Dietary alterations and restrictions following surgery for upper gastrointestinal cancers: Key components of a health-related quality of life intervention

Virginia Sun, Joseph Kim, Jae Y. Kim, Dan J. Raz, Shaila Merchant, Joseph Chao, Vincent Chung, Tracy Jimenez, Elaine Wittenberg, Marcia Grant, Betty Ferrell

Research output: Contribution to journalArticle

Abstract

Purpose: The surgical treatment of upper gastrointestinal (GI) cancers, specifically esophageal and gastric cancers, often result in extensive health-related quality of life (HRQOL) concerns, particularly those associated with dietary adjustments. This paper provides a review of HRQOL changes following esophagectomy and gastrectomy, and describes key components of an intervention to improve dietary adjustments following surgery. Methods: Intervention development was informed by 1) current published evidence on HRQOL changes for patients following upper GI surgery, 2) examination of usual post-operative care related to dietary restrictions to identify areas for continued education and support and 3) the inclusion of a conceptual framework (the Chronic Care Model) to guide intervention design and inform the selection of appropriate outcome measures. Results: Three key components of an HRQOL intervention are identified, and should focus on HRQOL concerns associated with dietary alterations and restrictions following treatment, involve family caregivers, and be tailored and flexible to patient and family caregiver's needs and preferences. Conclusions: Evidence-based interventions to support long-term dietary alterations and restrictions following upper GI surgery are lacking, despite evidence confirming its impact on morbidity and mortality. Interventions are needed to support dietary adjustments, prevent malnutrition and excessive weight loss, and enhance HRQOL following surgery for upper GI cancers.

Original languageEnglish (US)
Pages (from-to)343-348
Number of pages6
JournalEuropean Journal of Oncology Nursing
Volume19
Issue number4
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

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Gastrointestinal Neoplasms
Quality of Life
Caregivers
Esophagectomy
Gastrectomy
Esophageal Neoplasms
Malnutrition
Stomach Neoplasms
Weight Loss
Outcome Assessment (Health Care)
Morbidity
Education
Mortality
Therapeutics

Keywords

  • Diet
  • Esophagectomy
  • Gastrectomy
  • Health-related quality of life

ASJC Scopus subject areas

  • Oncology(nursing)

Cite this

Dietary alterations and restrictions following surgery for upper gastrointestinal cancers : Key components of a health-related quality of life intervention. / Sun, Virginia; Kim, Joseph; Kim, Jae Y.; Raz, Dan J.; Merchant, Shaila; Chao, Joseph; Chung, Vincent; Jimenez, Tracy; Wittenberg, Elaine; Grant, Marcia; Ferrell, Betty.

In: European Journal of Oncology Nursing, Vol. 19, No. 4, 01.01.2015, p. 343-348.

Research output: Contribution to journalArticle

Sun, V, Kim, J, Kim, JY, Raz, DJ, Merchant, S, Chao, J, Chung, V, Jimenez, T, Wittenberg, E, Grant, M & Ferrell, B 2015, 'Dietary alterations and restrictions following surgery for upper gastrointestinal cancers: Key components of a health-related quality of life intervention', European Journal of Oncology Nursing, vol. 19, no. 4, pp. 343-348. https://doi.org/10.1016/j.ejon.2015.01.008
Sun, Virginia ; Kim, Joseph ; Kim, Jae Y. ; Raz, Dan J. ; Merchant, Shaila ; Chao, Joseph ; Chung, Vincent ; Jimenez, Tracy ; Wittenberg, Elaine ; Grant, Marcia ; Ferrell, Betty. / Dietary alterations and restrictions following surgery for upper gastrointestinal cancers : Key components of a health-related quality of life intervention. In: European Journal of Oncology Nursing. 2015 ; Vol. 19, No. 4. pp. 343-348.
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