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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...

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Autores principales: González, Elisabeth, Holm, Kajsa, Wennström, Berith, Haglind, Eva, Angenete, Eva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
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.
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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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