1. Quality of life in patients with peritoneal surface malignancies after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.
- Author
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Chia CS, Tan WJ, Wong JF, Tan GH, Lim C, Wang W, Sin EI, Tham CK, Soo KC, and Teo MC
- Subjects
- Adolescent, Adult, Aged, Appendiceal Neoplasms pathology, Chemotherapy, Adjuvant, China ethnology, Colorectal Neoplasms pathology, Disease-Free Survival, Female, Follow-Up Studies, Health Status, Humans, India ethnology, Male, Middle Aged, Ovarian Neoplasms pathology, Peritoneal Cavity, Peritoneal Neoplasms drug therapy, Peritoneal Neoplasms mortality, Peritoneal Neoplasms surgery, Role, Singapore, Surveys and Questionnaires, Treatment Outcome, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Chemotherapy, Cancer, Regional Perfusion methods, Hyperthermia, Induced, Peritoneal Neoplasms secondary, Peritoneal Neoplasms therapy, Quality of Life
- Abstract
Background: An increasing number of patients are presenting with peritoneal carcinomatosis and more centers are performing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). While morbidity and mortality are shown to be acceptable, quality of life after surgery should be assessed., Methods: 63 patients who had CRS and HIPEC from 2001 to 2012 and who were still alive and on follow up were included. The EORTC-QLQ-C30 was administered to the patients., Results: Median age was 53 years (14-71). 44% had ovarian primaries, 21% had appendicael primaries and 19% had colorectal primaries. Median follow-up was 1.08 years (0.06-9.8). The median time from surgery to the questionnaire was 1.3 years (0.24-10.18). There was no statistical difference in scores when comparing by age, gender, recurrence, gender, PCI score, presence of a complication and type of primary cancer. Scores were highest less than 6 months after surgery, dropped subsequently but rose again after 2 years. Our patients had better scores compared to a control group of outpatient cancer patients at our institution as well as the reference EORTC group., Conclusions: In keeping with previous quality of life studies done for CRS and HIPEC patients, we have shown that our patients can achieve a good quality of life after CRS and HIPEC even with recurrent disease., (Copyright © 2014 Elsevier Ltd. All rights reserved.)
- Published
- 2014
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