Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer

González, Elisabeth; Holm, Kajsa; Wennström, Berith; Haglind, Eva; Angenete, Eva

doi:10.1007/s00384-016-2628-0

Cited by 30 publications

(24 citation statements)

References 23 publications

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“…Likewise, it is known that there is a greater difficulty for women to participate mainly because of their embarrassment in the questioning of their sex life, even when the questionnaires are applied individually without the presence of the researcher (3) . Despite this possible constraint on women in research participation, the female sex was predominant (18:11) in the present study, which is in agreement with other national studies (19,20) , but contrary to what happens in most international studies (16,23) . The mean age of our patients was 50.8 years.…”

Section: Discussioncontrasting

confidence: 39%

“…This helps us in understanding the subjectivity of the subject who experiences such changes and that QoL is about the influence of culture, values and personal satisfaction (1,22) , and also on the issue of the person's difficulties in expressing their perceptions through a structured questionnaire. The verbalization with their own words possibly translates the experience better and points to suggestions for both quantitative and qualitative studies (23) . In the present study, it was possible to observe that patients experienced changes that limited habitual living during the treatment.…”

Section: Discussionmentioning

confidence: 99%

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Health-Related Quality of Life Assessment in Patients With Rectal Cancer Treated With Curative Intent

Souza

Nahas

et al. 2018

Arq. Gastroenterol.

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-Background -The treatment of median and distal rectal cancer has evolved a lot in the last decades due to the dissemination of the technique of total mesortal excision and the use of neoadjuvant chemotherapy and radiotherapy. However, this multidisciplinary approach can affect patients' quality of life in a number of ways that deserve to be adequately assessed. Objective -To evaluate immediate and late health related quality of life in patients with rectal cancer treated with curative intent. Methods -Prospective study including patients with non-metastatic mid or low rectal cancer. EORTC QLQ-C30 and EORTC-CR38 questionnaires were applied before, 3 months and 12 months after treatment. The mean scores of the questionnaires were stratified into 4 categories for the purpose of comparing the results at different moments. Results -Twenty nine patients completed the 1st and 2nd questionnaires and 12 completed the three questionaries. Patient´s mean age was 50.8 years and 62% were female. Sphincter preservation was possible in 89.6%. Overall health scores and quality of life improved after three months after 12 months. After three months, sexual satisfaction, female sexual problems and future perspective were worsen, but gastrointestinal symptoms, sphincter problems, and weight loss were improved. After 12 months the Future Perspective deteriorated, but there was improvement of the problems related to stoma, sphincter problems and body image. Conclusion -Despite the complexity of the treatment of rectal cancer within a specialized service, quality of life was preserved and was satisfactory in most of the studied aspects. HEADINGS -Quality of life. Rectal neoplasms. Health related quality of life. Colorectal neoplasms.

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Section: Discussioncontrasting

confidence: 39%

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life Assessment in Patients With Rectal Cancer Treated With Curative Intent

Souza

Nahas

et al. 2018

Arq. Gastroenterol.

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“…The present findings show that 80.1%, 36.2%, 30.1%, and 58.5% of Chinese CRC patients, respectively had body image problems, anxiety, depression, and distress in the early postoperative period. The prevalence of these problems at this stage was higher than reported for other stages in some previous studies . Psychological distress among cancer inpatients has been well identified and managed by the CLPS, but these severe body image problems have not attracted enough attention .…”

Section: Discussionmentioning

confidence: 54%

“…Stoma patients have significantly poorer body image, higher levels of depression, and worse QOL than non‐stoma patients, even after 4 or 5 years postoperation. In one study, a subset of rectal cancer patients (18%) with a permanent stoma described bodily limitations and psychological distress even 3 years after surgery . However, another study showed no differences in QOL, anxiety, and depression between individuals with a permanent stoma and those without a stoma after 8 years postoperation …”

Section: Introductionmentioning

confidence: 99%

Body image mediates the effect of stoma status on psychological distress and quality of life in patients with colorectal cancer

et al. 2020

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Objective:We investigated the effect of stoma status (permanent stoma, temporary stoma, or non-stoma) on psychological distress and quality of life (QOL) in Chinese patients with colorectal cancer (CRC) in the early postoperative stage. We also investigated whether body image mediated the association between stoma status and psychological distress and QOL. Methods: A convenience sample of 282 CRC patients 1 to 2 weeks postsurgery participated in an observational, cross-sectional study. Participants completed the following self-report measures: Body Image Scale, Distress Thermometer, Hospital Anxiety and Depression Scale, and Core Quality of Life Questionnaire. Results: The temporary stoma group (TS) and the permanent stoma group (PS) reported worse body image and higher levels of anxiety and depression than the non-stoma group (P < .05). PS reported worse body image than TS (P < .01). Depression and significant body image problems were more prevalent in PS than in TS (P < .05). Stoma status was the strongest factor associated with body image, distress, and depression (P < .05). CRC patients who were younger or in later clinical stages had poorer body image. Body image fully mediated the effect of stoma status on anxiety, depression, and global QOL in PS and TS, but mediated the effect on distress only in PS. Conclusions: Body image problems are common in stoma patients in the early postoperative stage and require early assessment. This study helps to elucidate the role of body image as a mediator. Longitudinal studies are needed to further explore body image distress trajectories. K E Y W O R D S anxiety, body image, cancer, China, colorectal, depression, distress, oncology, quality of life

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“…Sexual dysfunction after rectal cancer treatment is a multifactorial problem with a broad spectrum of associated risk factors . Psychological factors such as libido, arousal, body image and self‐esteem may be important . The presence of a stoma seems to affect sexual life for many patients, and improved counselling both before and after surgery by stoma care therapists as well as other healthcare personnel may help these patients.…”

Section: Discussionmentioning

confidence: 99%

Self‐reported sexual dysfunction in patients with rectal cancer

Sörensson¹,

Asplund

Matthiessen

et al. 2019

Colorectal Disease

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Aim Patients with rectal cancer often experience sexual dysfunction after treatment. The aim of this study was to evaluate sexual function in a prospective cohort of patients regardless of treatment and tumour stage and explore what factors might affect sexual activity 1 year after diagnosis.Method The QoLiRECT study (Quality of Life in RECTal cancer) is a prospective study on the health-related quality of life in patients with rectal cancer in Denmark and Sweden. Questionnaires were completed at diagnosis and 1 year. Clinical data were retrieved from national quality registries.Results Questionnaire data were available from 1085 patients at diagnosis and 920 patients at 1 year. Median age was 69 years (range 25-100). At diagnosis, 29% of the women and 41% of the men were sexually active, which was lower than an age-matched reference population. This was further reduced to 25% and 34% at 1 year. Risk factors for sexual inactivity were absence of sexual activity prior to the diagnosis and the presence of a stoma. Women experienced reduced lubrication and more dyspareunia at 1 year compared with the time of diagnosis. In men, erectile dysfunction increased from 46% to 55% at 1 year.Conclusion Sexual activity in patients with rectal cancer is lower at diagnosis compared with the population norm and is further reduced at 1 year. The presence of a stoma contributed to reduced sexual activity after operation. Sexual dysfunction was difficult to evaluate due to low sexual activity in the cohort. In men, erectile dysfunction is common.

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Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer

Cited by 30 publications

References 23 publications

Health-Related Quality of Life Assessment in Patients With Rectal Cancer Treated With Curative Intent

Health-Related Quality of Life Assessment in Patients With Rectal Cancer Treated With Curative Intent

Body image mediates the effect of stoma status on psychological distress and quality of life in patients with colorectal cancer

Self‐reported sexual dysfunction in patients with rectal cancer

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