Results of a nationwide questionnaire-based survey on nutrition management following gastric cancer resection in Japan
Purpose A study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing perioperative nutrition management. Methods A questionnaire was sent to 354 hospitals with at least 50 cases of gastric cancer surgery per yea...
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| Published in: | Surgery today (Tokyo, Japan) Vol. 47; no. 12; pp. 1460 - 1468 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Tokyo
Springer Japan
01-12-2017
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| Abstract | Purpose
A study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing perioperative nutrition management.
Methods
A questionnaire was sent to 354 hospitals with at least 50 cases of gastric cancer surgery per year. Questions included the perioperative nutrition management and length of hospital stay for patients who underwent gastric cancer surgery within three months of the survey.
Results
Responses were obtained from 242 hospitals (68%; 20,858 patients). Nutrition management was consistent between laparotomy and laparoscopic surgery for 84% of respondents. The number of postoperative days was the most commonly chosen index for starting oral feeding. The most commonly chosen index for hospital dischargeability was diet composition/amount consumed in 182 hospitals (44%), followed by laboratory data stabilization in 106 hospitals (26%), and the number of postoperative days in 87 hospitals (21%). A positive correlation was found between the mean length of postoperative hospital stay and starting oral feeding (
r
= 0.23 for distal gastrectomy;
r
= 0.34 for total gastrectomy). The length of hospital stay tended to be shorter with an earlier start of oral feeding (
p
< 0.01).
Conclusion
Early postoperative oral feeding may be a factor in reducing the length of hospital stay after gastric cancer surgery. |
|---|---|
| AbstractList | PURPOSEA study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing perioperative nutrition management.METHODSA questionnaire was sent to 354 hospitals with at least 50 cases of gastric cancer surgery per year. Questions included the perioperative nutrition management and length of hospital stay for patients who underwent gastric cancer surgery within three months of the survey.RESULTSResponses were obtained from 242 hospitals (68%; 20,858 patients). Nutrition management was consistent between laparotomy and laparoscopic surgery for 84% of respondents. The number of postoperative days was the most commonly chosen index for starting oral feeding. The most commonly chosen index for hospital dischargeability was diet composition/amount consumed in 182 hospitals (44%), followed by laboratory data stabilization in 106 hospitals (26%), and the number of postoperative days in 87 hospitals (21%). A positive correlation was found between the mean length of postoperative hospital stay and starting oral feeding (r = 0.23 for distal gastrectomy; r = 0.34 for total gastrectomy). The length of hospital stay tended to be shorter with an earlier start of oral feeding (p < 0.01).CONCLUSIONEarly postoperative oral feeding may be a factor in reducing the length of hospital stay after gastric cancer surgery. Purpose A study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing perioperative nutrition management. Methods A questionnaire was sent to 354 hospitals with at least 50 cases of gastric cancer surgery per year. Questions included the perioperative nutrition management and length of hospital stay for patients who underwent gastric cancer surgery within three months of the survey. Results Responses were obtained from 242 hospitals (68%; 20,858 patients). Nutrition management was consistent between laparotomy and laparoscopic surgery for 84% of respondents. The number of postoperative days was the most commonly chosen index for starting oral feeding. The most commonly chosen index for hospital dischargeability was diet composition/amount consumed in 182 hospitals (44%), followed by laboratory data stabilization in 106 hospitals (26%), and the number of postoperative days in 87 hospitals (21%). A positive correlation was found between the mean length of postoperative hospital stay and starting oral feeding ( r = 0.23 for distal gastrectomy; r = 0.34 for total gastrectomy). The length of hospital stay tended to be shorter with an earlier start of oral feeding ( p < 0.01). Conclusion Early postoperative oral feeding may be a factor in reducing the length of hospital stay after gastric cancer surgery. A study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing perioperative nutrition management. A questionnaire was sent to 354 hospitals with at least 50 cases of gastric cancer surgery per year. Questions included the perioperative nutrition management and length of hospital stay for patients who underwent gastric cancer surgery within three months of the survey. Responses were obtained from 242 hospitals (68%; 20,858 patients). Nutrition management was consistent between laparotomy and laparoscopic surgery for 84% of respondents. The number of postoperative days was the most commonly chosen index for starting oral feeding. The most commonly chosen index for hospital dischargeability was diet composition/amount consumed in 182 hospitals (44%), followed by laboratory data stabilization in 106 hospitals (26%), and the number of postoperative days in 87 hospitals (21%). A positive correlation was found between the mean length of postoperative hospital stay and starting oral feeding (r = 0.23 for distal gastrectomy; r = 0.34 for total gastrectomy). The length of hospital stay tended to be shorter with an earlier start of oral feeding (p < 0.01). Early postoperative oral feeding may be a factor in reducing the length of hospital stay after gastric cancer surgery. |
| Author | Shimizu, Nobuyuki Aikou, Susumu Mori, Kazuhiko Nomura, Sachiyo Hatao, Fumihiko Yamagata, Yukinori Fukatsu, Kazuhiko Yamashita, Hiroharu Seto, Yasuyuki |
| Author_xml | – sequence: 1 givenname: Nobuyuki surname: Shimizu fullname: Shimizu, Nobuyuki email: nshimizu@iuhw.ac.jp organization: Department of Surgery, International University of Health and Welfare, Sanno Hospital, Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital – sequence: 2 givenname: Fumihiko surname: Hatao fullname: Hatao, Fumihiko organization: Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital – sequence: 3 givenname: Kazuhiko surname: Fukatsu fullname: Fukatsu, Kazuhiko organization: Surgical Center, University of Tokyo Hospital – sequence: 4 givenname: Susumu surname: Aikou fullname: Aikou, Susumu organization: Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital – sequence: 5 givenname: Yukinori surname: Yamagata fullname: Yamagata, Yukinori organization: Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital – sequence: 6 givenname: Kazuhiko surname: Mori fullname: Mori, Kazuhiko organization: Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital – sequence: 7 givenname: Hiroharu surname: Yamashita fullname: Yamashita, Hiroharu organization: Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital – sequence: 8 givenname: Sachiyo surname: Nomura fullname: Nomura, Sachiyo organization: Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital – sequence: 9 givenname: Yasuyuki surname: Seto fullname: Seto, Yasuyuki organization: Department of Gastrointestinal Surgery, Metabolic Care and Endocrine Surgery, University of Tokyo Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28600636$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1200/JOP.2012.000871 10.1111/j.1477-2574.2012.00572.x 10.1007/s10120-015-0528-6 10.1093/qjmed/hcn043 10.1016/j.clnu.2005.02.002 10.5230/jgc.2012.12.2.126 10.1245/s10434-015-5065-3 10.1093/jjco/hyn055 10.1007/PL00012264 10.1007/s00595-012-0159-z 10.1007/s00595-016-1341-5 10.1007/s10120-011-0057-x 10.1016/j.clnu.2012.08.011 10.4174/astr.2016.90.2.79 10.1002/bjs.9582 10.1007/s10120-016-0622-4 10.1007/s00595-015-1231-2 10.1007/s10120-011-0042-4 10.1007/s00268-005-7760-x 10.1038/ncponc0112 10.1007/s10120-010-0565-0 10.1007/s00595-016-1423-4 10.1007/s00595-017-1491-0 |
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| Keywords | Questionnaire-based survey Length of postoperative hospital stay Gastrectomy Method of nutrition management |
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A study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing... A study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing... PURPOSEA study was conducted to clarify the actual status of nutrition management after gastric cancer surgery in Japan and obtain basic data for optimizing... |
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| SubjectTerms | Diet Drinking Enteral Nutrition Gastrectomy Humans Japan Length of Stay - statistics & numerical data Medicine Medicine & Public Health Nutrition Therapy - methods Original Article Patient Education as Topic Postoperative Care Stomach Neoplasms - surgery Stomach Neoplasms - therapy Surgery Surgical Oncology Surveys and Questionnaires Time Factors |
| Title | Results of a nationwide questionnaire-based survey on nutrition management following gastric cancer resection in Japan |
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