Quality Of Life Of Early Stage Colon Cancer Patients At Least One Year After Surgery: Experience In A Small Community In Southern Catalonia.
Aim Colorectal cancer (CRC) is one of the most common cancers and causes of cancer death worldwide. In the long term (5 or more years), the quality of life (QoL) of CRC survivors have been observed comparable to that of the normal population. However, very few studies have reported data on the QoL of early stage CRC patients (Stage I and II). The objective of this study was to evaluate the QoL in patients with early stage colon cancer who have undergone a surgery at least one year ago. The results have been compared with the QoL in the general population of a small community in southern Catalonia.
Methods A descriptive cross-sectional study was performed on the QoL of 72 early stage (Stage I and II) colon cancer patients (cases group) who were operated on between January 1, 2000 and April 31, 2010 at the Hospital de Tortosa Verge de la Cinta (HTVC). The QoL of the patients group was compared with 144 controls without prior history of cancer (controls group) selected from the general population covered by the HTVC area. QoL parameters were measured using the EORTC QLQ-C30 questionnaire (version 3.0) which had been adapted and validated into Spanish.
Results No significant difference in Global Health Status QoL was found between the cases and controls groups. However, CRC patients present significant better emotional and cognitive functioning but also more diarrhoea and less pain that controls group. No differences have been observed according to the age or the stage of colon cancer patients. Regarding the gender, women of the study present worse scores for functional and symptoms items that men. However, it is the women of controls group that appear to suffer more from emotional and cognitive functioning that colon cancer patients (both gender). Patients with colostomies showed more diarrhoea. Patients with left-sided colon cancer have better physical function that those with right-sided colon cancer. Patients with a follow up longer than 5 years suffer more from nausea/vomiting and insomnia.
Conclusion Survivors of colon cancer seemed to be relatively satisfied after treatment. Our data showed that QoL reached quite high levels in this group when compared to general population. However, further studies are needed to develop a more comprehensive understanding of QoL and its determinants in colon cancer survivals.
Ahmad Nizar Hachem-Ibrahim, Bosch-Princep Ramon, Lejeune Marylène, Syed Muhammad Ali, Elsa Pla-Canalda, Martí-Solé Elisabet, and Buera-Pitarque Nuria
"Quality Of Life Of Early Stage Colon Cancer Patients At Least One Year After Surgery: Experience In A Small Community In Southern Catalonia.,"
World Journal of Colorectal Surgery:
4, Article 2.
Available at: http://services.bepress.com/wjcs/vol6/iss4/art2