TY - JOUR
T1 - Systematic review on the impact of pancreatoduodenectomy on quality of life in patients with pancreatic cancer
AU - van Dijk, Sven M.
AU - Heerkens, Hanne D.
AU - Tseng, Dorine S. J.
AU - Intven, Martijn
AU - Molenaar, I. Quintus
AU - van Santvoort, Hjalmar C.
PY - 2018
Y1 - 2018
N2 - Background: Patients undergoing pancreatoduodenectomy for pancreatic cancer have a high risk of major postoperative complications and a low survival rate. Insight in the impact of pancreatoduodenectomy on quality of life (QoL) is therefore of great importance. The aim of this systematic review was to assess QoL after pancreatoduodenectomy for pancreatic cancer. Methods: A systematic review of the literature was performed according to the PRISMA guidelines. A systematic search of all the English literature available in PubMed and Medline was performed. All studies assessing QoL with validated questionnaires in pancreatic cancer patients undergoing pancreatoduodenectomy were included. Results: After screening a total of 788 articles, the full texts of 36 articles were assessed, and 17 articles were included. QoL of physical and social functioning domains decreased in the first 3 months after surgery. Recovery of physical and social functioning towards baseline values took place after 3–6 months. Pain, fatigue and diarrhoea scores deteriorated postoperatively, but eventually resolved after 3–6 months. Conclusion: Pancreatoduodenectomy for malignant disease negatively influences QoL in the physical and social domains at short term. It will eventually recover to baseline values after 3–6 months. This information is valuable for counselling and expectation management of patients undergoing pancreatoduodenectomy.
AB - Background: Patients undergoing pancreatoduodenectomy for pancreatic cancer have a high risk of major postoperative complications and a low survival rate. Insight in the impact of pancreatoduodenectomy on quality of life (QoL) is therefore of great importance. The aim of this systematic review was to assess QoL after pancreatoduodenectomy for pancreatic cancer. Methods: A systematic review of the literature was performed according to the PRISMA guidelines. A systematic search of all the English literature available in PubMed and Medline was performed. All studies assessing QoL with validated questionnaires in pancreatic cancer patients undergoing pancreatoduodenectomy were included. Results: After screening a total of 788 articles, the full texts of 36 articles were assessed, and 17 articles were included. QoL of physical and social functioning domains decreased in the first 3 months after surgery. Recovery of physical and social functioning towards baseline values took place after 3–6 months. Pain, fatigue and diarrhoea scores deteriorated postoperatively, but eventually resolved after 3–6 months. Conclusion: Pancreatoduodenectomy for malignant disease negatively influences QoL in the physical and social domains at short term. It will eventually recover to baseline values after 3–6 months. This information is valuable for counselling and expectation management of patients undergoing pancreatoduodenectomy.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85039414232&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29249649
U2 - https://doi.org/10.1016/j.hpb.2017.11.002
DO - https://doi.org/10.1016/j.hpb.2017.11.002
M3 - Review article
C2 - 29249649
SN - 1365-182X
VL - 20
SP - 216
EP - 221
JO - HPB: The official journal of the International Hepato Pancreato Biliary Association
JF - HPB: The official journal of the International Hepato Pancreato Biliary Association
IS - 3
ER -