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Evaluation of Dysfunction after Upper Gastrointestinal Surgery
: Development of the DAUGS Scoring System
235x154x10mm hard, 128 pages
ISBN: 9784876982554
pub. date: 02/13
- Price : JPY 4,000 (with tax: JPY 4,400)
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The incidence of upper gastrointestinal cancer, particularly gastric and esophageal cancer, is higher in Japan than in any other country most likely related to dietary factors. As a result, more resections are performed for these diseases in Japan than in other countries. Japan is internationally known to be taking the initiative in upper gastrointestinal cancer surgery. However, despite most patients who have undergone surgery suffer from a number of long-term symptoms associated with postoperative dysfunction, systematic methods of assessment or support still remain to be established. Methods of assessment and support remain unexplored territory, except for A few articles which have reported that postoperative dysfunction significantly affects patients’ quality of life (QOL). To that end, a top priority has been the establishment of a scale enabling the objective assessment of postoperative dysfunction in these patients. Contributors have been working on the development of the first scale in the world for assessing postoperative dysfunction in patients who have undergone upper gastrointestinal surgery. The name of the scale “DAUGS” is named after the Dysfunction After Upper Gastrointestinal Surgery. This international dissemination will deepen and broaden international scientific exchange and help improve the QOL of patients after upper gastrointestinal surgery.
Foreword
Acknowledgement
Chapter 1 Introduction
I. Background of the Study
II. Specific Issues
III. Objective of this Study
IV. Significance of this Study
Chapter 2 Review of the Literature
I. Structure of the Study
II. Definition of Terms
1. Upper Gastrointestinal Cancer
2. Postoperative Dysfunction
3. Postoperative Patients
4. Troubles and Problems with Activities of Daily Life
III. Pathology and Surgical Treatment of Upper Gastrointestinal Cancer11
1. Gastric Cancer Procedures and Associated Postoperative Dysfunction
2. Esophageal Cancer Procedures and Associated Postoperative Dysfunction
IV. Postoperative Dysfunction and Problems Experienced by Patients
1. Postoperative Dysfunction and Life After Surgery
2. Postoperative Nutritional Recovery and Eating Behavior
3. Postoperative Mental State
Chapter 3 Study Methods
I. Study Design
II. Study Subjects
1. Inclusion Criteria for Study Subjects
III. Study Method
1. Development of the DAUGS Scoring System (Procedures for Development of Measurement Tools)
2. First Study: Development of the Scale and Creation of Items; Review up to the Proposed 34-Item Scale
3. Development of the Scale: Preliminary Survey; Review up to Creation of (Provisional) 32-Item DAUGS Scoring System
4. Development of Scale: Main Survey; Review of Reliability and Validity of the DAUGS Scoring System
IV. Ethical Considerations and Ethics Review Committee
1. Ethical Considerations
2. Approval of Ethics Review Committees
Chapter 4 Preliminary Survey Development Process and Review of the (Provisional) DAUGS Scoring System
I. Objective of the Preliminary Survey
II. Development Process and Results of the (Provisional) DAUGS Scoring System
1. Identification of Scale Items
2. Determination of Scale Items
3. Determination of Measurement Formats
4. Pilot Study and Results
5. Pre-Test and Results
III. Preliminary Survey Using a 34-Item Scale
1. Survey Subjects
2. Survey Period
3. Survey Method
4. Survey Details
5. Methods of Analysis
6. Ethical Considerations
IV. Results of the Preliminary Survey
1. Subject Characteristics
2. Method for Analyzing Items
V. The Usefulness of the (Provisional) 32-Item DAUGS Scoring System
Chapter 5 First Study Scale Development: Main Survey-Review of Reliability and Validity of (Provisional) 32-Item DAUGS Scoring System
I. Objective of Study
II. Study Method
1. Survey Subjects
2. Survey Period
3. Survey Method
4. Survey Details
5. Methods of Analysis
6. Ethical Considerations
III. Results of the Main Survey
1. Subject Characteristics
Chapter 6 Review of Scale Reliability and Validity
I. Scale Reliability
1. Review by Cronbach’
2. Review by the Re-Test Method (Table 13)
II. Scale Validity
1. Review of Construct Validity by the Known-Groups Method
2. Review of Factor Validity Based on Factor Components (Table 14)
III. Change in Subscale Scores Based on the Time Interval since Surgery
IV. Final Determination of the Scale by Investigators and Experts
V. Clinical Usefulness
1. Development Process of the 32-Item DAUGS Scoring System
2. Reliability
3. Validity
4. Change in Subscale Scores Based on the Time Interval since Surgery
5. Clinical Application of the 32-Item DAUGS Scoring System
6. Future Topics and Prospects in the Development of the DAUGS
Scoring System
Chapter 7 Using the DAUGS Scale
I. The DAUGS32 Scale: Interpreting Scores and Mean Scores
II. Clinical Studies
1. Differences in Postoperative Dysfunction after 2-Field versus 3-Field Lymph Node Dissection in Patients with Thoracic Esophageal Tumors
2. Assessment of Postoperative Dysfunction in Patients with Gastric Cancer and Their Social Rehabilitation
3. Summary
Appendix
I. DAUGS32 Questionnaire
II. Sub-items of Seven Factors in the 32 Items of DAUGS
Appendix 2
I. References for the Original Study Development of Scale
II. References for Development of Scale
III. References Used to Create of Scale Items
1. Western References
2. Japanese References
References
Index
Acknowledgement
Chapter 1 Introduction
I. Background of the Study
II. Specific Issues
III. Objective of this Study
IV. Significance of this Study
Chapter 2 Review of the Literature
I. Structure of the Study
II. Definition of Terms
1. Upper Gastrointestinal Cancer
2. Postoperative Dysfunction
3. Postoperative Patients
4. Troubles and Problems with Activities of Daily Life
III. Pathology and Surgical Treatment of Upper Gastrointestinal Cancer11
1. Gastric Cancer Procedures and Associated Postoperative Dysfunction
2. Esophageal Cancer Procedures and Associated Postoperative Dysfunction
IV. Postoperative Dysfunction and Problems Experienced by Patients
1. Postoperative Dysfunction and Life After Surgery
2. Postoperative Nutritional Recovery and Eating Behavior
3. Postoperative Mental State
Chapter 3 Study Methods
I. Study Design
II. Study Subjects
1. Inclusion Criteria for Study Subjects
III. Study Method
1. Development of the DAUGS Scoring System (Procedures for Development of Measurement Tools)
2. First Study: Development of the Scale and Creation of Items; Review up to the Proposed 34-Item Scale
3. Development of the Scale: Preliminary Survey; Review up to Creation of (Provisional) 32-Item DAUGS Scoring System
4. Development of Scale: Main Survey; Review of Reliability and Validity of the DAUGS Scoring System
IV. Ethical Considerations and Ethics Review Committee
1. Ethical Considerations
2. Approval of Ethics Review Committees
Chapter 4 Preliminary Survey Development Process and Review of the (Provisional) DAUGS Scoring System
I. Objective of the Preliminary Survey
II. Development Process and Results of the (Provisional) DAUGS Scoring System
1. Identification of Scale Items
2. Determination of Scale Items
3. Determination of Measurement Formats
4. Pilot Study and Results
5. Pre-Test and Results
III. Preliminary Survey Using a 34-Item Scale
1. Survey Subjects
2. Survey Period
3. Survey Method
4. Survey Details
5. Methods of Analysis
6. Ethical Considerations
IV. Results of the Preliminary Survey
1. Subject Characteristics
2. Method for Analyzing Items
V. The Usefulness of the (Provisional) 32-Item DAUGS Scoring System
Chapter 5 First Study Scale Development: Main Survey-Review of Reliability and Validity of (Provisional) 32-Item DAUGS Scoring System
I. Objective of Study
II. Study Method
1. Survey Subjects
2. Survey Period
3. Survey Method
4. Survey Details
5. Methods of Analysis
6. Ethical Considerations
III. Results of the Main Survey
1. Subject Characteristics
Chapter 6 Review of Scale Reliability and Validity
I. Scale Reliability
1. Review by Cronbach’
2. Review by the Re-Test Method (Table 13)
II. Scale Validity
1. Review of Construct Validity by the Known-Groups Method
2. Review of Factor Validity Based on Factor Components (Table 14)
III. Change in Subscale Scores Based on the Time Interval since Surgery
IV. Final Determination of the Scale by Investigators and Experts
V. Clinical Usefulness
1. Development Process of the 32-Item DAUGS Scoring System
2. Reliability
3. Validity
4. Change in Subscale Scores Based on the Time Interval since Surgery
5. Clinical Application of the 32-Item DAUGS Scoring System
6. Future Topics and Prospects in the Development of the DAUGS
Scoring System
Chapter 7 Using the DAUGS Scale
I. The DAUGS32 Scale: Interpreting Scores and Mean Scores
II. Clinical Studies
1. Differences in Postoperative Dysfunction after 2-Field versus 3-Field Lymph Node Dissection in Patients with Thoracic Esophageal Tumors
2. Assessment of Postoperative Dysfunction in Patients with Gastric Cancer and Their Social Rehabilitation
3. Summary
Appendix
I. DAUGS32 Questionnaire
II. Sub-items of Seven Factors in the 32 Items of DAUGS
Appendix 2
I. References for the Original Study Development of Scale
II. References for Development of Scale
III. References Used to Create of Scale Items
1. Western References
2. Japanese References
References
Index
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