Quality of Life Measurement after Rectal Excision for Cancer: Comparison between Straight and Colonic J-Pouch Anastomosis

Hallböök, Olof; Hass, Ursula; Wänström, A; Sjödahl, Rune

doi:10.3109/00365529709025087

Cited by 54 publications

(29 citation statements)

References 15 publications

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“…Though some aspects, such as sexual enjoyment and perception of body image proved to be worse [37], postoperative quality of life even seems to exceed preoperative values [39][40][41][42]. Additionally, postoperative quality of life after surgery for rectal cancer appears to be at least similar to that of the average population of the same age [16,43].…”

Section: Quality Of Life After Rectal Cancer Surgerymentioning

confidence: 80%

“…While Hallbook and co-workers [41] and Furst and colleagues [66] could not detect a difference between patients with a pouch-anal anastomosis and those with a straight anastomosis, a randomized, prospectively conducted investigation recently published by Sailer et al [40] found a significantly better quality of life in the pouch group; at least during the first postoperative year.…”

Section: Quality Of Life After Rectal Cancer Surgerymentioning

confidence: 95%

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Survival after surgical treatment of cancer of the rectum

Hohenberger

Bittorf

Papadopoulos

et al. 2004

Langenbecks Arch Surg

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Tumour-related prognostic factors have the greatest influence on clinical decisions with regard to choice of a therapeutic concept. The increasing survival rates after treatment of rectal carcinoma have led to a focus on postoperative quality of life. Postoperative long-term global quality of life is similar to the preoperative level. Oncological outcome is still the most important factor, and tumour recurrence leads to a strong impairment of quality of life.

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Section: Quality Of Life After Rectal Cancer Surgerymentioning

confidence: 80%

Section: Quality Of Life After Rectal Cancer Surgerymentioning

confidence: 95%

Survival after surgical treatment of cancer of the rectum

Hohenberger

Bittorf

Papadopoulos

et al. 2004

Langenbecks Arch Surg

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show abstract

“…Only three studies were dedicated to a comprehensive assessment of QoL using well-estab-lished questionnaires with proven psychometric properties. [12][13][14] The remaining studies were found to be limited to isolated symptoms, such as sexual dysfunction and defecation-related or urologic symptoms. Most of the studies used unvalidated questionnaires.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Quality of Life in Patients Undergoing Abdominoperineal Extirpation or Anterior Resection for Rectal Cancer

et al. 2001

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ObjectiveTo evaluate the quality of life (QoL) in patients undergoing anterior resection (AR) or abdominoperineal extirpation (APE) for rectal cancer in a sample of patients recruited from a field trial. Summary Background DataAbdominoperineal resection has been reported to put patients at higher risk of disruption to QoL than sphincter-preserving surgery. MethodsFifty patients treated with AR and 23 patients treated with APE were prospectively followed up. All patients were treated in curative attempt and were disease-free throughout the study. QoL was assessed before surgery and 6 to 9 and 12 to 15 months after surgery. ResultsMultivariate analysis of variance and subsequent post hoc comparisons revealed a main effect for time (role function, emotional function, body image, future perspective, and micturition-related problems) and group in favor of APE (sleeping problems, constipation, diarrhea), and a time-by-group interaction (role function). No significant results were obtained for the remaining scores, but patients undergoing APE consistently had more favorable QoL scores than those undergoing AR. Multivariate analysis and post hoc comparisons revealed a particularly poor QoL for patients undergoing low AR. They had a significantly lower total QoL, role function, social function, body image, and future perspective, and more gastrointestinal and defecation-related symptoms than patients undergoing high AR. ConclusionPatients undergoing APE do not have a poorer QoL than patients undergoing AR. Patients undergoing low AR have a lower QoL than those undergoing APE. Attention should be paid to QoL concerns expressed by patients undergoing low AR.It is the state of the art that whenever feasible, rectal cancer should be treated with sphincter-preserving surgical techniques. A vast body of literature suggests that patients who have a colostomy have a worse quality of life (QoL) than those without a stoma.1-11 However, any interpretation of the seemingly unequivocal results on this issue must take into account the major drawbacks of many of the investigations focusing on QoL aspects in patients with rectal cancer. A main problem is related to general disagreement among QoL researchers as to which method and instrument are most appropriate for accrual of QoL information. An abundance of techniques can be used to collect QoL data, including structured, semistructured, or nonstructured interviews, standardized and nonstandardized questionnaires, and ad hoc questions. This incompatibility in data accrual has resulted in a broad range of inventories used to assess QoL in patients with colorectal cancer and has also contributed to a body of inconsistent findings. In an excellent survey on QoL aspects in patients treated for cancer of the rectum, Camilleri-Brennan and Steele 10 described the current data situation in the field and concluded that "the methodological shortcomings of previous work must be rectified if quality of life studies are to have relevance inpatient management." Of 54 papers on the subject published ...

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“…Außerdem ist eine bessere Lebensqualität der Patienten mit ultratiefen Resektionen durch prospektive Studien nicht ausreichend belegt. Insgesamt finden sich zum Thema Lebensqualität überhaupt nur 4 Studien mit verhältnismäßig geringen Fallzahlen, die gut evaluierte Fragebö-gen mit psychometrischen Testverfahren nutzten [31,35,88,89]. Neueste Untersuchungen zeigen sogar, dass die Patienten nach LAR eine schlechtere Lebensqualität haben können als die Patienten, die einer APR unterzogen wurden [31].…”

Section: Diskussionunclassified

Stellenwert der Rektumexstirpation im Therapiekonzept des tief sitzenden Rektumkarzinoms

Marusch

Koch²,

Schmidt³

et al. 2003

Chirurg

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Despite an overall decrease in use, abdominoperineal resection will continue to play an important role for the surgical treatment of low rectal cancers in routine clinical practice in Germany. It will remain an individual decision for each patient whether the tumor and the patient allow sphincter preservation or whether abdominoperineal resection seems to be necessary. According to the results of the present study,a general definition of an abdominoperineal resection rate in an unselected group of patients should be viewed critically.

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Quality of Life Measurement after Rectal Excision for Cancer: Comparison between Straight and Colonic J-Pouch Anastomosis

Abstract: The Nottingham Health Profile was effective in showing an improvement in quality of life in both groups after surgery. The observed difference in clinical bowel function was not, however, reflected in an improved quality of life score as measured by the Profile.

Cited by 54 publications

References 15 publications

Survival after surgical treatment of cancer of the rectum

Survival after surgical treatment of cancer of the rectum

Comparison of Quality of Life in Patients Undergoing Abdominoperineal Extirpation or Anterior Resection for Rectal Cancer

Stellenwert der Rektumexstirpation im Therapiekonzept des tief sitzenden Rektumkarzinoms

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