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Song N, Zhang X, Su J, Chen L, Jin Q, Liu C, Dai Z. Nature and Determinants of Fear of Cancer Recurrence After Endoscopic Submucosal Dissection for Early Gastric Cancer: A Cross-Sectional Study. Gastroenterol Nurs 2024; 47:358-367. [PMID: 39356122 DOI: 10.1097/sga.0000000000000812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 02/08/2024] [Indexed: 10/03/2024] Open
Abstract
Gastric cancer is one of the most prevalent tumors in China and other countries, with high morbidity and mortality. Fear of cancer recurrence is common among cancer survivors. Fear of cancer recurrence experiences and psychological interventions have been investigated in breast and other cancers. However, this phenomenon and associated factors have not been evaluated in early gastric cancer survivors in China. The objective of this study was to investigate the nature of fear of cancer recurrence and influencing factors in Chinese patients with early gastric cancer treated with endoscopic submucosal dissection. This cross-sectional study in two centers included 312 early gastric cancer patients who answered self-report questionnaires and were treated with endoscopic submucosal dissection between June 2022 and May 2023 to assess fear of cancer recurrence. Gender, family history of gastrointestinal tumor, tumor recurrence, Helicobacter pylori infection, disease perception, and self-perceived burden were significant factors influencing fear of cancer recurrence (p < .05). More than half of early gastric cancer patients have fear of cancer recurrence, and how to deal with it has become a key issue in the postoperative care of patients. Medical professionals should address these factors to reduce fear of cancer recurrence in at-risk patients.
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Affiliation(s)
- Nian Song
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Xiaotao Zhang
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Jie Su
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Lu Chen
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Qianhong Jin
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Chengcheng Liu
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Zhengxiang Dai
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
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Xie B, Xia Y, Wang X, Xiong Y, Chen SB, Zhang J, He WW. Factors associated with heterochronic gastric cancer development post-endoscopic mucosal dissection in early gastric cancer patients. World J Gastrointest Oncol 2023; 15:1644-1652. [PMID: 37746653 PMCID: PMC10514730 DOI: 10.4251/wjgo.v15.i9.1644] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 08/09/2023] [Accepted: 08/21/2023] [Indexed: 09/13/2023] Open
Abstract
BACKGROUND Endoscopic mucosal resection is an innovative method for treating early gastric cancer and has been widely used in clinical practice. AIM To analyze the factors associated with the development of heterochronic gastric cancer in patients with early gastric cancer who had undergone endoscopic mucosal dissection (EMD). METHODS A cohort of patients with early gastric cancer treated using EMD was retrospectively analyzed, and patients who developed heterochronic gastric cancer after the surgery were compared with those who did not. The effects of patient age, sex, tumor size, pathological type, and surgical technique on the development of heterochronic gastric cancer were assessed using statistical analysis. RESULTS Of the 300 patients with early gastric cancer, 150 patients developed heterochronic gastric cancer after EMD. Statistical analysis revealed that patient age (P value = XX), sex (P value = XX), tumor size (P value = XX), pathological type (P value = XX), and surgical technique (P value = XX) were significantly associated with the occurrence of heterochronic gastric cancer. CONCLUSION Age, sex, tumor size, pathological type, and surgical technique are key factors influencing the occurrence of heterochronic gastric cancer after EMD in patients with early gastric cancer. To address these factors, postoperative follow-up and management should be strengthened to improve the prognosis and survival rate of patients.
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Affiliation(s)
- Bing Xie
- Department of Spleen and Stomach, Nanjing Pu Kou District Hospital of Traditional Chinese Medicine, Pukou 210000, Jiangsu Province, China
| | - Yun Xia
- Department of Spleen and Stomach, Nanjing Pu Kou District Hospital of Traditional Chinese Medicine, Pukou 210000, Jiangsu Province, China
| | - Xia Wang
- Department of Spleen and Stomach, Nanjing Pu Kou District Hospital of Traditional Chinese Medicine, Pukou 210000, Jiangsu Province, China
| | - Yan Xiong
- Science and Education Section, Nanjing Pu Kou District Hospital of Traditional Chinese Medicine, Pukou 210000, Jiangsu Province, China
| | - Shao-Bo Chen
- Anesthesiology Department, Nanjing Pu Kou District Hospital of Traditional Chinese Medicine, Pukou 210000, Jiangsu Province, China
| | - Jie Zhang
- Department of Spleen and Stomach, Nanjing Pu Kou District Hospital of Traditional Chinese Medicine, Pukou 210000, Jiangsu Province, China
| | - Wei-Wei He
- Department of Oncology, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing 210022, Jiangsu Province, China
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