A multi-modal study examining long-term bowel, urinary, and sexual function after rectal cancer surgery - 20/06/22

Doi : 10.1016/j.amjsurg.2022.02.046

Alisha Lussiez ^a,^b,^⁎ , C. Ann Vitous ^a,^b , Ana C. De Roo ^a , Paul Abrahamse ^c , Samantha Rivard ^a , Maia Anderson ^a,^b , Inga Van Wieren ^a , Pasithorn A. Suwanabol ^a,^b
^a Department of Surgery, University of Michigan, 1500 E Medical Center Dr., Ann Arbor, MI, 48109, USA
^b Center for Healthcare Outcomes and Policy, University of Michigan, 2800 Plymouth Road, North Campus Research Complex, Bldg. 16, Ann Arbor, MI, 48109, USA
^c Department of Biostatistics, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA

^∗Corresponding author. Department of Surgery University of Michigan, 1500 E. Medical Center Drive Ann Arbor, MI, 48109, USA.Department of Surgery University of Michigan1500 E. Medical Center Drive Ann ArborMI48109USA

Abstract

Background

Many rectal cancer survivors experience persistent bowel, urinary, and sexual dysfunction. A better understanding of their lived experience can help guide survivorship care.

Methods

Multi-modal study of patients who underwent rectal cancer surgery from 2015 to 2019 at a single institution. Surveys and qualitative interviews were used to describe patients’ postoperative symptom burden and its impact on their quality of life.

Results

The total number of survey respondents was 188 (response rate = 63.5%). Among participants, 41.5% reported their bowel habits, bladder habits (7.8%) and sexual function (36.2%) to be a “moderate” or “big problem” in the past four weeks. The lived experiences varied widely even among patients who report similar symptom burden.

Conclusions

Rectal cancer survivors commonly face lasting symptoms that negatively impact their quality of life for years after surgery. Additional support extending beyond the perioperative period is needed for patients with persistent dysfunction.

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Highlights

•	Symptoms persist years after rectal cancer surgery.
•	Lasting symptoms were found to affect many aspects of patients' lives.
•	Qualitative findings reveal greater nuance about the impact on daily life.

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Keywords : Rectal cancer, Surgery, Functional outcomes, Survivorship

Plan

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Vol 224 - N° 1PB

P. 562-568 - juillet 2022 Retour au numéro

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A multi-modal study examining long-term bowel, urinary, and sexual function after rectal cancer surgery - 20/06/22

Abstract

Background

Methods

Results

Conclusions

Highlights

Plan

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