Validity and reliability of a Lithuanian version of low anterior resection syndrome score

Samalavičius, Narimantas Evaldas; Dulskas, Audrius; Lasinskas, Marius; Smailytė, Giedrė

doi:10.1007/s10151-015-1424-0

Cited by 45 publications

(62 citation statements)

References 18 publications

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“…They reported that 30% of the patients had no LARS, 23% had minor LARS, and 47% had major LARS. Samalavicius et al () investigated 111 patients with RC who received LAR with TME. Their results showed that 25% of the patients had no LARS, 24% had minor LARS, and 56% had major LARS.…”

Section: Discussionmentioning

confidence: 99%

“…In another study by Juul et al () and Juul et al () the discriminative validity of the LARS score was good ( p < 0.02), and the test–retest reliability was high (with an intraclass correlation coefficient of 0.83). Hou et al () applied the LARS score to 102 Chinese patients, Samalavicius, Dulskas, Lasinskas, and Smailyte () applied it to 111 Lithuanian patients, and Hupkens et al () used it in 165 Dutch patients; three studies have found that the LARS score had acceptable or good psychometric properties and could be used in clinical and research settings.…”

Section: Introductionmentioning

confidence: 99%

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Exploring bowel dysfunction of patients following colorectal surgery: A cohort study

Tan

Liao²,

Lee

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To examine changes in patients’ bowel function and to compare patients’ outcome among different operation and treatment after rectal resection. Background Anal‐preserving surgery is the trend of treatment of colorectal cancer and bowel function after surgery needs to be concerned. Design Prospective cohort study. Methods A total of 38 patients with convenience sampling were recruited from a teaching hospital. The low anterior resection syndrome (LARS) score was used to assess bowel function disturbances before discharge and at 1 week, 1 month and 3 months after discharge. We followed the STROBE checklist to ensure rigour in our study. Results Approximately half of the patients experienced major LARS, including daily stool frequency of more than seven times and stool clustering at least once a week. The LARS scores observed at 1 month after discharge were significantly higher than those observed before discharge. Patients who received intersphincteric resection had higher LARS scores compared with those who received other surgeries. Furthermore, patients who underwent concurrent chemoradiotherapy, operation (OP) and chemotherapy had the highest LARS scores compared with those who underwent only an OP. Conclusion The patients experienced varied intestinal dysfunction after surgery based on their treatment plan and surgical method. Nurses should provide individualised health education for these patients. Relevance to clinical practice A health education booklet is recommended to educate patients about LARS symptoms and the techniques to adapt in their daily lives after surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring bowel dysfunction of patients following colorectal surgery: A cohort study

Tan

Liao²,

Lee

et al. 2019

Journal of Clinical Nursing

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“…TEM is associated with low morbidity and mortality and should be considered a safe and effective technique for treating early-stage pT1 sm1 rectal cancer [7,8,9,10,19]. Recently, two studies with similar design have been published [20,21].…”

Section: Discussionmentioning

confidence: 99%

“…However, TME is associated with a higher risk of postoperative mortality and morbidity [5,6,7]. TME is also accompanied by pelvic organ dysfunction: bowel movement impairment (up to 80%), sexual dysfunction (up to 30%), and impairment of urinary function (up to 10%), and it is also known as low anterior resection syndrome [5,8]. These postoperative complications have a major impact on the patients' quality of life, whereas TEM is associated with low morbidity and mortality [7,8,9,10].…”

Section: Introductionmentioning

confidence: 99%

“…TME is also accompanied by pelvic organ dysfunction: bowel movement impairment (up to 80%), sexual dysfunction (up to 30%), and impairment of urinary function (up to 10%), and it is also known as low anterior resection syndrome [5,8]. These postoperative complications have a major impact on the patients' quality of life, whereas TEM is associated with low morbidity and mortality [7,8,9,10]. However, local recurrence after TEM is a major problem in up to 24% of patients treated for rectal cancer by this method [2,11,12,13,14,15].…”

Section: Introductionmentioning

confidence: 99%

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Is Previous Transanal Endoscopic Microsurgery for Early Rectal Cancer a Risk Factor of Worse Outcome following Salvage Surgery A Case-Matched Analysis

et al. 2018

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Introduction: Transanal endoscopic microsurgery (TEM) is a minimally invasive procedure which allows local excision of early-stage rectal cancer and can be used as an alternative treatment to radical surgery. Patients can undergo salvage total mesorectal excision (sTME) following TEM after finding of unfavourable histological features. This study aimed to compare results and possible complications of sTME following TEM and primary TME (pTME) procedures. Methods: Between 2010 and 2017, early sTME was performed in 9 patients at the National Cancer Institute in Vilnius, Lithuania. These patients were compared with 18 patients who underwent pTME, matched according to gender, age, cancer stage, and operative procedure. Data were obtained from the patients' charts and reviewed prospectively. We recorded the demographics, tumour specifications, treatment, operation time, postoperative results complications, and oncological outcome. Fisher's exact test and student's T test was used to compare both groups. Results: A total of 130 patients underwent TEM at our institution during the study period, of which 9 (6.92%) had to undergo sTME. The average age of the patients was 62.7 ± 7.07 years; 44.4% of the patients were male and 55.6% female. The average tumour size in the sTME group was 2.8 ± 1.05 cm (range 1.5-5) and 2.61 ± 1.36 cm (range 1-5) in the pTME group (p = 0.696). When comparing postoperative complications, statistically significant results were not found in either of the groups (p = 0.55). Operation time of pTME was significantly shorter on average, i.e. 43 min, compared to sTME (p < 0.0267). The average number of harvested lymph nodes was 12.44 ± 7.126 in the sTME and 12.5 ± 8.06 in the pTME group (p = 0.986). The circumferential resection margin (CRM) was negative in 92.6% (25/27) of specimens, while the CRM was positive in 2 cases (7.4%), both of which were from the sTME group. The average follow-up time was 22.8 months (8-80 months) for patients undergoing sTME and 19.33 months (2-88 months) for patients after pTME (p = 0.71). Conclusions: TEM is a relatively safe method for treating patients with early rectal cancer without high-risk features. It can be used in exceptional cases with high-risk features when the patient is not fit for radical surgery.

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Robotic rectal resection preserves anorectal function: Systematic review and meta‐analysis

Graß

Chen

Melling

et al. 2021

Robotics Computer Surgery

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Background: Improving survival rates in rectal cancer patients has generated a growing interest in functional outcomes after total mesorectal excision (TME). The well-established low anterior resection syndrome (LARS) score assesses postoperative anorectal impairment after TME. Our meta-analysis is the first to compare bowel function after open, laparoscopic, transanal, and robotic TME. Methods: All studies reporting functional outcomes after rectal cancer surgery (LARS score) were included, and were compared with a consecutive series of robotic TME (n = 48). Results: Thirty-two publications were identified, including 5 565 patients. Anorectal function recovered significantly better within one year after robotic TME (3.8 [95% CI -9.709-17.309]) versus laparoscopic TME (26.4 [95%CI 19.524-33.286]), p = 0.006), open TME (26.0 [95%CI 24.338-29.702], p = 0.002) and transanal TME ], p = 0.003).Conclusions: Robotic TME enables better recovery of anorectal function compared to other techniques. Further prospective, high-quality studies are needed to confirm the benefits of robotic surgery.

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Validity and reliability of a Lithuanian version of low anterior resection syndrome score

Abstract: The Lithuanian version of the LARS-LT shows acceptable psychometric properties and can be considered a valuable and specific instrument to assess bowel function in rectal cancer patients, both for research purposes and in clinical practice.

Cited by 45 publications

References 18 publications

Exploring bowel dysfunction of patients following colorectal surgery: A cohort study

Exploring bowel dysfunction of patients following colorectal surgery: A cohort study

Is Previous Transanal Endoscopic Microsurgery for Early Rectal Cancer a Risk Factor of Worse Outcome following Salvage Surgery A Case-Matched Analysis

Robotic rectal resection preserves anorectal function: Systematic review and meta‐analysis

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