Quality of Life of Post-Gastrectomy Patients: A Study in Indonesia's National Central Hospital

Authors

Herlan Napitupulu, Department of Surgery, Faculty of Medicine Universitas IndonesiaFollow
Agi S. Putranto, Department of Surgery, Faculty of Medicine Universitas Indonesia

Abstract

Introduction. Several studies suggest gastrectomy is associated with deterioration in a patient's quality of life (QOL). This study is conducted to assess the impact of distal (DG), proximal (PG), or total (TG) gastrectomy and the cause of disease on a patient's QOL.

Method. This retrospective study was conducted in dr. Cipto Mangunkusumo Hospital with collected data from the medical records throughout July-September 2020. Inclusion criteria were patients after proximal, distal, or total gastrectomy for a tumor or any non-tumor indications. They were assessed using the World Health Organization Quality of Life Questionnaire Abbreviated Version (WHOQOL-BREF). Collected data were further analyzed using statistical univariate and bivariate analysis.

Results. Sixty-six patients with a mean age of 47.12 ± 14.5 years were enrolled in the study. We found significant differences between the proximal, distal, and whole groups with the environmental domain and the total WHOQOL-BREF values. The median scores for the environmental domain were 63 (50–88), 69 (50–88), 56 (50–75), and the mean WHOQOL-BREF total scores for proximal, distal, and total gastrectomy patients were 64.42 ± 9.34, 67.19 ± 9.44, 59.12 ± 8.04 for the proximal, distal, and total groups, respectively. Subjects with an etiology of malignancy had a lower median WHOQOL-BREF score in most domains. However, there was no significant difference in WHOQOL-BREF scores between non-tumor and tumor subjects.

Conclusion. This study found decreasing patients' QOL after total gastrectomy compared with distal and proximal in the environmental domain and the total WHOQOL-BREF value. There was no difference in post-gastrectomy patients' QOL between tumor and non-tumor etiology in all WHOQOL-BREF domains.

Recommended Citation

Napitupulu, Herlan and Putranto, Agi S. (2021) "Quality of Life of Post-Gastrectomy Patients: A Study in Indonesia's National Central Hospital," The New Ropanasuri Journal of Surgery: Vol. 6: No. 1, Article 2.
DOI: 10.7454/nrjs.v6i1.1100
Available at: https://scholarhub.ui.ac.id/nrjs/vol6/iss1/2