Evaluating the longitudinal effect of colorectal surgery on health-related quality of life in patients with colorectal cancer.

M. Reudink*, C.J.L. Molenaar, C. Bonhof, L. Janssen, F. Mols, G.D. Slooter

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background and Objectives
Surgery for colorectal cancer (CRC) negatively affects health-related quality of life (HRQoL). Addressing shortcomings in literature, the purpose of this study was to evaluate the impact of surgery for CRC on the course of HRQoL from baseline up to 2 years after diagnosis.

Methods
In this prospective, population-based study patients with newly diagnosed CRC were included between 2016 and 2019. HRQoL was assessed by the EORTC QLQ-C30 questionnaire over time both between and within subgroups of patients that underwent right-sided colonic, left-sided colonic, and rectal resection using linear mixed model analyses.

Results
The study included 415 patients of whom 148 patients underwent right-sided colonic (36%), 147 left-sided colonic (35%), and 120 rectal resection (29%). Overall, HRQoL scores restored to baseline level 1 year after diagnosis. Impact of surgery seems to be more prominent in patients who underwent rectal resection, as they experienced more pain and had worse role and social functioning scores 4 weeks after surgery. Finally, among patients who underwent left-sided and rectal resection, physical functioning did not return to baseline level during follow-up.

Conclusion
This study shows several differences (between-group and within-group) in HRQoL according to surgery type and offers perspective which patients may need additional support in the care pathway.
Original languageEnglish
Pages (from-to)217-226
JournalJournal of Surgical Oncology
Volume125
Issue number2
DOIs
Publication statusPublished - 2022

Keywords

  • EUROPEAN-ORGANIZATION
  • IMPACT
  • PREHABILITATION
  • PROFILES
  • QUESTIONNAIRE
  • RECTAL-CANCER
  • RESECTION
  • TRIAL
  • colorectal cancer
  • colorectal resection
  • health-related quality of life
  • recovery
  • surgery

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