AimThis study aimed to assess the health-related quality of life (HRQoL) of patients with colorectal cancer (CRC) and its determinants.MethodsA cross-sectional questionnaire survey was conducted on 300 newly diagnosed patients with CRC in China’s Heilongjiang province, measuring HRQoL using the EuroQol five-dimension five-level (EQ-5D-5L). Kruskal-Wallis analyses were performed to identify the independent variables associated with the EQ-5D-5L utility scores. Predictors of the utility scores were confirmed using a Tobit regression model.ResultsThe respondents had a mean EQ-5D-5L utility score of 0.617 (SD=0.371) and a median of 0.740 (range: −0.348 to 1.000). Pain/discomfort and anxiety/depression were major concerns of the respondents, with a prevalence of over 60% (all levels inclusive). The Kruskal-Wallis analyses found lower utility scores in those who were not married, worked as a farmer, enrolled with the new rural cooperative medical scheme and had lower household income (p<0.05). Those who were at a later stage of CRC, underwent surgical only therapy and had a stoma also had lower EQ-5D-5L scores than others (p<0.05). The Tobit regression model confirmed these predictors, except for occupation and marital status.ConclusionPatients with CRC have poor HRQoL, with pain/discomfort and depression/anxiety as the most frequently reported problems. The poor HRQoL is associated with the seriousness of the disease condition, as well as the low socioeconomic status of the patients.

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The diversity of buoyant Microcystis colony-associated, settling particle-associated and free-living freshwater bacteria in the eutrophic Lake Taihu in China was compared by the polymerase chain reaction-denaturing gradient gel electrophoresis (PCR-DGGE) of 16S rRNA genes and by clone library analysis. The cluster analysis of DGGE profiles revealed that the buoyant Microcystis colony associates collected in summer and winter were clustered together and were distinct from settling particle-associated and free-living bacteria. In contrast, the bacterial communities of the latter two populations collected in summer were clustered together and varied from those collected in winter. The diversity indices of the Microcystis-associated bacterial population were significantly lower than those of the other two bulk bacterial communities (P < 0.05). Clone library analysis revealed that no shared operational taxonomic units were found in the three populations. Phylogenetic analysis confirmed that buoyant Microcystis-associated bacteria were distinct from the other communities and that they were dominated by Alphaproteobacteria, Betaproteobacteria and Gammaproteobacteria. Proteobacteria, Bacteroidetes and Actinobacteria were prevalent in all three habitats. Other bacterial taxa such as Planctomycetes, Verrucomicrobia, Gemmatimonadetes and Acidobacteria were associated with settling particles and with the water column. Buoyant Microcystis colonies, settling particles and the water column in the eutrophic lake are thus inhabited by different bacterial flora. In addition, specific bacterial communities are associated with buoyant Microcystis colonies.