The long haul: Lived experiences of survivors following different treatments for advanced colorectal cancer: A qualitative study.

Adult Chronic Disease Colorectal Neoplasms / psychology Female Humans Neoplasm Recurrence, Local Qualitative Research Quality of Life / psychology Survivors / psychology
Advanced cancer Colorectal cancer Patient Experiences Physical impacts Psychosocial impacts Qualitative Quality of life Survivorship

Journal

European journal of oncology nursing : the official journal of European Oncology Nursing Society
ISSN: 1532-2122
Titre abrégé: Eur J Oncol Nurs
Pays: Scotland
ID NLM: 100885136

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 10 12 2021
revised: 14 03 2022
accepted: 14 03 2022
pubmed: 17 4 2022
medline: 22 6 2022
entrez: 16 4 2022
Statut: ppublish

Résumé

Modern treatments, including surgery and palliative chemotherapy without surgery, enable longer survival for people with advanced/recurrent colorectal cancer (CRC). Qualitative research comparing the physical and psychosocial outcomes of these different treatments is lacking. This study therefore aimed to explore and compare the physical and psychosocial challenges and survivorship experiences of people who receive different treatments for advanced CRC, through a qualitative study. Adults with CRC who have undergone treatment for advanced/recurrent CRC were recruited 0.5-2 years post-surgery or, for palliative chemotherapy participants, 0.5-2 years post-diagnosis of advanced CRC. Qualitative semi-structured telephone interviews, analysed via framework analysis, explored quality of life (QoL) experiences. Demographic, clinical, and QoL data (Functional Assessment of Cancer Therapy - Colorectal (FACT-C), Distress Thermometer) were collected to characterise the sample and inform the framework analysis. A diverse sample of 38 participants (22 female) participated, with ages ranging 27-84 (Median = 59), FACT-C 56-132 (Median = 102), and distress 0-10 (median = 3). Analysis of interviews revealed three overarching themes: 1) the overwhelming impact of protracted, complex illness; 2) compounding and interacting effects of multiple treatments, impacts, and multimorbidity; and 3) the long haul is unpredictable, bumpy, and wearing. These themes reveal that people with advanced CRC experience many challenges due to the complex nature of the illness, its treatment, and side effects. Survivors require continued multi-disciplinary supportive care throughout follow-up to manage survivorship challenges. Guideline-led survivorship care and routine monitoring of physical and psychosocial wellbeing throughout follow up is imperative to manage patient expectations and support advanced CRC survivors.

Identifiants

DOI: 10.1016/j.ejon.2022.102123 PMID: 35429695
pubmed: 35429695
pii: S1462-3889(22)00031-X
doi: 10.1016/j.ejon.2022.102123
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102123

Informations de copyright

Copyright © 2022 Elsevier Ltd. All rights reserved.

Auteurs

Chloe Yi Shing Lim (CYS)

Centre for Medical Psychology and Evidence-Based Decision-Making (CeMPED), School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia. Electronic address: chloe.lim@sydney.edu.au.

Rebekah C Laidsaar-Powell (RC)

Centre for Medical Psychology and Evidence-Based Decision-Making (CeMPED), School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia. Electronic address: rebekah.laidsaar-powell@sydney.edu.au.

Jane M Young (JM)

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; The Daffodil Centre, The University of Sydney, a Joint Venture with Cancer Council NSW, Australia. Electronic address: jane.young@sydney.edu.au.

Michael Solomon (M)

RPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, Sydney, NSW, Australia; Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia; Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW, Australia; Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia. Electronic address: professor.solomon@sydney.edu.au.

Daniel Steffens (D)

Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia; Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW, Australia. Electronic address: daniel.steffens@health.nsw.gov.au.

David Yeo (D)

RPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, Sydney, NSW, Australia; Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia; Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia. Electronic address: davidandrewyeo@gmail.com.

Prunella Blinman (P)

Concord Cancer Centre, Concord Repatriation General Hospital, Sydney Local Health District, Sydney, NSW, Australia. Electronic address: prunella.blinman@health.nsw.gov.au.

Bogda Koczwara (B)

Department of Medical Oncology, Flinders Medical Center, South Australia, Australia; National Breast Cancer Foundation, Sydney, NSW, Australia. Electronic address: bogda.koczwara@flinders.edu.au.

Grace Joshy (G)

National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia. Electronic address: grace.joshy@anu.edu.au.

Phyllis Butow (P)

Centre for Medical Psychology and Evidence-Based Decision-Making (CeMPED), School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia. Electronic address: phyllis.butow@sydney.edu.au.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › The long haul: Lived experiences of survivors...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › The long haul: Lived experiences of survivors...
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies intestinales › Maladies du rectum › Tumeurs colorectales › The long haul: Lived experiences of survivors...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The long haul: Lived experiences of survivors...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Processus néoplasiques › Récidive tumorale locale › The long haul: Lived experiences of survivors...
questionsmedicales.fr › Disciplines des sciences naturelles › Science › Recherche › Recherche empirique › Recherche qualitative › The long haul: Lived experiences of survivors...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › The long haul: Lived experiences of survivors...
questionsmedicales.fr › Personnes › Survivants › The long haul: Lived experiences of survivors...