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Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer
PURPOSE: Patients with low rectal cancer are often operated with an abdominoperineal excision (APE) rendering them a permanent stoma. The surgical procedure itself, the cancer diagnosis, and the permanent stoma might all affect quality of life. The aim of this study was to explore wellbeing and body...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5031731/ https://www.ncbi.nlm.nih.gov/pubmed/27506432 http://dx.doi.org/10.1007/s00384-016-2628-0 |
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author | González, Elisabeth Holm, Kajsa Wennström, Berith Haglind, Eva Angenete, Eva |
author_facet | González, Elisabeth Holm, Kajsa Wennström, Berith Haglind, Eva Angenete, Eva |
author_sort | González, Elisabeth |
collection | PubMed |
description | PURPOSE: Patients with low rectal cancer are often operated with an abdominoperineal excision (APE) rendering them a permanent stoma. The surgical procedure itself, the cancer diagnosis, and the permanent stoma might all affect quality of life. The aim of this study was to explore wellbeing and body image 3 years after APE in a population-based cohort of patients. METHODS: All patients with rectal cancer operated with an APE between 2007 and 2009 were identified using the Swedish ColoRectal Cancer Registry. A total of 545 patients answered a questionnaire 3 years after surgery. Two open-ended questions were analyzed with a mixed method design using both qualitative and quantitative content analysis. Main themes and sub-themes on wellbeing and body image were identified. RESULTS: Three main themes were identified: bodily limitations, mental suffering, and acceptance. Bodily limitations included other symptoms than stoma-related problems. A majority of patients expressed acceptance to their situation regardless of bodily limitations and mental suffering. However, 18 % did not describe any acceptance of their current situation. CONCLUSIONS: Most patients expressed acceptance reflecting wellbeing 3 years after APE for rectal cancer. There is, however, a subset of patients (18 %) who describe bodily limitations and mental suffering without acceptance and who require further support. Many aspects of the portrayed bodily limitations and mental suffering could be prevented or treated. TRIAL REGISTRATION: NCT01296984. |
format | Online Article Text |
id | pubmed-5031731 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-50317312016-10-09 Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer González, Elisabeth Holm, Kajsa Wennström, Berith Haglind, Eva Angenete, Eva Int J Colorectal Dis Original Article PURPOSE: Patients with low rectal cancer are often operated with an abdominoperineal excision (APE) rendering them a permanent stoma. The surgical procedure itself, the cancer diagnosis, and the permanent stoma might all affect quality of life. The aim of this study was to explore wellbeing and body image 3 years after APE in a population-based cohort of patients. METHODS: All patients with rectal cancer operated with an APE between 2007 and 2009 were identified using the Swedish ColoRectal Cancer Registry. A total of 545 patients answered a questionnaire 3 years after surgery. Two open-ended questions were analyzed with a mixed method design using both qualitative and quantitative content analysis. Main themes and sub-themes on wellbeing and body image were identified. RESULTS: Three main themes were identified: bodily limitations, mental suffering, and acceptance. Bodily limitations included other symptoms than stoma-related problems. A majority of patients expressed acceptance to their situation regardless of bodily limitations and mental suffering. However, 18 % did not describe any acceptance of their current situation. CONCLUSIONS: Most patients expressed acceptance reflecting wellbeing 3 years after APE for rectal cancer. There is, however, a subset of patients (18 %) who describe bodily limitations and mental suffering without acceptance and who require further support. Many aspects of the portrayed bodily limitations and mental suffering could be prevented or treated. TRIAL REGISTRATION: NCT01296984. Springer Berlin Heidelberg 2016-08-10 2016 /pmc/articles/PMC5031731/ /pubmed/27506432 http://dx.doi.org/10.1007/s00384-016-2628-0 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article González, Elisabeth Holm, Kajsa Wennström, Berith Haglind, Eva Angenete, Eva Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer |
title | Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer |
title_full | Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer |
title_fullStr | Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer |
title_full_unstemmed | Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer |
title_short | Self-reported wellbeing and body image after abdominoperineal excision for rectal cancer |
title_sort | self-reported wellbeing and body image after abdominoperineal excision for rectal cancer |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5031731/ https://www.ncbi.nlm.nih.gov/pubmed/27506432 http://dx.doi.org/10.1007/s00384-016-2628-0 |
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