Time after ostomy surgery and type of treatment are associated with quality of life changes in colorectal cancer patients with colostomy

Silva, Karine de Almeida; Duarte, Arenamoline Xavier; Cruz, Amanda Rodrigues; Araújo, Lúcio Borges de; Pena, Geórgia das Graças

doi:10.1371/journal.pone.0239201

Cited by 19 publications

(18 citation statements)

References 37 publications

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“…Lastly, certain treatment‐related and socioeconomic factors can also affect psychosocial experience of young‐onset CRC patients. Consistent with previous studies on CRC treatment, 32 , 33 the need for additional treatment such as chemotherapy and stoma were also associated with poorer outcomes in young‐onset CRC patients. For young‐onset CRC patients, given that they are often diagnosed at a more advanced stage, 34 the intensity of their treatment plans will consequently be greater and may therefore contribute to greater psychosocial impact.…”

Section: Discussionsupporting

confidence: 88%

Understanding the psychosocial impact of colorectal cancer on young‐onset patients: A scoping review

et al. 2022

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Objective:The incidence of young-onset (<50 years) colorectal cancer (CRC) has been increasing internationally. The psychosocial experience of younger cancer patients is vastly different from older patients, especially in domains such as financial toxicity, body image, and sexual dysfunction. What is unknown is the cancer type-specific experience. The aim of the current scoping review was to examine (1) the psychosocial factors and/or outcomes associated with young-onset CRC and (2) other determinants that influences these outcomes. Methods:A systematic search was conducted on four databases (PubMed, CINAHL, Scopus and PsycINFO) from inception to December 2020 using key terms and combinations. Primary literature that examined the psychosocial (e.g., quality-of-life, emotional, social, sexual) impact of young-onset CRC were included.Results: A total of 1389 records were assessed by four reviewers, with a total of seven studies meeting inclusion criteria (n = 5 quantitative, n = 1 qualitative and n = 1 case series). All studies indicated there was significant psychosocial impact in younger CRC patients, including emotional impact, social impact, physical burden, sexual impact, work impact, unmet needs, financial impact and global quality of life. Three studies explored other determinants that influenced the psychosocial experience and found that socioeconomic background (e.g., being female, lower education), CRC treatment (e.g., chemotherapy) and health status were associated with worse psychosocial impact.Conclusions: Young-onset CRC patients face severe psychosocial impact unique to this age group, such as self-image and sexual impact. Social support services and resources needs to be uniquely tailored. More empirical investigations are required to understand its long-term impact and influence of other psychosocial domains.

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Section: Discussionsupporting

confidence: 88%

Understanding the psychosocial impact of colorectal cancer on young‐onset patients: A scoping review

et al. 2022

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“…It has been proven that a stoma may lead to the person quitting work, which can cause financial difficulties. Interestingly, among the results of our research, we could not find any studies which proved that there were financial difficulties in a group of patients with either permanent or temporary ostomies [ 27 , 84 ].…”

Section: Methodsmentioning

confidence: 60%

“…Males are more often negatively affected by the surgery. However, it has been proven that some surgical approaches have less of an impact on sexual functioning [ 20 , 28 , 37 , 38 , 44 , 68 , 84 , 96 , 97 , 98 , 99 ]. Taking female sexual functions into account, there is a report of them decreasing over time.…”

Section: Methodsmentioning

confidence: 99%

The Quality of Life of Patients with Surgically Treated Colorectal Cancer: A Narrative Review

Świątkowski

Górnicki

Bułdyś

et al. 2022

JCM

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Introduction. Quality of life is a topic increasingly being addressed by researchers. Due to the increasing incidence of colorectal cancer, this issue is particularly relevant. Despite the increasing number of publications on this topic each year, it still requires further research. The aim of this study was to analyze the available literature from the past 10 years, addressing the topic of QoL in patients with colorectal cancer which has been treated surgically. Material and methods. This review is based on 93 articles published between 2012 and 2022. It analyzes the impact of socioeconomic factors, the location and stage of the tumor, stoma and the method of surgical treatment on patients’ QoL and sexual functioning. Results. CRC has a negative impact on patients’ financial status, social functioning, pain and physical functioning. Patients with stage II or III cancer have an overall lower QoL than patients with stage I. The more proximally the lesion is located to the sphincters, the greater the negative impact on the QoL. There was a significant difference in favor of laparoscopic surgery compared with open surgery. In patients with a stoma, the QoL is lower compared with patients with preserved gastrointestinal tract continuity. The more time has passed since surgery, the more the presence of a stoma has a negative impact on QoL. Surgery for CRC negatively affects patients’ sex lives, especially in younger people and among men. Conclusions. This study may contribute to the identification of the factors that affect the QoL of patients with surgically treated colorectal cancer. This will allow even more effective and complete treatment, facilitating patients’ return to normal physical, mental and social functioning.

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“…Therefore, we should provide long-term intervention measures to improve CRC survivors' quality of life and fatigue. Silva et al [ 15 ] reported that colostomy enhances the patients’ quality of life for 3–5 mo and improves it 6–8 mo after the operation. By contrast, late-stage radiotherapy and chemotherapy can harm the quality of life.…”

Section: Discussionmentioning

confidence: 99%

Biofeedback therapy combined with Baduanjin on quality of life and gastrointestinal hormone level in patients with colorectal cancer

Zhou¹,

Wei²,

Ai³

2022

WJGO

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BACKGROUND With the change in people’s lifestyles, the incidence of colorectal cancer (CRC) is increasing. It is essential to study the efficacy of various treatment methods for CRC patients to prevent and treat CRC. AIM To investigate the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC. METHODS A total of 120 patients with CRC who were admitted to our hospital from June 2020 to June 2021 were included in the study. They were randomly divided into four groups ( n = 30): the control group (group A), the biofeedback therapy intervention group (group B), the Baduanjin exercise intervention group (group C), and the combination group (group D). Patients in group A adopted the standard nursing mode and necessary health education. Patients in group B were treated with biofeedback therapy based on routine nursing care. Patients in group C were given Baduanjin intervention for 12 wk based on conventional drug treatment and care. Patients in group D were treated with biofeedback therapy and Baduanjin exercise. In this study, patients’ quality of life, gastrointestinal hormone levels, and clinical efficacy in the four groups were observed at baseline and 12 wk after intervention. Meanwhile, the correlation between gastrointestinal hormone levels and various functional areas of quality of life was analyzed. By comparing the observed indicators of patients in the four groups, the efficacy of biofeedback therapy combined with Baduanjin in improving the quality of life and gastrointestinal hormone levels of patients with CRC was explored. RESULTS At baseline, there were no significant differences in quality of life, gastrointestinal hormone levels, or clinical efficacy among the four groups ( P > 0.05). Twelve weeks after the intervention, the combination group’s quality of life, gastrointestinal hormone levels, and clinical effectiveness were better than those of the three other groups. CONCLUSION On the basis of routine nursing care, patients with CRC combined with biofeedback therapy and Baduanjin exercise can improve the quality of life of patients with CRC and the efficacy of gastrointestinal hormone levels.

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Time after ostomy surgery and type of treatment are associated with quality of life changes in colorectal cancer patients with colostomy

Cited by 19 publications

References 37 publications

Understanding the psychosocial impact of colorectal cancer on young‐onset patients: A scoping review

Understanding the psychosocial impact of colorectal cancer on young‐onset patients: A scoping review

The Quality of Life of Patients with Surgically Treated Colorectal Cancer: A Narrative Review

Biofeedback therapy combined with Baduanjin on quality of life and gastrointestinal hormone level in patients with colorectal cancer

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