Comparing Two Surgery Types for Esophageal Cancer: What Patients Prefer
Author Information
Author(s): de Boer A G E M, Stalmeier P F M, Sprangers M A G, de Haes J C J M, van Sandick J W, Hulscher J B F, van Lanschot J J B
Primary Institution: Academic Medical Center, Amsterdam, The Netherlands
Hypothesis
What are the utilities and treatment preferences of patients after transhiatal or transthoracic oesophagectomy for oesophageal cancer?
Conclusion
Most patients preferred the transthoracic procedure over the transhiatal procedure for oesophageal cancer surgery.
Supporting Evidence
- Patients were able to rank their health states based on impairment in physical, emotional, and social functioning.
- The study found that utilities for health states were robust and did not vary significantly by patient characteristics.
- Patients who underwent transthoracic surgery were more likely to recommend the same procedure for others.
Takeaway
This study asked patients about their health after two types of surgery for esophageal cancer and found that most liked the more extensive surgery better.
Methodology
Patients were interviewed about their health states and treatment preferences after undergoing either transhiatal or transthoracic oesophagectomy.
Potential Biases
The treatment preferences may be biased by the information provided to patients during informed consent.
Limitations
The study may not generalize to all oesophagectomy patients due to the exclusion of those with the worst postoperative outcomes.
Participant Demographics
Most patients were male (90%), married (86%), had children (91%), and the average age was 63 years.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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