Health related quality of life in colorectal cancer patients: state of the art

Marventano, Stefano; Forjaz, Maria João; Grosso, Giuseppe; Mistretta, Antonio; Giorgianni, Gabriele; Platania, Alessio; Gangi, Santi; Burzotta, Francesco; Biondi, Antonio

doi:10.1186/1471-2482-13-s2-s15

Cited by 128 publications

(130 citation statements)

References 80 publications

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“…This finding is consistent with other studies, and accounts for activity limitations, and participation restrictions (in work, daily activities) [25–27]. The importance of bowel symptoms such as diarrhoea and faecal control and QoL have been reported before [27, 34], and coping with these symptoms in the workplace probably accounts for the negative association of colorectal concerns with being in work. The positive effect on colorectal concerns by HD may be related to behaviours learned to self-manage heart disease as a LTC, being used to cope with the adverse effects of CRC treatment on bowel control.…”

Section: Discussionsupporting

confidence: 92%

Follow-up after curative treatment for colorectal cancer: longitudinal evaluation of patient initiated follow-up in the first 12 months

Batehup

Porter

Gage

et al. 2017

Support Care Cancer

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PurposeTo compare patient-triggered follow-up (PTFU) for curatively treated colorectal cancer against traditional outpatient follow-up (OPFU). MethodsQuestionnaires were mailed at four time points over one-year post-treatment to two prospectively-recruited cohorts: A, patients entering follow-up and receiving OPFU pre-implementation of PTFU; B, patients entering follow-up (FU) and receiving either OPFU (B1) or PTFU (B2) post-implementation of PTFU. Bi-variate tests were used to compare patient characteristics and outcomes eight months after entering follow-up (generic and cancer-specific quality of life (QoL), satisfaction). Regression analysis explored associations between follow-up model and outcomes. Resource implications and costs of models were compared.ResultsPatients in Cohort B1 were significantly more likely to have received chemotherapy (p < 0.001), radiotherapy (p < 0.05), and reported poorer QoL (p = 0.001). Having a longstanding co-morbid condition was the most important determinant of QoL (p < 0.001); model of care was not significant. Patients were satisfied with their follow-up care regardless of model. Health service costs were higher in PTFU over the first yearConclusionsPTFU is acceptable to patients with colorectal cancer and can be considered to be a realistic alternative to OPFU for clinically suitable patients. The initial costs are higher due to provision of a self-management (SM) programme and remote surveillance. Further research is needed to establish long-term outcomes and costs.Electronic supplementary materialThe online version of this article (doi:10.1007/s00520-017-3595-x) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 92%

Follow-up after curative treatment for colorectal cancer: longitudinal evaluation of patient initiated follow-up in the first 12 months

Batehup

Porter

Gage

et al. 2017

Support Care Cancer

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“…Among the studied symptoms, fatigue made the strongest unique contribution to HRQoL in the present results, meaning that more severe fatigue predicts poorer HRQoL. This is consistent with research showing that fatigue negatively influences HRQoL in persons experiencing CRC [38]. Diarrhea was also negatively associated with HRQoL.…”

Section: Discussionsupporting

confidence: 81%

Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment

Johansson¹,

Axelsson²,

Grankvist³

et al. 2018

OJN

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Introduction: Lower health-related quality of life (HRQoL) is associated with fatigue, poor mental and poor gastrointestinal health during the first three months after colorectal cancer (CRC) treatment. Research indicates that maintaining usual activities has a positive impact on HRQoL after treatment for CRC. Illness perceptions have been associated with HRQoL in other cancer diseases, and self-efficacy has been associated with HRQoL in gastrointestinal cancer survivors. Our knowledge about illness perceptions and selfefficacy in relation to maintaining everyday activities and HRQoL following CRC treatment is incomplete. Aim: To explore associations between HRQoL, fatigue, mental health, gastrointestinal health, illness perceptions and selfefficacy in relation to maintaining everyday activities, three months after surgical CRC treatment. A further aim was to test the Maintain Function Scale in a CRC population. Method: The study was cross-sectional. Forty-six persons participated. Data were collected using questionnaires. Descriptive and analytical statistics were used. Results: Persons who were more fatigued, depressed, worried, and had more diarrhea were more likely to report lower HRQoL. Increased fatigue and diarrhea were associated with decreased HRQoL. Concerning illness perceptions, persons who reported negative emotions and negative consequences of CRC were more likely to report lower HRQoL. Persons scoring higher on self-efficacy were more likely to report higher HRQoL. Increased self-efficacy was associated with increased HRQoL. The Maintain Function Scale was suitable for assessing self-efficacy in relation to maintaining everyday activities. Conclusions: Nursing support to improve self-efficacy and illness perceptions and to minimize symptoms during recovery should have a favorable impact on HRQoL.

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“…CRC and its treatment can be accompanied by adverse effects that may compromise the health-related quality of life (HRQoL) of CRC survivors [3,4]. CRC treatment can cause symptoms such as pain, bowel dysfunction, and fatigue that can negatively impact physical functioning and performance of activities of daily living [5,6].…”

Section: Introductionmentioning

confidence: 99%

Candidate Predictors of Health-Related Quality of Life of Colorectal Cancer Survivors: A Systematic Review

et al. 2016

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The population of colorectal cancer (CRC) survivors is growing and many survivors experience deteriorated health-related quality of life (HRQoL) in both early and late post-treatment phases. Identification of CRC survivors at risk for HRQoL deterioration can be improved by using prediction models. However, such models are currently not available for oncology practice. As a starting point for developing prediction models of HRQoL for CRC survivors, a comprehensive overview of potential candidate HRQoL predictors is necessary. Therefore, a systematic literature review was conducted to identify candidate predictors of HRQoL of CRC survivors. Original research articles on associations of biopsychosocial factors with HRQoL of CRC survivors were searched in PubMed, Embase, and Google Scholar. Two independent reviewers assessed eligibility and selected articles for inclusion (N 5 53). Strength of evidence for candidate HRQoL predictors was graded according to predefined methodological criteria. The World Health Organization's International Classification of Functioning, Disability and Health (ICF) was used to develop a biopsychosocial framework in which identified candidate HRQoL predictors were mapped across the main domains of the ICF: health condition, body structures and functions, activities, participation, and personal and environmental factors. The developed biopsychosocial ICF framework serves as a basis for selecting candidate HRQoL predictors, thereby providing conceptual guidance for developing comprehensive, evidence-based prediction models of HRQoL for CRC survivors. Such models are useful in clinical oncology practice to aid in identifying individual CRC survivors at risk for HRQoL deterioration and could also provide potential targets for a biopsychosocial intervention aimed at safeguarding the HRQoL of at-risk individuals. The Oncologist 2016;21:433-452 Implications for Practice: More and more people now survive a diagnosis of colorectal cancer. The quality of life of these cancer survivors is threatened by health problems persisting for years after diagnosis and treatment. Early identification of survivors at risk of experiencing low quality of life in the future is thus important for taking preventive measures. Clinical prediction models are tools that can help oncologists identify at-risk individuals. However, such models are currently not available for clinical oncology practice. This systematic review outlines candidate predictors of low quality of life of colorectal cancer survivors, providing a firm conceptual basis for developing prediction models. INTRODUCTIONGlobally, the number of people surviving colorectal cancer (CRC) is growing [1,2]. CRC and its treatment can be accompanied by adverse effects that may compromise the health-related quality of life (HRQoL) of CRC survivors [3,4]. CRC treatment can cause symptoms such as pain, bowel dysfunction, and fatigue that can negatively impact physical functioning and performance of activities of daily living [5,6]. Additionally, a CRC diagno...

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Health related quality of life in colorectal cancer patients: state of the art

Cited by 128 publications

References 80 publications

Follow-up after curative treatment for colorectal cancer: longitudinal evaluation of patient initiated follow-up in the first 12 months

Follow-up after curative treatment for colorectal cancer: longitudinal evaluation of patient initiated follow-up in the first 12 months

Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment

Candidate Predictors of Health-Related Quality of Life of Colorectal Cancer Survivors: A Systematic Review

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