Impact of functional results on quality of life after rectal cancer surgery

  • J.H. V
  • M. K
  • A.-M. A
 et al. 
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PURPOSE: Quality of life is an important outcome measure that has to be considered when deciding treatment strategy for rectal cancer. The aim of this study was to find out the impact of surgery-related adverse effects on quality of life. METHODS: The RAND-36 questionnaire and questionnaires assessing urinary, sexual, and bowel dysfunction were administered to 94 patients with no sign of recurrence a minimum of one year after curative surgery. Results were compared with age-matched and gender-matched general population. RESULTS: Eighty-two (87 percent) patients answered the questionnaires. Major bowel dysfunction was as common after high anterior resection as after low anterior resection. Urinary complaints occurred as often after anterior resection as after abdominoperineal resection, but sexual dysfunction was more common after abdominoperineal resection. Overall, the patients reported better general health perception but poorer social functioning than population controls. In particular, elderly patients reported a significantly better quality of life in many dimensions than their population controls. There was no significant difference in quality of life between treatment groups. Major bowel dysfunction after anterior resection impaired social functioning compared with that of patients without such symptoms. Urinary dysfunction impaired social functioning and impotence impaired physical and social functioning. CONCLUSIONS: Quality of life after rectal cancer surgery is not worse than that of the general population. The major adverse impact of bowel and urogenital dysfunction is on social functioning. These adverse effects need to be discussed with the patient and preoperative function needs to be taken into account when choosing between treatment options. Permanent colostomy is not always the factor that disrupts a person's quality of life most. (copyright) The American Society of Colon and Rectal Surgeons.

Author-supplied keywords

  • 80 and over
  • Adjuvant
  • Adult
  • Age Factors
  • Aged
  • Case-Control Studies
  • Chemotherapy
  • Cross-Sectional Studies
  • Fecal Incontinence
  • Fecal Incontinence: etiology
  • Fecal Incontinence: psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Physiological
  • Physiological: etiology
  • Physiological: psychology
  • Postoperative Complications
  • Quality of Life
  • Questionnaires
  • RAND 36
  • Radiotherapy
  • Rectal Neoplasms
  • Rectal Neoplasms: psychology
  • Rectal Neoplasms: therapy
  • Sexual Dysfunction
  • Social Adjustment
  • Urinary Incontinence
  • Urinary Incontinence: etiology
  • Urinary Incontinence: psychology
  • adult
  • aged
  • article
  • cancer adjuvant therapy
  • cancer surgery
  • chemoradiotherapy
  • colostomy
  • controlled study
  • digestive system function disorder
  • female
  • fluorouracil
  • folinic acid
  • functional status
  • geriatric patient
  • health status
  • human
  • impotence
  • major clinical study
  • male
  • physical activity
  • quality of life
  • questionnaire
  • rectum abdominoperineal resection
  • rectum anterior resection
  • rectum cancer
  • rectum high anterior resection
  • rectum low anterior resection
  • rectum surgery
  • self concept
  • sexual dysfunction
  • social status
  • surgical technique
  • treatment outcome
  • treatment planning
  • urinary dysfunction

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  • Vironen J.H.

  • Kairaluoma M.

  • Aalto A.-M.

  • Kellokumpu I.H.

  • Jaana H Vironen

  • Matti Kairaluoma

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