, Japan aut Kishi Kentaro Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan aut Lefor Alan Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan aut Annals of Surgical Oncology Springer-Verlag 18/2(2011-02-01), 314-320 1068-9265 18:2<314 2011 18 10434 https://doi.org/10.1245/s10434-010-1290-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1290-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nakamura Misuzu Department of Nursing, Jichi Medical University, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Hosoya Yoshinori Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Yano Masahiko Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan aut NATIONALLICENCE 700 1- Doki Yuichiro Departments of Surgery and Clinical Oncology, Osaka University Graduate School of Medicine, Suita, Japan aut NATIONALLICENCE 700 1- Miyashiro Isao Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan aut NATIONALLICENCE 700 1- Kurashina Kentaro Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 700 1- Morooka Yuki Course of Health Science, Osaka University Graduate School of Medicine, Suita, Japan aut NATIONALLICENCE 700 1- Kishi Kentaro Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan aut NATIONALLICENCE 700 1- Lefor Alan Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/2(2011-02-01), 314-320 1068-9265 18:2<314 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer