What Are the Best Questionnaires To Capture Anorectal Function After Surgery in Rectal Cancer?

Chen, Tina Yen-Ting; Emmertsen, Katrine Jøssing; Laurberg, Søren

doi:10.1007/s11888-014-0217-6

Cited by 75 publications

(69 citation statements)

References 63 publications

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“…On the other hand, constipation and diarrhea were more pronounced among patients without a stoma. Diarrhea, fecal incontinence and emptying difficulties are symptoms related to a low anastomosis, often referred to as low anterior resection syndrome (LARS) [21]. …”

Section: Discussionmentioning

confidence: 99%

Quality of life in patients with a permanent stoma after rectal cancer surgery

et al. 2016

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AimHealth-related quality of life (HRQoL) assessment is important in understanding the patient’s perspective and for decision-making in health care. HRQoL is often impaired in patients with stoma. The aim was to evaluate HRQoL in rectal cancer patients with permanent stoma compared to patients without stoma.Methods711 patients operated for rectal cancer with abdomino-perineal resection or Hartman’s procedure and a control group (n = 275) operated with anterior resection were eligible. Four QoL questionnaires were sent by mail. Comparisons of mean values between groups were made by Student´s independent t test. Comparison was made to a Swedish background population.Results336 patients with a stoma and 117 without stoma replied (453/986; 46 %). A bulging or a hernia around the stoma was present in 31.5 %. Operation due to parastomal hernia had been performed in 11.7 % in the stoma group. Mental health (p = 0.007), body image (p < 0.001), and physical (p = 0.016) and emotional function (p = 0.003) were inferior in patients with stoma. Fatigue (p = 0.019) and loss of appetite (p = 0.027) were also more prominent in the stoma group. Sexual function was impaired in the non-stoma group (p = 0.034). However in the stoma group, patients with a bulge/hernia had more sexual problems (p = 0.004). Pain was associated with bulge/hernia (p < 0.001) and fear for leakage decreased QoL (p < 0.001). HRQoL was impaired compared to the Swedish background population.ConclusionOverall HRQoL in patients operated for rectal cancer with permanent stoma was inferior compared to patients without stoma. In the stoma group, a bulge or a hernia around the stoma further impaired HRQoL.

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Section: Discussionmentioning

confidence: 99%

Quality of life in patients with a permanent stoma after rectal cancer surgery

et al. 2016

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“…Several questionnaires (specific for intestinal function evaluation) are used to try to identify and measure how those functional alterations affect quality of life after ARR (9,23 28 was the first specifically proposed to evaluate intestinal function of patients submitted to sphincter preserving surgeries for the treatment of colon-rectal cancer. However, its use is restricted due to high number of items and lack of practicality.…”

Section: Evaluation Of Intestinal Function At Larsmentioning

confidence: 99%

Aspectos fisiopatológicos da síndrome pós-ressecção anterior do reto para o tratamento de câncer retal

Buzatti

Petroianu

2017

Rev. Col. Bras. Cir.

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RESUMO O número de pacientes com distúrbios funcionais intestinais em decorrência das operações para o tratamento do câncer retal tem aumentado durantes as últimas décadas. Alterações anatômicas e funcionais após a retirada do reto provocam aumento da frequência evacuatória, urgência evacuatória, evacuações múltiplas e incontinência para fezes e flatos, caracterizando a síndrome da ressecção anterior baixa ou LARS - "low anterior resection syndrome". Este artigo apresenta uma revisão geral do tema, com ênfase para conceitos atuais e aspectos fisiopatológicos de distúrbios funcionais do intestino após o tratamento cirúrgico do câncer retal. É fundamental que o cirurgião compreenda esses mecanismos, para melhor abordagem dos pacientes e restabelecimento da sua qualidade de vida.

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“…Poor function is likely compounded because of scarring after radiation . For patients who undergo sphincter‐sparing surgery, bowel function is assessed by measuring how often patients cannot get to the toilet in time; soil undergarments; use pads or diapers; have gas, diarrhea, and loose stools; and change diet and activities to improve bowel control . This collection of bowel symptoms affecting patients who undergo sphincter‐sparing surgery has been termed “low anterior resection syndrome,” or LARS .…”

Section: Key Predictors Of Qolmentioning

confidence: 99%

Conversations for providers caring for patients with rectal cancer: Comparison of long‐term patient‐centered outcomes for patients with low rectal cancer facing ostomy or sphincter‐sparing surgery

Herrinton

Altschuler

McMullen

et al. 2016

CA A Cancer J Clinicians

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For some low rectal cancer patients, ostomy (with elimination into a pouch) may be the only realistic surgical option. However, some patients have a choice between ostomy and sphincter-sparing surgery. Sphincter-sparing surgery has been preferred over ostomy because it offers preservation of normal bowel function. However, this surgery can cause incontinence and bowel dysfunction. Increasingly, it has become evident that certain patients eligible for sphincter-sparing surgery may not be well served by the surgery and construction of an ostomy may be better. No validated assessment tool or decision aid has been published to help newly diagnosed patients decide between the two surgeries, or to help physicians elicit long-term surgical outcomes. Furthermore, comparison of long-term outcomes and late effects following the two surgeries has not been synthesized. We therefore conducted a systematic review to examine this ? This systematic review summarizes controlled studies that compared long-term survivorship outcomes between these two surgical groups. Our goals are: 1) improve understanding and shared decision-making among surgeons, oncologists, primary care providers, patients, and caregivers; 2) increase the patient’s participation in the decision; (3) alert the primary care provider to patient challenges that could be addressed by provider attention and intervention; and 4) ultimately, improve patients’ long-term quality of life. This report includes discussion points for health care providers to use with their patients during initial discussions of ostomy and sphincter-sparing surgery, as well as questions to ask during follow-up examinations to ascertain any long-term challenges facing the patient.

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What Are the Best Questionnaires To Capture Anorectal Function After Surgery in Rectal Cancer?

Cited by 75 publications

References 63 publications

Quality of life in patients with a permanent stoma after rectal cancer surgery

Quality of life in patients with a permanent stoma after rectal cancer surgery

Aspectos fisiopatológicos da síndrome pós-ressecção anterior do reto para o tratamento de câncer retal

Conversations for providers caring for patients with rectal cancer: Comparison of long‐term patient‐centered outcomes for patients with low rectal cancer facing ostomy or sphincter‐sparing surgery

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