Financial and occupational impact of low anterior resection syndrome in rectal cancer survivors.
financial stress and strain
low anterior resection syndrome
quality of life
rectal cancer
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
19
02
2021
received:
22
12
2020
accepted:
09
03
2021
pubmed:
17
3
2021
medline:
4
9
2021
entrez:
16
3
2021
Statut:
ppublish
Résumé
The aim of this study was to assess bowel-related financial stress and strain and to evaluate its association with global quality of life. This was a retrospective cohort study with cross-sectional follow-up including consecutive patients who underwent restorative proctectomy for neoplastic disease of the rectum at a single university-affiliated hospital in Montreal, Quebec, Canada. Bowel-related financial impact and occupational impact were compared between patients with major low anterior resection syndrome (LARS) and those with minor/no LARS. The association between LARS, bowel-related financial impact and global quality of life (QoL) was then assessed in a multiple logistic regression model. Of 180 eligible rectal cancer survivors who were contacted, 154 completed the questionnaires (response rate 47.1%) at a median follow-up of 57.5 months (interquartile range 34.1-98.1) after proctectomy. Individuals with major LARS reported a higher prevalence of bowel-related financial stress (53.2% vs 5.6%, p < 0.001) and strain (42.2% vs 5.6%, p < 0.001) compared with those with minor/no LARS. Among those who were working preoperatively (n = 100), the majority of participants with major LARS reported an impact of their new bowel function on their ability to work (70.6%), including delayed return to work (44.1%), the need to change schedules (35.3%) or roles (20.6%), and complete long-term medical absence from work (14.7%). On multiple logistic regression, major LARS with financial impact (OR 4.50, 95% CI 1.57-13.77) was associated with low global QoL compared with minor/no LARS. Major LARS was associated with considerable financial stress and strain and difficulties in returning to work.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1777-1784Informations de copyright
© 2021 The Association of Coloproctology of Great Britain and Ireland.
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