Trajectories of Health-Related Quality of Life and Psychological Distress in Patients with Colorectal Cancer; a Population-Based Study.

Qaderi, Seyed M.; Heijden, J. Van Der; Rob, Verhoeven; Wilt, Johannes de; Custers, José A. E.

doi:10.1016/j.ejso.2021.12.180

Cited by 6 publications

(8 citation statements)

References 41 publications

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“…They may have a more difficult time coping with the emotional and social challenges of the condition, and such difficulty has been connected to a higher risk of LARS in patients with rectal cancer 23 . This provides support for the hypothesis that psychological characteristics are crucial in the emergence of LARS 24 …”

Section: Introductionmentioning

confidence: 62%

Association between personality types and low anterior resection syndrome in rectal cancer patients following surgery

Chiang,

Hsu,

Chern

et al. 2024

Cancer Medicine

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PurposeLow anterior resection syndrome (LARS) has had many impacts on the lives of patients and substantial differences in emotional and social functions. The aim of this study was to investigate the correlation analysis of different personality traits in rectal cancer patients with LARS after undergoing curative surgery.MethodsThis study was designed as a prospective cohort study. The inclusion criteria included (1) participants diagnosed with rectal cancer who underwent surgical resection of malignant tumors and (2) ECOG 0–1. The primary outcome was the correlation between different personality traits and low anterior resection syndrome in rectal cancer patients after radical surgery. Low anterior resection syndrome incidence rates were estimated by questionnaires and personality groups by the Type A and Type D Scale‐14 Personality Inventory.ResultsFor all 161 participants in this study, the presence of a tumor at the lower anal verge and the receipt of neoadjuvant CCRT had a statistically significant positive correlation with the LARS score at 1 month, 6 months, and 1 year (Pearson correlation coefficient = −0.283, −0.374, and − 0.205, respectively), with a p value of less than 0.05. Personalities with Type A, Type D, and Type D‐SI scores had a statistically significant positive correlation with LARS score at 1 month (Pearson correlation coefficient = 0.172, 0.162, and 0,164, p value = 0.03, 0.04, and 0.04).ConclusionType A and Type D personalities are highly linked to LARS. Personalized support approaches can ultimately assist rectal cancer patients in overcoming difficulties after surgery and recovery and enhance their functional outcomes.

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Section: Introductionmentioning

confidence: 62%

Association between personality types and low anterior resection syndrome in rectal cancer patients following surgery

Chiang,

Hsu,

Chern

et al. 2024

Cancer Medicine

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“…Recently, Qaderi et al 12 used latent class growth analysis to describe quality-of-life trajectories in 1535 patients with primary colorectal cancer (stage I-III) over 24 months. This method identified 3 clusters of quality-of-life trajectories that differed over time, including high, improving, and low quality-of-life trajectories.…”

Section: Resultsmentioning

confidence: 99%

Trajectories of Quality of Life Following Pelvic Exenteration: A Latent Class Growth Analysis

Steffens,

Blake,

Solomon

et al. 2023

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Information on the course of quality of life following surgery for advanced cancers within the pelvis is important to guide patient decision-making, however the current evidence is limited. OBJECTIVE: To identify quality of life trajectory classes and their predictors following pelvic exenteration. DESIGN: Prospective cohort study. SETTINGS: Highly specialized quaternary pelvic exenteration referral center. PATIENTS: Patients undergoing pelvic exenteration due to advanced/recurrent cancers within the pelvis between July 2008 to July 2022. MAIN OUTCOME MEASURES: Quality of life data included the Short Form-36 Survey (physical and mental component scores) and the Functional Assessment of Cancer Therapy-Colorectal instruments, collected at 11 distinct points from baseline to 5-year postoperatively. Predictors included patient characteristics and surgical outcomes. Latent class analysis was used to identify the likelihood of a better quality of life class and logistic regression models were used to identify predictors of the identified classes. RESULTS: The study included 565 participants. Two distinct quality of life trajectory classes were identified for physical component score (class 1: high stable and class; 2: high decreasing). Three distinct classes were identified for mental component score (class 1: high increasing; class 2: moderate stable; and class 3: moderate decreasing) and for Functional Assessment of Cancer Therapy-Colorectal total score (class 1: high increasing; class 2: high decreasing; and class 3: low decreasing). Across the 3 quality of life domains, overall survival probabilities were also higher in classes 1 (p < 0.0001). Age, repeat exenteration, neoadjuvant therapy, surgical margin, length of operation, and hospital stay were significant predictors of quality of life classes. LIMITATIONS: This study was conducted at a single highly specialized quaternary pelvic exenteration referral center and findings may not apply to other centers. CONCLUSIONS: This study demonstrates that quality of life following pelvic exenteration diverge into distinct trajectories, with most patients reporting an optimal course. See Video

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“…In addition, the sample may not be representative of CCCs because the sample size and distribution of diagnoses varied between centers and because some participating CCCs had not met the recruitment goal of 120 patients. Generalizability is further diminished by the fact that recruited patients might have been in different phases of the disease, which is problematic because distress and support needs can change over time 40 …”

Section: Discussionmentioning

confidence: 99%

Caring for dependent children impacts practical and emotional problems and need for support, but not perceived distress among cancer patients

et al. 2023

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ObjectiveMore than one in 10 cancer patients care for dependent children. It is unclear whether this status makes a difference in terms of the distress and associated problems they experience, or whether it is linked to differences in the need for or utilization of psychosocial support.MethodsSecondary analysis of a cross‐sectional German study in National Comprehensive Cancer Centers using self‐report standardized questionnaires administered to inpatients. Patients living with dependent children (n = 161) were matched by age and sex with a subsample of 161 cancer patients not living with dependent children. The resulting sample was tested for between‐group differences in Distress Thermometer (DT) scores and the corresponding DT Problem List. Additionally, between‐group differences in measures of the need for and utilization of psychosocial support were examined.ResultsMore than 50% of all patients suffered from clinically relevant distress. Patients living with dependent children reported significantly more practical (p < 0.001, η2p = 0.04), family (p < 0.001, η2p = 0.03), and emotional problems (p < 0.001, η2p = 0.01). Although reporting a greater need for psychological support, parents with cancer were not found to more frequently utilize any type of psychosocial support.ConclusionsThe specific problems and needs of parents with cancer who care for dependent children are currently not sufficiently addressed in the clinical care pathways. All families should be helped to establish open and honest communication as well as understand the available support systems and what they can provide. Tailored interventions should be implemented for highly distressed families.

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Trajectories of Health-Related Quality of Life and Psychological Distress in Patients with Colorectal Cancer; a Population-Based Study.

Cited by 6 publications

References 41 publications

Association between personality types and low anterior resection syndrome in rectal cancer patients following surgery

Association between personality types and low anterior resection syndrome in rectal cancer patients following surgery

Trajectories of Quality of Life Following Pelvic Exenteration: A Latent Class Growth Analysis

Caring for dependent children impacts practical and emotional problems and need for support, but not perceived distress among cancer patients

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