Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort Observation

This study constitutes a prospective, three-stage evaluation of quality of life among patients receiving surgical treatment for colorectal cancer depending on the type of surgery performed (open anterior resection, laparoscopic anterior resection, abdominoperineal resection, or Hartmann’s procedure)...

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Main Authors: Magdalena Tarkowska, Iwona Głowacka-Mrotek, Bartosz Skonieczny, Michał Jankowski, Tomasz Nowikiewicz, Marcin Jarzemski, Wojciech Zegarski, Piotr Jarzemski
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Journal of Clinical Medicine
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Online Access:https://www.mdpi.com/2077-0383/11/19/5912
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author Magdalena Tarkowska
Iwona Głowacka-Mrotek
Bartosz Skonieczny
Michał Jankowski
Tomasz Nowikiewicz
Marcin Jarzemski
Wojciech Zegarski
Piotr Jarzemski
author_facet Magdalena Tarkowska
Iwona Głowacka-Mrotek
Bartosz Skonieczny
Michał Jankowski
Tomasz Nowikiewicz
Marcin Jarzemski
Wojciech Zegarski
Piotr Jarzemski
author_sort Magdalena Tarkowska
collection DOAJ
description This study constitutes a prospective, three-stage evaluation of quality of life among patients receiving surgical treatment for colorectal cancer depending on the type of surgery performed (open anterior resection, laparoscopic anterior resection, abdominoperineal resection, or Hartmann’s procedure). The study included 82 patients treated at the Surgical Oncology Outpatient Department of the Oncology Center in Bydgoszcz from June 2019 to August 2021. The study tools consisted of diagnostic surveys and analyses of medical records. The standardized study tools were the surveys EORTC QLQ-C30 and QLQ-CR29. In addition, a proprietary questionnaire was developed to collect demographic data. Quality of life was measured at three time-points: the day before the surgery and 6 and 12 months post-surgery. Statistically significant differences (<i>p</i> < 0.05) were observed in the domains of role functioning (III, <i>p</i> = 0.030), body image (II, <i>p</i> < 0.001; III, <i>p</i> < 0.001), sexual functioning (II, <i>p</i> = 0.037), buttocks/anal area/rectum pain (III, <i>p</i> = 0.031), and embarrassment (II, <i>p</i> = 0.022; III, <i>p</i> = 0.010). Statistically significant differences in the functional and symptom scale scores were also observed within each group at different stages of cancer treatment. As shown by our study, the quality of life of patients treated for colorectal cancer is determined not only by the operating technique but also by sociodemographic and clinical factors. The use of minimally invasive surgical techniques enables patients to return to their social roles more quickly and improves their self-assessment of body image.
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spelling doaj.art-edfad080616e4eb8bbf656cf6c4d14772023-11-23T20:50:56ZengMDPI AGJournal of Clinical Medicine2077-03832022-10-011119591210.3390/jcm11195912Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort ObservationMagdalena Tarkowska0Iwona Głowacka-Mrotek1Bartosz Skonieczny2Michał Jankowski3Tomasz Nowikiewicz4Marcin Jarzemski5Wojciech Zegarski6Piotr Jarzemski7Department of Urology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandDepartment of Rehabilitation, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandDepartment of Surgical Oncology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandDepartment of Surgical Oncology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandDepartment of Surgical Oncology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandDepartment of Urology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandDepartment of Surgical Oncology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandDepartment of Urology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, PolandThis study constitutes a prospective, three-stage evaluation of quality of life among patients receiving surgical treatment for colorectal cancer depending on the type of surgery performed (open anterior resection, laparoscopic anterior resection, abdominoperineal resection, or Hartmann’s procedure). The study included 82 patients treated at the Surgical Oncology Outpatient Department of the Oncology Center in Bydgoszcz from June 2019 to August 2021. The study tools consisted of diagnostic surveys and analyses of medical records. The standardized study tools were the surveys EORTC QLQ-C30 and QLQ-CR29. In addition, a proprietary questionnaire was developed to collect demographic data. Quality of life was measured at three time-points: the day before the surgery and 6 and 12 months post-surgery. Statistically significant differences (<i>p</i> < 0.05) were observed in the domains of role functioning (III, <i>p</i> = 0.030), body image (II, <i>p</i> < 0.001; III, <i>p</i> < 0.001), sexual functioning (II, <i>p</i> = 0.037), buttocks/anal area/rectum pain (III, <i>p</i> = 0.031), and embarrassment (II, <i>p</i> = 0.022; III, <i>p</i> = 0.010). Statistically significant differences in the functional and symptom scale scores were also observed within each group at different stages of cancer treatment. As shown by our study, the quality of life of patients treated for colorectal cancer is determined not only by the operating technique but also by sociodemographic and clinical factors. The use of minimally invasive surgical techniques enables patients to return to their social roles more quickly and improves their self-assessment of body image.https://www.mdpi.com/2077-0383/11/19/5912colorectal cancerquality of lifelaparoscopyconventional surgeries
spellingShingle Magdalena Tarkowska
Iwona Głowacka-Mrotek
Bartosz Skonieczny
Michał Jankowski
Tomasz Nowikiewicz
Marcin Jarzemski
Wojciech Zegarski
Piotr Jarzemski
Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort Observation
Journal of Clinical Medicine
colorectal cancer
quality of life
laparoscopy
conventional surgeries
title Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort Observation
title_full Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort Observation
title_fullStr Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort Observation
title_full_unstemmed Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort Observation
title_short Prospective Evaluation of the Quality of Life of Patients after Surgical Treatment of Rectal Cancer: A 12-Month Cohort Observation
title_sort prospective evaluation of the quality of life of patients after surgical treatment of rectal cancer a 12 month cohort observation
topic colorectal cancer
quality of life
laparoscopy
conventional surgeries
url https://www.mdpi.com/2077-0383/11/19/5912
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AT bartoszskonieczny prospectiveevaluationofthequalityoflifeofpatientsaftersurgicaltreatmentofrectalcancera12monthcohortobservation
AT michałjankowski prospectiveevaluationofthequalityoflifeofpatientsaftersurgicaltreatmentofrectalcancera12monthcohortobservation
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