{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:00:04Z","timestamp":1790949604984,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Following gastric and esophageal cancer surgery, patients often experience significant, prolonged eating\u2010related symptoms. One promising approach to help patients improve their eating\u2010related quality of life (QOL) is through self\u2010management coaching to aid in diet modification. We performed a randomized pilot study of a nutritionist\u2010led telehealth intervention for the self\u2010management of eating after gastroesophageal cancer surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who were within 30 days of resuming oral intake after undergoing surgery for gastric and\/or esophageal cancer were consented and then randomized to the intervention or usual care. The intervention was performed by a nutritionist trained in self\u2010management coaching and delivered in four telehealth sessions over 4 months. The following outcomes were measured at baseline and at 6 months after baseline: QOL (EORTC QLQC30), weight, body mass index, and sarcopenia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010three\u00a0patients were enrolled. 22\/27 usual care and 21\/26 intervention patients completed the study for a retention rate of 81%. Differences between the intervention and control groups were not statistically significant, but the intervention group had indications of greater improvements in overall QOL as measured by EORTC QLQC30 Summary Score (8.7 vs. 2.3, <jats:italic>p<\/jats:italic>\u2009=\u20090.17) as well as greater improvements in 4\/5 functional domains (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.3). The intervention group also had slightly more weight gain (6\u2009kg vs. 3\u2009kg, <jats:italic>p<\/jats:italic>\u2009=\u20090.3) and less sarcopenia (3\/16 vs. 9\/18, <jats:italic>p<\/jats:italic>\u2009=\u20090.07).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This pilot study demonstrated the feasibility and acceptability of a telehealth intervention for self\u2010management of eating symptoms after gastroesophageal cancer surgery. There were trends toward improved overall QOL in the intervention group. A larger study is needed to validate the results.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27568","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T08:00:05Z","timestamp":1704182405000},"page":"728-733","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Pilot study of a telehealth intervention for personalized self\u2010management\u00a0for eating symptoms after gastroesophageal cancer surgery"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3905-5976","authenticated-orcid":false,"given":"Jae Y.","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery City of Hope Cancer Center Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Love","sequence":"additional","affiliation":[{"name":"Southern Illinois University School of Medicine Springfield Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanghee","family":"Woo","sequence":"additional","affiliation":[{"name":"Department of Surgery City of Hope Cancer Center Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Campos","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition City of Hope Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adern","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition City of Hope Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Chang","sequence":"additional","affiliation":[{"name":"Touro University College of Osteopathic Medicine Vallejo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loretta","family":"Erhunmwunsee","sequence":"additional","affiliation":[{"name":"Department of Surgery City of Hope Cancer Center Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"Krouse","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6279-7981","authenticated-orcid":false,"given":"Laleh","family":"Melstrom","sequence":"additional","affiliation":[{"name":"Department of Surgery City of Hope Cancer Center Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Surgery City of Hope Cancer Center Duarte California USA"},{"name":"Division of Nursing Research and Education, Department of Population Sciences City of Hope Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31827661c9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2015.01.008"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3892\/ol.2017.6286"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.07.003"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012624"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.05.001"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12189"},{"key":"e_1_2_8_9_1","article-title":"Group based training for self\u2010management strategies in people with type 2 diabetes mellitus","volume":"2","author":"Deakin T","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2017-003360"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2013.001134"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2018.1432760"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1188\/17.ONF.719-728"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199901000-00003"},{"key":"e_1_2_8_16_1","unstructured":"LiaisonNOoCaP. 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