ADVANCES AND CURRENT STATUS IN THE STUDY ON QUALITY OF LIFE AFTER OPERATION OF RECTAL CANCER_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GAO Youfu

Department of General Surgery, Shanghai Jing’an District Central Hospital, Shanghai 200040;

Corresponding author：

Keywords：

Rectum Neoplasm Operation Quality of life

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Objective To summarize the advances in the clinical application of the quality of life(QOL) assessment after surgery of rectal cancer.
Methods The recent literatures on the advances in the studies on the QOL assessment following the treatment of rectal cancer were reviewed.
Results After surgery of rectal cancer, the patients might suffer from short and/or long term of various complications affecting the physical, social and psychological aspects of their well-being. The QOL assessment included many aspects of the studies. Global QOL scores as measured by the specific questionnaires improved significantly after surgery. It had provided clinical evidences of therapeutic methods, operative treatment of choices and bowel reconstructed procedures for the patients with rectal cancer.
Conclusion The QOL studies after surgery for rectal cancer are of increasing importance. Apart from the improvements of the survival rates and the recurrencefree period, it is essential to provide an acceptable QOL postoperatively. The QOL assessment for the guidance of clinical treatment should be discussed routinely for a patient with potentially curable rectal carcinoma so that the excellent outcome could be achieved.

Citation： GAO Youfu,JIANG Bojian.. ADVANCES AND CURRENT STATUS IN THE STUDY ON QUALITY OF LIFE AFTER OPERATION OF RECTAL CANCER. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(1): 62-64. doi: Copy

1.	Olschewski M, Schulgen G, Schumacher M, et al.Quality of life assessment in clinical cancer research [J]. Br J Cancer, 1994; 70(1)∶1.
2.	Gotay CC, Korm EL, Mclabe MS, et al.Quality of life assessment in cancer treatment protocols:research issues in protocol development [J]. J Natl Cancer Inst, 1992; 84(4)∶575.
3.	Schipper H, Clinch J. Assessment and treatment in cancer [M]. In:Tealing Smith G, ed. Measuring Health:a practical approach. Chichester:John Wiley and Sons, 1988∶109155.
4.	McEwen J. The Nottham Health Profile [M]. In: Walke SR， Rosser RM. eds. Quality of life assessment： Key Issues in the 1990s. Dordrecht:Kluwer Academic Publishwes, 1993∶111130.
5.	Whynes DK, Neilson AR. Symptoms before and after surgery for colorectal cancer [J]. Qual Life Res, 1997; 3(2)∶191.
6.	Hallbook O, Hass U, Wanstrom A, et al.Quality of life assessment after rectal excision for cancer. Comparison between straight and colonic Jpouch anastomosis [J]. Scand J Gastroexterol, 1997; 32(4)∶490.
7.	Haes JCJM, Van Knippenberg FCE, Neijt JP. Measuring psychological and physical distress in cancer patients:structure and application of the rottradam symptom check list [J]. Br J Cancer, 1990; 62(8)∶1034.
8.	Aaronson NK, Ahmedzai S, Bergman B, et al.The European Organization for Research and Treatment of Cancer QLQC30:a quality of life instrument for use in international clinical trials in oncology [J]. J Natl Cancer Inst, 1993; 85(3)∶365.
9.	Fayers P, Aaronson NK, Bjordal K, et al.EORTC QOLC30 Scoring Manual [M]. EORTC quality of life study group. Brussels:EORTC Data Center, 1997∶1725.
10.	Wirsching M, Druner HU, Herrmann G. Results of psychosocial adjustment to long term colostomy [J]. Psychother Psychosom, 1975; 26(3)∶245.
11.	Williams NS, Johnston D. The quality of life after rectal excision for low rectal cancer [J]. Br J Surg,1983; 70(4)∶460.
12.	MacDonald LD, Anderson HR. The health of rectal cancer patients in the community [J]. Eur J Surg Oncol, 1985; 11(2)∶235.
13.	Frigell A, Ottander M, Stenbeck H, et al.Quality of life of patients treated with abdominoperineal resection or anterior resection for rectal carcinoma [J]. Ann Chir Gynaecol, 1990; 79(1)∶26.
14.	MacDonald LD, Anderson HR. Stigma in patients with rectal cancer: a community study [J]. J Epidemiol Community Health, 1984; 38(3)∶284.
15.	Smitten K, Husa A, Kyllonen L. Longterm results of sigmoidostomy in patients with anorectal malignancy [J]. Acta Chirurgica Scandinavica, 1986; 152(3)∶211.
16.	Devlin HB, Plant JA, Griffin N. After math of surgery for anorectal cancer [J]. Br Med J, 1971; 34(4)∶413.
17.	Filiberti A, Audisio RA, Gangeri L, et al.Prevalence of sexual dysfunction in male cancer patients treated with rectal excision and coloanal anastomosis [J]. Eur J Surg Oncol, 1994; 20(1)∶43.
18.	Havenga K, Enker WE, McDermott K, et al.Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum [J]. J Am Coll Surg,1996; 182(5)∶495.
19.	Masui H, Ike H, Yanmaguchi S, et al.Male sexual function after autonomic nervepreserving operation for rectal cancer [J]. Dis Colon Rectum, 1996; 39(11)∶1140.
20.	Moriya Y, Sugihara K, Akasu T, et al.Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancer [J]. World J Surg,1997; 21(7)∶728.
21.	Mori T, Takahashi K, Yasuno M. The autonomic nerve preserving radical cancer [J]. Nippon Geka Gakkai Zasshi, 1997; 98(4)∶385.
22.	Lazorthes F, Chiotasso P, Gamagami RA, et al.Late clinical outcome in a randomized prospective comparison of colonic Jpouch and straight coloanal anastomosis [J]. Br J Surg, 1997; 84(9)∶1449.
23.	Ikeuchi H, Kusunoki M, Shoji Y, et al.Clinical physiological results after sphinctersaving resection for rectal carcinoma [J]. Int J Colorectal Dis, 1996; 11(2)∶172.
24.	Jehle EC, Hachnel T, Starlinger MJ, et al.Level of the anastomosis does not inflyence functional outcome after anterior rectal resection for rectal cancer [J]. Am J Surg,1995; 169(2)∶147.
25.	Stamatakis J, Steele R. Adjuvant therapy for colorectal cancer [J]. Br J Hosp Med, 1995; 54(3)∶259.
26.	Gerard A, Buyse M, Nordlinger B, et al.Preoperative radiotherapy as adjuvant treatment in rectal cancer. Final results of a radomized study of the European organization for research and treatment of cancer (EORTA) [J]. Ann Surg,1988; 208(5)∶606.
27.	Lewis WG, Williamson MER, Euzu A, et al.Potential disadvantages of postoperative radiotherapy after anterior resection for rectal cancer: a pilot study of sphincter function, rectal capacity and clinical outcome [J]. Int J Colorectal Dis, 1995; 10(2)∶133.
28.	Glimelius B, Hoffman K, Graf W, et al.Quality of life during chemotherapy in patients with symptomatic advanced colorectal cancer. The nordic gastrointestinal tumor adjuvant therapy group [J]. Cancer, 1994; 73(5)∶556.
29.	AllenMersh TG, Earlam S, Abrams K, et al.Quality of life and survival with continuous hepaticartery floxuridine infusion for colorectal liver metastasis [J]. Lancet, 1994; 344(10)∶1255.
30.	Gelber RD, Goldhirsch A, Cole BF, et al. A qualityadjusted time without symptoms or toxicity (QTwiST) analysis of adjuvant radiation therapy and chemotherapy for resectable rectal cancer [J]. J Natl Cancer Inst,1996; 88(8)∶1039.
31.	CamilleriBrennan J, Steele RJ. Quality of life after treatment for rectal cancer [J]. Br J Surg, 1998; 85(8)∶1036.

1. Olschewski M, Schulgen G, Schumacher M, et al.Quality of life assessment in clinical cancer research [J]. Br J Cancer, 1994; 70(1)∶1.
2. Gotay CC, Korm EL, Mclabe MS, et al.Quality of life assessment in cancer treatment protocols:research issues in protocol development [J]. J Natl Cancer Inst, 1992; 84(4)∶575.
3. Schipper H, Clinch J. Assessment and treatment in cancer [M]. In:Tealing Smith G, ed. Measuring Health:a practical approach. Chichester:John Wiley and Sons, 1988∶109155.
4. McEwen J. The Nottham Health Profile [M]. In: Walke SR， Rosser RM. eds. Quality of life assessment： Key Issues in the 1990s. Dordrecht:Kluwer Academic Publishwes, 1993∶111130.
5. Whynes DK, Neilson AR. Symptoms before and after surgery for colorectal cancer [J]. Qual Life Res, 1997; 3(2)∶191.
6. Hallbook O, Hass U, Wanstrom A, et al.Quality of life assessment after rectal excision for cancer. Comparison between straight and colonic Jpouch anastomosis [J]. Scand J Gastroexterol, 1997; 32(4)∶490.
7. Haes JCJM, Van Knippenberg FCE, Neijt JP. Measuring psychological and physical distress in cancer patients:structure and application of the rottradam symptom check list [J]. Br J Cancer, 1990; 62(8)∶1034.
8. Aaronson NK, Ahmedzai S, Bergman B, et al.The European Organization for Research and Treatment of Cancer QLQC30:a quality of life instrument for use in international clinical trials in oncology [J]. J Natl Cancer Inst, 1993; 85(3)∶365.
9. Fayers P, Aaronson NK, Bjordal K, et al.EORTC QOLC30 Scoring Manual [M]. EORTC quality of life study group. Brussels:EORTC Data Center, 1997∶1725.
10. Wirsching M, Druner HU, Herrmann G. Results of psychosocial adjustment to long term colostomy [J]. Psychother Psychosom, 1975; 26(3)∶245.
11. Williams NS, Johnston D. The quality of life after rectal excision for low rectal cancer [J]. Br J Surg,1983; 70(4)∶460.
12. MacDonald LD, Anderson HR. The health of rectal cancer patients in the community [J]. Eur J Surg Oncol, 1985; 11(2)∶235.
13. Frigell A, Ottander M, Stenbeck H, et al.Quality of life of patients treated with abdominoperineal resection or anterior resection for rectal carcinoma [J]. Ann Chir Gynaecol, 1990; 79(1)∶26.
14. MacDonald LD, Anderson HR. Stigma in patients with rectal cancer: a community study [J]. J Epidemiol Community Health, 1984; 38(3)∶284.
15. Smitten K, Husa A, Kyllonen L. Longterm results of sigmoidostomy in patients with anorectal malignancy [J]. Acta Chirurgica Scandinavica, 1986; 152(3)∶211.
16. Devlin HB, Plant JA, Griffin N. After math of surgery for anorectal cancer [J]. Br Med J, 1971; 34(4)∶413.
17. Filiberti A, Audisio RA, Gangeri L, et al.Prevalence of sexual dysfunction in male cancer patients treated with rectal excision and coloanal anastomosis [J]. Eur J Surg Oncol, 1994; 20(1)∶43.
18. Havenga K, Enker WE, McDermott K, et al.Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum [J]. J Am Coll Surg,1996; 182(5)∶495.
19. Masui H, Ike H, Yanmaguchi S, et al.Male sexual function after autonomic nervepreserving operation for rectal cancer [J]. Dis Colon Rectum, 1996; 39(11)∶1140.
20. Moriya Y, Sugihara K, Akasu T, et al.Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancer [J]. World J Surg,1997; 21(7)∶728.
21. Mori T, Takahashi K, Yasuno M. The autonomic nerve preserving radical cancer [J]. Nippon Geka Gakkai Zasshi, 1997; 98(4)∶385.
22. Lazorthes F, Chiotasso P, Gamagami RA, et al.Late clinical outcome in a randomized prospective comparison of colonic Jpouch and straight coloanal anastomosis [J]. Br J Surg, 1997; 84(9)∶1449.
23. Ikeuchi H, Kusunoki M, Shoji Y, et al.Clinical physiological results after sphinctersaving resection for rectal carcinoma [J]. Int J Colorectal Dis, 1996; 11(2)∶172.
24. Jehle EC, Hachnel T, Starlinger MJ, et al.Level of the anastomosis does not inflyence functional outcome after anterior rectal resection for rectal cancer [J]. Am J Surg,1995; 169(2)∶147.
25. Stamatakis J, Steele R. Adjuvant therapy for colorectal cancer [J]. Br J Hosp Med, 1995; 54(3)∶259.
26. Gerard A, Buyse M, Nordlinger B, et al.Preoperative radiotherapy as adjuvant treatment in rectal cancer. Final results of a radomized study of the European organization for research and treatment of cancer (EORTA) [J]. Ann Surg,1988; 208(5)∶606.
27. Lewis WG, Williamson MER, Euzu A, et al.Potential disadvantages of postoperative radiotherapy after anterior resection for rectal cancer: a pilot study of sphincter function, rectal capacity and clinical outcome [J]. Int J Colorectal Dis, 1995; 10(2)∶133.
28. Glimelius B, Hoffman K, Graf W, et al.Quality of life during chemotherapy in patients with symptomatic advanced colorectal cancer. The nordic gastrointestinal tumor adjuvant therapy group [J]. Cancer, 1994; 73(5)∶556.
29. AllenMersh TG, Earlam S, Abrams K, et al.Quality of life and survival with continuous hepaticartery floxuridine infusion for colorectal liver metastasis [J]. Lancet, 1994; 344(10)∶1255.
30. Gelber RD, Goldhirsch A, Cole BF, et al. A qualityadjusted time without symptoms or toxicity (QTwiST) analysis of adjuvant radiation therapy and chemotherapy for resectable rectal cancer [J]. J Natl Cancer Inst,1996; 88(8)∶1039.
31. CamilleriBrennan J, Steele RJ. Quality of life after treatment for rectal cancer [J]. Br J Surg, 1998; 85(8)∶1036.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

ADVANCES AND CURRENT STATUS IN THE STUDY ON QUALITY OF LIFE AFTER OPERATION OF RECTAL CANCER

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