Quality of life after rectal resection for cancer, with or without permanent colostomy.

Abstract

The studies included in this review do not allow firm conclusions as to the question of whether the quality of life of people after anterior resection is superior to that of people after abdominoperineal excision/Hartmann's operation. The included studies challenges the assumption that anterior resection patients fare better. Larger, better designed and executed prospective studies are needed to answer this question.

Survivorship Care Plans for People with Colorectal Cancer: Do They Reflect the Research Evidence?

“…Although forty reviews met the inclusion criteria with respect to quality assessment, twenty-nine studies were eliminated because they were investigating the primary crc risk in general populations , and another three systematic reviews were eliminated because the original studies included in those reviews were of poor quality due to numerous methodologic flaws and inconclusive findings [54][55][56] . Thus, only the remaining eight reviews (seven systematic reviews and one meta-analysis) were included in our synthesis [57][58][59][60][61][62][63][64] . Figure 1 presents details of the search and inclusion and exclusion process.…”

“…Of the eight included reviews, six investigated the challenges of crc patients or survivors (qol, sexual and bowel dysfunctions) [59][60][61][62][63][64] , and two investigated the effect of physical activity on the well-being of crc survivors 57,58 . No reviews for the population of interest were found that investigated cancer risk; urinary problems, fertility concerns, body image, weight-gain issues, concerns about diet or nutrition, or spirituality; or interventions such as physiotherapy, sex therapy, education and information provision, cognitive therapies, meditation, or relaxation therapies.…”

“…Three reviews investigated the qol of crc survivors [60][61][62] . In one review, Jansen et al compared the qol of 2187 crc survivors (≥5 years post diagnosis) with that of the general population, reporting that the overall qol of crc survivors was comparable to that of the general population, although the physical qol of crc survivors was comparatively poorer.…”

“…Of the eight studies, six were included in the meta-analysis, and the findings showed that intensified follow-up programs were associated with survival benefit (odds ratio: 0.73; 95% confidence interval: 0.59 to 0.91), but had no effect with respect to qol 61 . The authors of the third review investigated qol in 3675 rectal cancer patients who underwent either of the 2 crc curative surgeries: an abdominoperineal excision (ape) or Hartmann operation (both leading to a permanent stoma), and anterior resection (ar) 62 . Although no differences were found in the general qol of patients who underwent either of the surgeries, poorer physical and social functioning, more severe sexual dysfunctions, and poorer body image were experienced by those who underwent ape than by those who underwent ar.…”

Local control of sphincter‐preserving procedures and abdominoperineal resection for locally advanced low rectal cancer: Propensity score matched analysis

“…First, postoperative anal function and quality of life (QOL) could not be discussed in this article. A systematic review addressing whether QOL following SPPs is superior to that following APR reported the findings as being controversial 32. Not a few patients undergoing SPPs would suffer from functional problems after stoma reversal such as fecal incontinence or urgency,33 and the final stoma rate in the SPPs group was actually not low (21%).…”