Health-Related Quality of Life During the 10 Years After Diagnosis of Colorectal Cancer: A Population-Based Study

Abstract

Although younger survivors continuously reported detriments in various QoL dimensions during the 10-year period after diagnosis, detriments in older survivors became apparent in the long run only.

Cancer survivorship: Advancing the concept in the context of colorectal cancer

“…Despite this, survivors' rate their health and QOL positively, in some cases improving over time, with long-term survivors reporting QOL levels comparable to normative populations (Caravati-Jouvenceaux et al, 2011;Chambers et al, 2012aChambers et al, , 2012bDi Fabio et al, 2008;Jansen et al, 2011;Phipps et al, 2008;Ristvedt and Trinkaus, 2009;Serpentini et al, 2011;Soerjomataram et al, 2012;Steginga et al, 2009;Thong et al, 2011aThong et al, , 2011b. Several authors suggest positive ratings of QOL are a consequence of response shift, or positive reframing.…”

“…Like other tumour groups, CRC survivors may experience pain, sleep disturbance and fatigue (Anderson et al, 2013;Domati et al, 2011;Grant et al, 2011;Grimmett et al, 2011;Jansen et al, 2011;McCaughan et al, 2012;Peddle et al, 2008a;Phipps et al, 2008;Schneider et al, 2007;Shun et al, 2011;Sisler et al, 2012;Stein et al, 2009;Thong et al, 2011bThong et al, , 2013. However, side-effects particular to CRC survivors include weight changes; sexual dysfunction (erectile problems, vaginal dryness, dyspareunia), upper gastrointestinal disturbances (food intolerance, nausea, vomiting, loss of appetite), and bowel dysfunction (constipation, diarrhoea, abdominal cramping, flatulence, incontinence, urgency, frequency) (Anderson et al, 2013;Bailey et al, 2015;Caravati-Jouvenceaux et al, 2011;Den Oudsten et al, 2012;Di Fabio et al, 2008;Ellis et al, 2010;Grant et al, 2011;Grimmett et al., 2011;Jansen et al, 2011;Lynch et al, 2008b;McMullen et al, 2008;Milbury et al, 2013;Nikoletti et al, 2008;Phipps et al, 2008;Ramirez et al, 2009;Ristvedt and Trinkaus, 2009;Sanoff et al, 2015;Schneider et al, 2007;Serpentini et al, 2011;Sisler et al, 2012;Thong et al, 2011aThong et al, , 2011b…”

“…CRC survivors may experience poorer social well-being, particularly in the first five years following treatment, worsened by changes in employment, financial concerns, inadequate support, symptom distress, and the presence of an ostomy or bowel dysfunction (Anderson et al, 2013;Baravelli et al, 2009;Caravati-Jouvenceaux et al, 2011;Domati et al, 2011;Gordon et al, 2008;Grant et al, 2011;Hanly et al, 2013;Jansen et al, 2011;Krouse et al, 2009;McCaughan et al, 2012;Ristvedt and Trinkaus, 2009;Shun et al, 2011;Authors Original Manuscript, accepted Steginga et al, 2009;Thong et al, 2011a;Tofthagen, 2010). As a consequence of the physical effects of CRC, many survivors reduced their social activities to avoid potential embarrassment and inconvenience in public places (Loi, 2011;McCaughan et al, 2012;McMullen et al, 2008).…”

The cost of survival: an exploration of colorectal cancer survivors’ experiences of pain

“…The positive reframing of QoL in the presence of chronic symptoms is a widely discussed and accepted concept within the chronic illness literature [3,6]. However, it is estimated one third of cancer survivors experience pain following curative cancer treatment [5,[7][8][9][10][11], compared to almost two thirds of those receiving anti-cancer treatment, or living with advanced, metastatic or terminal cancer [7].…”

Surveillance and Survivorship after Treatment for Colon Cancer

“…A diet rich in fruits, vegetables, poultry, fish, whole grain, and poor in red meat and concentrated sweets was associated with better outcomes with regard to cancer recurrence or death. [50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] Another important aspect of survivorship care is health promotion. Evidence suggests that noncancer comorbidities have a negative impact on overall quality of life and long-term survival when compared with the cancer diagnosis itself.…”