Quality of life and functional outcome following anterior or abdominoperineal resection for rectal cancer

The aims of the study were (1) to evaluate quality of life (QoL) and functional outcome in patients following anterior resection (AR) or abdominoperineal resection (APR) for rectal cancer, and (2) whether these outcomes were dependent on the level of anastomosis. Patients who were without recurrent...

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Bibliographic Details
Published in:European journal of surgical oncology 2005-09, Vol.31 (7), p.735-742
Main Authors: Guren, M.G., Eriksen, M.T., Wiig, J.N., Carlsen, E., Nesbakken, A., Sigurdsson, H.K., Wibe, A., Tveit, K.M.
Format: Article
Language:English
Subjects:
Abdominoperineal resection
Adult
Aged
Aged, 80 and over
Anastomosis, Surgical
Anterior resection
Body Image
Digestive System Surgical Procedures - adverse effects
Digestive System Surgical Procedures - methods
Fecal Incontinence
Female
Follow-Up Studies
Functional outcome
Humans
Male
Middle Aged
Neoplasm Metastasis
Neoplasm Recurrence, Local - surgery
Postoperative Complications
Quality of Life
Rectal cancer
Rectal Neoplasms - complications
Rectal Neoplasms - pathology
Rectal Neoplasms - psychology
Rectal Neoplasms - surgery
Registries - statistics & numerical data
Sexual Dysfunction, Physiological
Treatment Outcome
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Summary:The aims of the study were (1) to evaluate quality of life (QoL) and functional outcome in patients following anterior resection (AR) or abdominoperineal resection (APR) for rectal cancer, and (2) whether these outcomes were dependent on the level of anastomosis. Patients who were without recurrent or metastatic disease were identified from the Norwegian Rectal Cancer Registry. QoL was assessed by the EORTC questionnaires QLQ-C30 and QLQ-CR38, and rectal function by a short questionnaire. Of 319 patients studied, 229 had undergone AR and 90 APR. The median age was 73 years, and the median time since surgery was 64 months. Mean QoL scores for body image and male sexual problems were better following AR than APR (P
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2005.05.004