Quality of life after rectal resection for cancer, with or without permanent colostomy.

Abstract

The studies included in this review do not allow firm conclusions as to the question of whether the quality of life of people after anterior resection is superior to that of people after abdominoperineal excision. The included studies challenged the assumption that anterior resection patients fare better.Larger, better designed and executed prospective studies are needed to answer this question.

Quality of Life and Functional Outcomes After Rectal Cancer Surgery: A Comparative Study Applying EORTC QLQ-C30, QLQ-CR29, and LARS Score at 1–6 Months Postoperatively

“…In our study, patients with a colostomy initially reported lower QoL scores compared with those without a stoma, particularly in domains related to physical functioning, body image, and social interaction. However, previous research has demonstrated that these differences tend to diminish over time as patients adapt to stoma management and regain functional independence [39][40][41]. Our findings support this observation, as significant improvements were observed in both functional and symptom domains among patients with a colostomy during the first six postoperative months.…”

Quality of Life and Functional Outcomes After Rectal Cancer Surgery: A Comparative Study Applying EORTC QLQ-C30, QLQ-CR29, and LARS Score at 1–6 Months Postoperatively

“…In our study, patients with a colostomy initially reported lower QoL scores compared with those without a stoma, particularly in domains related to physical functioning, body image, and social interaction. However, previous research has demonstrated that these differences tend to diminish over time as patients adapt to stoma management and regain functional independence [39][40][41]. Our findings support this observation, as significant improvements were observed in both functional and symptom domains among patients with a colostomy during the first six postoperative months.…”

Radiation, chemotherapy and biological therapy in the curative treatment of locally advanced rectal cancer

“…SCPRT had a negative effect on sexual function in men and women although no differences were seen in quality of life (QOL) between irradiated and nonirradiated patients [49]. The presence of a stoma did not significantly affect health-related QOL, which echoes the findings of a previous systematic review [50].…”

Rectal cancer treatment and outcome in the elderly: an audit based on the Swedish rectal cancer registry 1995–2004

“…There is some evidence that the functional result after AR is acceptable in older patients[15], and chronological age alone should not exclude patients from restorative surgery for rectal cancer. However, available studies comparing quality of life in patients treated for rectal cancer with a permanent stoma (HA) and restorative surgery (AR) do not demonstrate a significant difference between the two alternatives [16,17]. Further prospective studies in this aspect are important, since the short-term and long-term survival did not differ significantly between patients in the AR and HA groups in our audit.…”

Quality of Life and Functional Outcomes After Rectal Cancer Surgery: A Comparative Study Applying EORTC QLQ-C30, QLQ-CR29, and LARS Score at 1–6 Months Postoperatively

“…In our study, patients with a colostomy initially reported lower QoL scores compared with those without a stoma, particularly in domains related to physical functioning, body image, and social interaction. However, previous research has demonstrated that these differences tend to diminish over time as patients adapt to stoma management and regain functional independence [39][40][41]. Our findings support this observation, as significant improvements were observed in both functional and symptom domains among patients with a colostomy during the first six postoperative months.…”

Radiation, chemotherapy and biological therapy in the curative treatment of locally advanced rectal cancer

“…SCPRT had a negative effect on sexual function in men and women although no differences were seen in quality of life (QOL) between irradiated and nonirradiated patients [49]. The presence of a stoma did not significantly affect health-related QOL, which echoes the findings of a previous systematic review [50].…”

Rectal cancer treatment and outcome in the elderly: an audit based on the Swedish rectal cancer registry 1995–2004

“…There is some evidence that the functional result after AR is acceptable in older patients[15], and chronological age alone should not exclude patients from restorative surgery for rectal cancer. However, available studies comparing quality of life in patients treated for rectal cancer with a permanent stoma (HA) and restorative surgery (AR) do not demonstrate a significant difference between the two alternatives [16,17]. Further prospective studies in this aspect are important, since the short-term and long-term survival did not differ significantly between patients in the AR and HA groups in our audit.…”

Quality of Life and Functional Outcomes After Rectal Cancer Surgery: A Comparative Study Applying EORTC QLQ-C30, QLQ-CR29, and LARS Score at 1–6 Months Postoperatively

“…In our study, patients with a colostomy initially reported lower QoL scores compared with those without a stoma, particularly in domains related to physical functioning, body image, and social interaction. However, previous research has demonstrated that these differences tend to diminish over time as patients adapt to stoma management and regain functional independence [39][40][41]. Our findings support this observation, as significant improvements were observed in both functional and symptom domains among patients with a colostomy during the first six postoperative months.…”

Radiation, chemotherapy and biological therapy in the curative treatment of locally advanced rectal cancer

“…SCPRT had a negative effect on sexual function in men and women although no differences were seen in quality of life (QOL) between irradiated and nonirradiated patients [49]. The presence of a stoma did not significantly affect health-related QOL, which echoes the findings of a previous systematic review [50].…”

Rectal cancer treatment and outcome in the elderly: an audit based on the Swedish rectal cancer registry 1995–2004

“…There is some evidence that the functional result after AR is acceptable in older patients[15], and chronological age alone should not exclude patients from restorative surgery for rectal cancer. However, available studies comparing quality of life in patients treated for rectal cancer with a permanent stoma (HA) and restorative surgery (AR) do not demonstrate a significant difference between the two alternatives [16,17]. Further prospective studies in this aspect are important, since the short-term and long-term survival did not differ significantly between patients in the AR and HA groups in our audit.…”