Patient-reported recovery after enhanced colorectal cancer surgery: a longitudinal six-month follow-up study

Abstract

1 AbstractPurpose. The concept of enhanced recovery after surgery (ERAS) is a modern regime of care, and numerous studies have proved its beneficial impact on recovery after colorectal surgery. However, little is known about patients' continuing recovery after discharge. Therefore, the purpose of this study was to describe patientreported recovery after colorectal cancer surgery in the context of ERAS from the day of discharge until one month and six months after surgery.Method. Assessments were made at discharge, at one month, and at six months after surgery using the questionnaire Postoperative Recovery Profile (PRP). In all, 119 patients recovering from abdominoperineal resection, rectal resection, or colonic resection completed all three assessments.Results. The global score of recovery showed that no patient experienced being fully recovered at discharge. After rectal resection, patients frequently reported being not at all recovered. One month after surgery, patients recovering from colonic resection reported significant improvements regarding 11 of 17 questionnaire items, whereas abdominoperineal resection patients reported no significant improvements regarding any item. Instead, significantly higher levels of problems were reported in the items fatigue, muscle weakness, and feeling down. Rectal resection patients reported significant improvements between one and six months after surgery regarding 7 of 19 items. However, the item gastrointestinal function distinguished, as patients reported significant deterioration towards higher levels of problems six months after surgery.Conclusion. This study elucidates the difference between groups of colorectal patients and the diverse patterns of their recovery, implying different needs in terms of prolonged support after discharge.

The lived experience of recovery during the first 6 months after colorectal cancer surgery

“…Lithner, Klefsgard, Johansson, and Andersson () inform that patients expressed a need for information about how to handle both the physical and emotional challenges after being discharged from hospital. Other research confirms that the pattern of recovery, as well as the time needed to reach the state of being fully recovered, depends on the individual (Jakobsson, Idvall, & Wann‐Hansson, ).…”

General health and state anxiety in patients recovering from colorectal cancer surgery

“…This was based on previous research by Jakobsson et al (2014), which showed differences between types of surgical procedures in terms of length of surgery, blood loss and length of hospital stay, but also a variety in recovery. This was based on previous research by Jakobsson et al (2014), which showed differences between types of surgical procedures in terms of length of surgery, blood loss and length of hospital stay, but also a variety in recovery.…”

“…It is also known that the tumour's location causes different postoperative outcomes and long-term symptoms related to the surgical procedure (Wilson et al 2006, Di Fabio et al 2008, Jansen et al 2010, Caravati-Jouvenceaux et al 2011, Jakobsson et al 2014). It is also known that the tumour's location causes different postoperative outcomes and long-term symptoms related to the surgical procedure (Wilson et al 2006, Di Fabio et al 2008, Jansen et al 2010, Caravati-Jouvenceaux et al 2011, Jakobsson et al 2014).…”

Patient characteristics and surgery-related factors associated with patient-reported recovery at 1 and 6 months after colorectal cancer surgery

“…In a previous study by Jakobsson et al (2014), patients after an APR procedure showed a significant deterioration in recovery 1 month after surgery regarding the PRP items fatigue, muscle weakness, and feeling down. In a previous study by Jakobsson et al (2014), patients after an APR procedure showed a significant deterioration in recovery 1 month after surgery regarding the PRP items fatigue, muscle weakness, and feeling down.…”