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Quality of life in long term survivors of colorectal cancer.
Am J Gastroenterol 2002; 97(5):1228-34AJ

Abstract

OBJECTIVES

We aimed to determine the quality of life (QOL) for long term survivors of colorectal cancer.

METHODS

Persons with colorectal cancer who had survived at least 5 yr from diagnosis were recruited from a local cancer registry to answer questions about general QOL and colon cancer-specific issues. Before the general survey, focus group interviews with long term survivors were conducted to select survey questions from a pool of general and cancer-specific QOL questionnaires. The survey included the Health Utilities Index, the Center for Epidemiological Studies Depression Scale, and questions from the Short Form 36 and Functional Assessment of Cancer Therapy-Colorectal Cancer. After permission was obtained from their primary physicians, long term survivors from the registry were mailed invitation letters, then telephoned. Those agreeing were mailed self-administered questionnaires with stamped return envelopes.

RESULTS

Two hundred twenty-seven respondents (average age = 74 yr, 46% female) completed the survey. Survivors reported a relatively uniform and high QOL, irrespective of stage at diagnosis and time from diagnosis. Non-cancer related comorbid conditions and low income status had more influence on overall QOL than initial stage of colorectal cancer or time since diagnosis. Compared to age-matched populations, long term survivors reported higher overall QOL, but had higher rates of depression. Sixteen percent reported three or more bowel movements a day; 49% reported chronic recurrent diarrhea.

CONCLUSIONS

Those who achieve long term remission from colorectal cancer may experience a relatively high QOL, although physical symptoms such as diarrhea and depressive symptoms remain a problem.

Authors+Show Affiliations

Department of Medicine, University of Washington, Seattle, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12017152

Citation

Ramsey, Scott D., et al. "Quality of Life in Long Term Survivors of Colorectal Cancer." The American Journal of Gastroenterology, vol. 97, no. 5, 2002, pp. 1228-34.
Ramsey SD, Berry K, Moinpour C, et al. Quality of life in long term survivors of colorectal cancer. Am J Gastroenterol. 2002;97(5):1228-34.
Ramsey, S. D., Berry, K., Moinpour, C., Giedzinska, A., & Andersen, M. R. (2002). Quality of life in long term survivors of colorectal cancer. The American Journal of Gastroenterology, 97(5), pp. 1228-34.
Ramsey SD, et al. Quality of Life in Long Term Survivors of Colorectal Cancer. Am J Gastroenterol. 2002;97(5):1228-34. PubMed PMID: 12017152.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life in long term survivors of colorectal cancer. AU - Ramsey,Scott D, AU - Berry,Kristin, AU - Moinpour,Carol, AU - Giedzinska,Antoinette, AU - Andersen,M Robyn, PY - 2002/5/23/pubmed PY - 2002/6/12/medline PY - 2002/5/23/entrez SP - 1228 EP - 34 JF - The American journal of gastroenterology JO - Am. J. Gastroenterol. VL - 97 IS - 5 N2 - OBJECTIVES: We aimed to determine the quality of life (QOL) for long term survivors of colorectal cancer. METHODS: Persons with colorectal cancer who had survived at least 5 yr from diagnosis were recruited from a local cancer registry to answer questions about general QOL and colon cancer-specific issues. Before the general survey, focus group interviews with long term survivors were conducted to select survey questions from a pool of general and cancer-specific QOL questionnaires. The survey included the Health Utilities Index, the Center for Epidemiological Studies Depression Scale, and questions from the Short Form 36 and Functional Assessment of Cancer Therapy-Colorectal Cancer. After permission was obtained from their primary physicians, long term survivors from the registry were mailed invitation letters, then telephoned. Those agreeing were mailed self-administered questionnaires with stamped return envelopes. RESULTS: Two hundred twenty-seven respondents (average age = 74 yr, 46% female) completed the survey. Survivors reported a relatively uniform and high QOL, irrespective of stage at diagnosis and time from diagnosis. Non-cancer related comorbid conditions and low income status had more influence on overall QOL than initial stage of colorectal cancer or time since diagnosis. Compared to age-matched populations, long term survivors reported higher overall QOL, but had higher rates of depression. Sixteen percent reported three or more bowel movements a day; 49% reported chronic recurrent diarrhea. CONCLUSIONS: Those who achieve long term remission from colorectal cancer may experience a relatively high QOL, although physical symptoms such as diarrhea and depressive symptoms remain a problem. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/12017152/Quality_of_life_in_long_term_survivors_of_colorectal_cancer_ L2 - http://Insights.ovid.com/pubmed?pmid=12017152 DB - PRIME DP - Unbound Medicine ER -